Is a sliding genioplasty appropriate for me? (Photo)

Question

I have a sliding genioplasty scheduled in 2 weeks. I am 27F and have wanted to improve my profile and jawline for quite a while. I have a very mild overjet, mildly recessed jaws, no breathing issues but family history of obstructive sleep apnea. I am now second-guessing if I should be pursuing DJS instead. However, it seems that insurance would not cover DJS in my case so it may not be affordable. Will sliding genio offer an improvement for me?

Michael P. Morrissette, DDS, FACS · Answer

You have very minimal chin recession so another option is a chin implant. A genioplasty can also accomplish the same results but is considered more invasive.

Majid Jamali, DMD · Answer

It is a tough one. I would lean towards jaw surgery. 3 issues are a concern here: 1. Already a nice labiomental fold and if S.G. is performed, the fold would get deepend. 2. Family history of OSA 3. Existence of maloccolussion. Solution:1. Pre surgical orthodontics2. Send to your medical insurance for pre-approval for jaw surgery3. Jaw advancement

Mats Hagstrom, MD (license on probation) · Answer

Choosing the correct procedure should be done based on having a clear understanding of what the underlying problem or ideology is.
A genioplasty treats issues related to the mentalis or the chin region of the mandible.
If the chin has adequate forward projection, then individuals typically have a normal Fold or crease between their lower lip and chin. This can be measured and is referred to as the labiomental angle.  Your chin does have fairly good forward projection. Advancingbthe chin further will deepen the labiomental fold. 
I’m guessing the deficit in your mandible is further back in the body of the mandible.
I suggest getting a formal cranial facial assessment, including cephalometric assessment.
Once you have a good understanding of facial bone structure, then you can choose a procedure that is most appropriate.
Ideally, this should’ve been done many months before surgery.
These assessments are to some degree subjective and will vary a bit from person to person.
I generally recommend getting an assessment, but someone who can offer the most comprehensive procedures, regardless of what operation patients choose.
Best,
Mats Hagstrom, MD

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