Can Chin Surgery fix my chin asymmetry? (photos)

Question

I have TMJ and use Botox for it. This though is bone. The maxilofacialist I saw said that shaving it is excessive and that it may regrow anyway. What would you do to fix this? Filler on the other side? I don't believe I always had this.

Michael P. Morrissette, DDS, FACS · Answer

A chin shaving procedure us usually performed  to improve the bony symmetry when the asymmetry is minor. For large asymmetries, a genioplasty is a better procedure.  A CT scan of the jaw would be helpful.

Barry L. Eppley, MD, DMD · Answer

The chin asymmetry you have is caused by a slightly larger growth of the inferior border, which is not uncommon. An inferior border shave is the correct procedure for correction. The bone will not regrow back. It would be important to first see an x-ray to measure the differences between the two sides as a guide during surgery.

Mats Hagstrom, MD (license on probation) · Answer

It’s not your chin that is a symmetrical as your entire face is asymmetrical. This is true for all people. Only about 2% of the population have something that resembles a symmetrical face.

During embryological development the right and left facial halves form independently of each other and eventually fuse in the midline. this is one of the reasons the two sides are often quite different and this is normal.
Even great artists throughout time I’ve incorporated asymmetry in classic works of art.

There are plenty of websites showing computer-generated symmetrical faces and how odd and often unattractive they appear.

Facial asymmetry is almost primarily based on skeletal structure. Trying to treat facial skeletal asymmetry with soft tissue manipulation simply creates two asymmetries.

Best,

Mats Hagstrom MD

Gerald Wittenberg, MSc, DMD (retired) · Answer

Generally the right and left sides of the lower jaw can grow differently so x-rays to evaluate that feature allows a better appreciation of what the procedure and result will become. Altering the prominent side or augmenting the weaker side will work depending upon the analysis. But not to worry about bone regrowth at all.

Can Chin Surgery fix my chin asymmetry? (photos)

Answers (4)

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