Will My Lower Lip get Any Thinner If My Sliding Genioplasty Is Reversed?

Q: Dr. Eppley, Hello, Dr. Eppley. I had a sliding genioplasty of 5mm forward 8 weeks ago. My face was already long, which I remarked to the surgeon many times, Now my face looks so much longer and I honestly hate the result and wasn’t what I expected at all. A) Is the length of my face going to decrease significantly from here? B) If I decide to move forward with a reversal, is there always laxity, fullness and damage to the soft tissue (I’m only 24 years old)? C) One of my problems is that my lip became thin, is a reversal going to make the lip worse or spoil any chances of the lip getting back to its normal size? Thank you so much, Doctor.

A: In answer to your postop sliding geniopalsty questions:

  1. At 8 weeks after surgery what you are now seeing is 90% plus what the final result will be.
  2. There is a risk of soft tissue laxity if the sliding genioplasty is fully reversed. Subtotal reversal will lessen that risk.
  3. Sliding genioplasty reversal is unlikely to make the lip any thinner….but it will also not make it any thicker.

Dr. Barry Eppley

World-Renowned Plastic Surgeon