What would be recommended to fix my asymmetrical chin? (Photos)

Question

My chin is asymmetrical to a point where i feel uncomfortable smiling. Ive had a consult with a doctor and he said that he could barely notice in person. Genioplasty may fix it or not. Wondering what others would recommend or any alternatives

Timothy Osborn, MD · Answer

It is very common to notice an asymmetry more in a photo than in person. Your asymmetry is from both of your jaws, Your upper jaw is about 1.5mm to the right, rotated in the back (a yaw) and the left angle of your lower jaw is rotated out. All told that makes your chin point off to the right more in appearance than in distance. Meaning it looks more asymmetric than it measures as asymmetric. This is very common in subtle orientation issues in the jaws...it is skewed 2mm on one side, 3mm on the other, and the overall impact is larger than the increments that go into it. So a couple of ways to fix this, depending on how far you want to go--jaw surgery would be the most predictable/fastest way to fix it seeing as it involves both jaws. This is a bigger recovery, and would possibly require orthodontics to fix the bite. If you are OK with keeping the upper midline where it is (2mm discrepancy is considered OK) then you could do a genioplasty to center the chin and either reduce your left mandibular angle or augment the right one. You would just have to pick which side you liked better to determine, or work with your provider on some simulations. Based on what I see your right side is the better one (relative to your cheek) but you get to pick. With contouring the angle of the jaw, any imbalances in the rest of your lower jaw could be contoured at the same time to give a more symmetric appearance.

Ajaya Kashyap, MD · Answer

Thankyou for your question. It may be best to get some X-rays or CT scan for evaluation of your bony structure. Slight asymmetries can be addressed with fillers. For a more significant bone asymmetry a genioplasty will be helpful. Please find a Board certified Plastic surgeon near you, who is experienced in these procedures and  can help you with all your concerns. All the best!

Mats Hagstrom, MD (license on probation) · Answer

The human face is a symmetrical. It is asymmetrical on all people. This has been studied and well documented. Only 2% of the population have something that is even close to being symmetrical.
Your degree of asymmetry it’s a less than most people.
During embryological development the two sides of the face form independently and eventually fuse in the midline. 
The human mind is also accustomed to seeing facial asymmetry as being normal.
Why most people pussy perfectly symmetrical faces that are computer generated tend to find them strange looking unless attractive.
The baseline for the asymmetry is almost always based on bone structure. all aspects of the facial skeleton is a symmetrical not just the chin. I would not recommend a sliding genealplasty for the purpose of treating a symmetry and in fact do not usually recommend anyone treat facial asymmetry unless it’s severe enough for people to notice it.
Inyour case the only one who noticed it is you.
Spend less time looking in the mirror.
Best,
Mats Hagstrom MD

What would be recommended to fix my asymmetrical chin? (Photos)

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