Weak Chin - Jaw Surgery Vs. Chin Implant?

Silastic silicone chin implants in the proper patient placed under the on the bone of the jaw give wonderful long lasting results. Make sure your plastic surgeon evaluates you bite and certifies that it is right before going ahead with the chin implant. If you have a bad bite you might be able to have them both corrected at the same time. An extended chin implant in your case will give you a lovely result that will bring a nice balance to your face. I feel sliding genioplasty will work but... more

A small to medium-sized chin implant placed through a submental incision would give a stronger chin profile. Mandibular osteotomies or open jaw surgery could also strengthen your chin. However, neither of these two procedures will address nor improve your TMJ issues.

In looking at your photo, you appeared to be an ideal candidate for a nice chin implant. The procedure is very easy to perform in skilled hands. You should achieve an excellent aesthetic facial balance that would enhance your already beautiful face. Unless you have a severe malocclusion problem necessitating major reconstructive or orthognathic surgery, I would strongly advise you to go with the chin implant. Except in cases of severe malocclusion, the TMJ entity is another matter... more

You seem to be an ideal candidate for Chin Implant Surgery. You would have improvement in the appearance of your chin and jawline. This would also have the added benefit of making your nose look smaller. Chin Implant surgery is relatively inexpensive, and takes less than 30 minutes. Downtime is about a week, and your results are permanent. I'm not a big fan of sliding genioplasty surgery (surgically advancing your chin-bone forward). I've attached a link to my Chin Implant photos for your... more

If your bite is not contributing to the TMJ pain. Then it is a chin implant and then deal with the TMJ. TMJ surgery will not affect the chin, surgery on the mandible may  improve the profile some.

 You could have some chin enhancement and usually a chin implant is used.  Occasionally a sliding genioplasty is done but fewer surgeons do these.  I'd look at it as a separate issue from your TMJ.

In many instances jaw surgery can accomplish both goals. However, traditionally these are different surgical proceduress. TMj surgery typically does not improve chin projection whereas a SSO for malocclusion or sliding genioplasty can definitively achieve chin enlargement. The use of submental liposuction can enhance the result as well.

While I perform both bony surgery to improve the chin, as well as implants, I generally favor implant surgery. A chin implant is a short, out-patient surgical procedure with few complications. Cutting the chin bone itself is a much bigger operation which I would hesitate to recommend, unless there was no alternative. As a plastic surgeon with both a medical and dental degree, I have performed many operations on the jaws to move the bones, including the jaws and chin, but surgery on your... more