Will BSSO (Bilateral Sagittal Split Osteotomy) Give Enough Chin Projection and Good Profile? Or is Genioplasty Needed As Well?

I planning to get my chin augmented without any implants. I want my chin to be more projected and a balanced part of my face. Should I choose only BSSO since I have a deep bite. Or should I go for Genioplasty as well. Wiill going for BSSO + Genioplasty give me a strong chin. Is my chin too weak, its very hard for me to tell since I am not an expert.

Doctor Answers (2)

Mandibular Advancement with or without Genioplasty

+1

The answer to your question can be determined before surgery through cephalometric analysis and soft tissue tracing which is a standard radiographic analysis technique for any type of orthognathic surgery. This visual assessment method considers facial changes from bony jaw movements down to the millimeter level.  


Indianapolis Plastic Surgeon
5.0 out of 5 stars 27 reviews

Genio and BSSO

+1

Kilokahn,

Without having the full picture of what your clinical presentation is, it is very hard to give you an answer. I state that you have "deep bite."  This may preclude you from having a BSSO. Typically patient that are undergoing orthognathic surgery, either one jaw or two jaw surgery, have an orthodontic evaluation. If the only deficiency is a small chin, my suggestion would be to do an implant, because its an easier process. If you are totally against a silicone implant, then a genioplasty is easily performed through a small intraoral incision.   Definitely need to consult with orthodontist and oral maxillofacial surgeon prior to making any decisions . 

Manolis Manolakakis, DMD
Middletown Oral & Maxillofacial Surgeon

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