I declined double jaw surgery but want to fix my profile - what options would I have? (Photo)

Question

Was offered a double jaw surgery as a teenager, declined it and now am getting a septorhinoplasty while wanting to correct my profile. My chin is recessed and small. What options do I have?

Michael P. Morrissette, DDS, FACS · Answer

There are two options for aesthetic improvement of your lower facial profile. A silicone chin implant can be placed on the bone or you can have the chin bone moved with a sliding genioplasty. Both options are equally effective in improving your facial balance. Some patients have a stronger feeling about one option or the other but both will give you the same result. The surgeries are performed in the office with sedation anesthesia. Neither will effect your bite or teeth.

Zoran Potparic, MD · Answer

Based on this very limited information you seem to be a candidate for chin augmentation with implant or by means of sliding genioplasty. This surgery should be done with rhinoplasty.

William Portuese, MD · Answer

A full set of facial and neck photographs are required to make a determination about how best to proceed. The x-ray presented is not helpful. Placement of a chin implant can augment your recessive chin forward, which can be done simultaneously with a septoplasty and a rhinoplasty procedure. Placement of a chin implant can accomplish, bringing  your chin forward, and a rhinoplasty procedure can decrease the overall projection of your nose as well. Digital computer imaging would be helpful to understand what can be accomplished with both procedures upon your facial features.

Mats Hagstrom, MD (license on probation) · Answer

Your chin projection is reasonably good.
This is sometimes called the mentalis region of the mandible.
The biggest deficit in projection is further back behind your molars in the body of the mandible.
Formal jaw surgery would be a better option since that is where the deficit lies.
This is why you have an overbite dental occlusion.
On profile pictures, your upper lip has more forward projection than the lower lip even though the lower lip is larger.
Chin augmentation, or sliding genioplasty may be helpful to some degree but the actual problem is not in the mental region of your mandible.
Consult with oral surgeons or plastic surgeons with cranial facial surgery backgrounds in your community.
Best,
Mats Hagstrom MD

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