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Hav eyou personally had to deal with this chin issue?? Why so tight and puckered? Is it from the aspiration of the fluid build up?
What revision would you do if I were your patient and when would you make that determination? Thank you so much for your help! I found an ultra sound machine and asked surgical techs to check with my surgeon and they didn't ever answer me. I am willing to do whatever it takes to make this go away. I think they are tired of hearing from me. I am a little disapointed right now. Thank you for your help!
Yes, I have seen it. It has to do with some scar tissue forming that will respond to cortisone injection and massage . I would wait about a year before deciding if anything needs to be done the chances of which is less than 50/50. You'll see improvement within 4-6 weeks.
I agree with Dr. Pichler as to causation. I have found that it is usually the area closer to the jaw bone, but in different people it can form in other places. Unfortunately, it seems to be an individual issue and is related to the way your body heals. I understand that most patients do not want to wait a year to see better results. Low dose kenalog (a steroid) injections can help. Surprisingly, I have found that topical application of Westcort cream, an intermediate steroid, 2-3 times a day can make remarkable progress in some patients. It softens the area and relieves the puckered appearance. That along with a firm massage using olive oil at night can be quite useful. I know it may sound a bit odd, and I myself was quite surprised that it worked, but it does. Give it a try. I would suspect that it will make enough difference that you will not be so self conscious about the results.
Mark E Johnson, MD, PhD
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