Would I benefit from a genioplasty or double jaw surgery? (Photos)

Question

I have always know my chin/ lower face is very unbalanced and I want to fix it, although I have no idea where to start. I wonder if a genioplasty and a rhino would be enough to balance my face but iam scared of having a witch chin.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Dear Ana,

Thank you for sharing your photo. From what I can see, the main area for improvement is in the lower third of your face. Your nose and upper jaw appear to be well-positioned, but your lower jaw and chin are somewhat recessed.
The optimal treatment would be a bilateral sagittal split osteotomy (lower jaw advancement), possibly combined with a sliding genioplasty, to bring your lower face into better harmony. This typically requires coordination with orthodontics for the best long-term bite and facial balance.
If you wish to avoid orthodontics and a full jaw procedure, then a sliding genioplasty alone could still improve your profile, though not as dramatically as the combined approach. A skilled surgeon can shape the chin advancement to avoid creating a “witch chin” appearance.
An in-person consultation with a board-certified oral & maxillofacial surgeon or plastic surgeon experienced in orthognathic surgery will allow precise measurements and a tailored plan.

Warmly,

Earl Stephenson, Jr, MD, DDS, MBA
ESJ Aesthetics — “Where Confidence Takes Shape!”

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