Chin Implant or Ortho?

I have been distressed about my profile for decades. Now that I am ready to do something about it I want to fix it right. My chin is recessed behind my bottom teeth & my bottom teeth are recessed behind my top teeth. I sought a chin implant & submental lipo, but now I am considering orthodontics or perhaps orthognathic surgery to get everything aligned. I have straight teeth but a 40% overbite and TMJ problems. What's the best way to go for my pain & to balance my face more aesthetically?

Doctor Answers (2)

Orthodontia first!


Hi there! Orthodontic problems such as an overbite should be addressed first by an orthodontist. This may or may not require jaw advancement surgery/osteotomies. If not, chin augmentation with an implant is a fairly simple procedure to perform once your bite is improved, but since it is permanent you will be happiest with the results if any other jaw/mandibular work is completed first. Good luck!

Indianapolis Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

Deciding between chin implantation and orthognathic surgery/orthodontics


The main thing to consider is that a chin implant won't change your bite. Having orthognathic surgery and/or orthodontics would be able to address this, though this would be a longer, more involved process. Fixing your bite issues may be able to address your TMJ issues. You should consult with a surgeon who does orthognathic surgery and an orthodontist to see what they think about your situation.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

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