What Is The Best Method To Reduce An Overdone Sliding Genioplasty?

Q: Dr. Eppley, Hello doctor, I am 2 months after a mandibular advancement + genioplasty and I do not like the result at all because it has lengthened my face. So I want to shorten the bottom of my face, reduce the chin in length and move it back a little + reduce the lower edges of the mandible without touching the angles. However, I am extremely afraid that the soft tissues, muscles, could relax. And therefore end up with a “wizard’s” chin that goes down. And so, I do not know which technique is best for me between shaving or osteotomy. These are slight modifications I think no more than 8mm of reduction in height and maybe 3 of recession. According to you what would be the best technique for me and why? Thank you in advance!

A: Those are big bony changes that are best achieved by redoing the osteotomy not by shaving for the very concern that you have. (tissue sagging)

Dr. Barry Eppley

World-Renowned Plastic Surgeon