General Category > Aesthetics
Sliding Genioplasty lost projection after swelling was gone, using filler?
tim06:
I had a sliding genioplasty and two weeks after the procedure it looked perfect! Due to the swelling my lower third had the perfect proportions and projection for my face. But since the hefty swelling went away it looks now really not good.
Is there any way to get back to the 2 weeks post surgery swelling with filler? I was so happy with the result, it had the correct volume from all angles and now it just went away :(
2 weeks post op:
18 months post op:
kavan:
The chin is actually in line with the lower lip and pretty much where the chin should be 'in it's own right'. Aside from the fact that there is more BULK in the swelling photo and filler RARELY mimics the look of DIFFUSE even swelling, it's still about the same projection. However, in both photos your upper lip is too far forward to the lower lip which is an indicator that genio ALONE was not the entire solution to your profile imbalance.
Via my displacement changes, the visual info I'm getting suggests a Lefort 2 type set back for a protrusive area above the Lefort 1 area in addition to a BSSO. It looks like you have a protrusive Lefort 2 area in addition to a slightly retrusive lower jaw.
You probably could get away with a bi-max with lefort 1 set back and BSSO advance and spare yourself from pursuing any Lefort 2, a rhinoplasty would be needed in addition for better overall balance.
Although I try to AVOID suggestions towards the more complex and involved leforts, (usually because the next person reading it THINKS he/she also needs same when they don't), in this case, I'm seeing protrusion in the Lefort 2 area.
needadvancement:
I went through the same disappointing thing bud. Good thing you posted pictures, anybody considering SG and going through post-surgery needs to see them.
The look of the initial swelling is not achievable with jaw augmentation alone because it adds size in areas all around the critical points which of course are only there temporarily.
tim06:
--- Quote from: kavan on October 26, 2017, 11:41:45 AM ---The chin is actually in line with the lower lip and pretty much where the chin should be 'in it's own right'. Aside from the fact that there is more BULK in the swelling photo and filler RARELY mimics the look of DIFFUSE even swelling, it's still about the same projection. However, in both photos your upper lip is too far forward to the lower lip which is an indicator that genio ALONE was not the entire solution to your profile imbalance.
Via my displacement changes, the visual info I'm getting suggests a Lefort 2 type set back for a protrusive area above the Lefort 1 area in addition to a BSSO. It looks like you have a protrusive Lefort 2 area in addition to a slightly retrusive lower jaw.
You probably could get away with a bi-max with lefort 1 set back and BSSO advance and spare yourself from pursuing any Lefort 2, a rhinoplasty would be needed in addition for better overall balance.
Although I try to AVOID suggestions towards the more complex and involved leforts, (usually because the next person reading it THINKS he/she also needs same when they don't), in this case, I'm seeing protrusion in the Lefort 2 area.
--- End quote ---
I asked for a BSSO and the doctor told me it is not possible since my bite is fine. No doctor will do a lefort 1 or 2 for aesthetic reasons. The only options left are Chin Wing, Implant, or Fillers.
A chin wing is too dangerous and would most likely just result in an even pointer chin, and a visible plate that stands forward.
During my SG the chin was moved by 11 mm.
tdawg:
--- Quote from: tim06 on October 26, 2017, 12:47:16 PM ---I asked for a BSSO and the doctor told me it is not possible since my bite is fine. No doctor will do a lefort 1 or 2 for aesthetic reasons. The only options left are Chin Wing, Implant, or Fillers.
A chin wing is too dangerous and would most likely just result in an even pointer chin, and a visible plate that stands forward.
During my SG the chin was moved by 11 mm.
--- End quote ---
Can you post a picture of your teeth biting down, from the side? From the way your upper lip sticks out I would be pretty surprised if you didnt have a significant overjet.
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