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Chin Implant Vs Orthognathic Surgery for Receded Chin?

asked 2 years ago by ilovesaki in ny
Latest answer by Sigmund L. Sattenspiel, MD
Question viewed 3,680 times
Tags: chin, jaw, profile, receding, TMJ

I have noticed my chin is receded in pictures so I started looking into a slight chin implant. The more look into it, it has dawned on me that this could be a result of having TMJ and I may need corrective jaw surgery (orthognathic surgery). My bite seems fine, however, if I slide my jaw forward, my profile looks so much better. If an implant was placed in my chin, a similar result would follow and it seems less complicated than jaw surgery. How will I know which is the best way to go?

12 answers to Chin Implant Vs Orthognathic Surgery for Receded Chin?

+4

Bigger Chins in Houston!

A chin implant vs. orthognathic surgery. Each of these procedures has a very definite indication, distinct difference in technique and level of invasiveness as well as potential risks. First of all, the chin implant operation involves placing an implant (generally made of silicone) over your natural chin bone to provide additional projection. The operation is ideal for those patients with an overall good facial form, good occlusion and a somewhat deficient chin... more
Morgan E. Norris, MD

Houston Plastic Surgeon
+2

Chin implant versus orthognathic surgery

You should really be evaluated by an experienced surgeon who understands orthognathics. If you have a misaligned bite, this may be contributing to your TMJ. If you require this type of surgery, it may change your profile, so you should have it done prior to consideration of chin implantation.
Sam Most, MD

Bay Area Facial Plastic Surgeon
+1

Chin Implant better for cosmetic purposes

For purely cosmetic reasons, a well performed chin implant procedure is far superior to a more aggressive and traumatic jawbone altering surgery (sliding genioplasty or orthognathic surgery). There are far fewer problems and complications and the healing time is considerably faster. In addition, the cosmetic results are usually superior. On the other hand, if you have a functional problem with a bite alteration or dental malocclusion contributing to both the deformity as well as the TMJ, a... more
Sigmund L. Sattenspiel, MD

Freehold Facial Plastic Surgeon
+1

Chin implant or orthognathic surgery

Orthognathic surgery is performed on both the upper jaw and lower jaw to correct an underbite or overbite. It is usually performed on teeth in combination with orthodontics and is done when the bite is way off and the chin is receded. Whether or not orthognathic surgery would be appropriate for you depends on your bite. Have an evaluation with your dentist. A chin implant is done for cosmetic purposes for a receding chin and can be done under local anesthesia through a 0.5 inch... more
William Portuese, MD

Seattle Facial Plastic Surgeon
+1

Chin Implant or sliding geneoplasty for receding chin

TMJ is Tempero-Mandibular Joint. If you have pain or click in the TMJ then you need this to be evaluated. If the Bite is normal and the mandible growth is normal then you may have two options 1: Chin Implant 2: Sliding geneoplasty, This will advance the chin bone forward and stabilized with scews and plates. This is more involved surgery, but no foreign material except the plate and scews. and long lasting, no further surgery needed. This can be done provided you have enough bone to slide.... more
Samir Shureih, MD

Baltimore Plastic Surgeon
+1

Chin Implant VS. Genioplasty (Orthognathic Surgery)

Once you decide that you do want surgery on your chin the procedure best suited to you should be based on your degree of chin retrusion. While placing an implant is a relatively simple operation, it is NOT universally applicable to all retrusive chin presentations out there. On the other hand, a genioplasty is applicable to all presentations but may be "over kill" for small chin retrusion cases in which a implant will suffice. A sliding genioplasty allows chin reduction (like the... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Weak chin options

You made great observations.  However, this is not something you can choose based on ease or complexity.  You may start with a ps, or an oral surgeon, or even your dentist.  The first place really to start is to evaluate your bite.  Even though it looks good to you, it may not be.  After that is evaluated, you can start to make informed choices.  The implant is the easiest way to go as you note.
Scott E. Kasden, MD

Dallas Plastic Surgeon
+1

Chin implant is simpler procedure

Chin implant placement is a much simpler procedure than corrective jaw surgery. The latter is best reserved for those who do not have a normal bite. The procedure involves cutting into your mandile and advancing it forward when there is a significant mandibular recession. I would think that the chin implant will achieve the same results for your case.
Siamak Agha, MD, PhD

Orange County Plastic Surgeon
+1

A chin implant is great for providing increased projection to your chin

Hello - It sounds as though you're an excellent candidate for a chin implant. If your bite is fine and you like your profile while extending your chin a little then an implant is most likely the best way to go. The procedure is quick with minimal downtime and pain. Also, the costs are much less than orthognathic surgery. You can get a silicone or methylmethacrylate implant, but I usually prefer silicone as they're easier to place and do well in the long term.
Jeffrey E. Schreiber, MD

Baltimore Plastic Surgeon
+1

Silastic Chin Implants have a long history of reliability and safety.

If you'd like to have a stronger chin and jawline, this may be attained through Chin Implant Surgery with minimal inconvenience. If you decide that you don't want an implant and would rather have a genioplasty, make sure you proceed with a physician experienced in the art of genioplasty surgery. I hope you find this helpful.
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon
+1

Chin augmentation or enlargement

Jaw or chin surgery is the technique used to avoid implants and achieve a long term correction. It is more invasive and tends to have greater risks and expense in the short term. Implants are less invasive but do have a greater potential for migration, erosion, extrusion or infection.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Chin implants are easier than orthgnathic surgery, whats best depends on your bite

A pure answer is that most patients with receding chins might benefit most from orhthognathic surgery. That may mean cutting and sliding chin bone only or moving the upper and/or lower jaws, sometimes separating the bone holding the teeth as well. This is aggressive surgery and I feel should be reserved for patients with significant facial and bite deformities. TMJ in and of itself will not cause a receding chin. There are some rare conditions in which the joint degenerates and that is why... more
Steven J. Pearlman, MD

New York Facial Plastic Surgeon

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