28-year-old with a receding chin. Would chin implants improve my profile better than braces? What size would be ideal? (Photo)

I have short and receding chin, dentist said I need to remove 4 teeth and wear braces for about 2 years. But I am thinking about chin implant. I am seeking professional advice here: am I a good candidate for chin implant or should I listen to my dentist? Would chin implant improve my profile better than wearing braces? If I go for chin implant, what size would be ideal for me? (I consulted a doctor and he said I need big size, like 1 cm). Many thanks for sharing your opinion.

Doctor Answers 18

28-year-old with a receding chin. Would chin implants improve my profile better than braces?

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Yes, you absolutely would benefit from a chin implant.  Braces will not achieve the goal you are looking for.  If you place your finger from your lip straight down, your chin should be very close to your finger.  You chin is very far back.  A chin implant will balance the lower half of your face.

Braces versus chin implant

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orthodontic work or braces probably will not help you reach the goal that you have in mind.  I really like the shape of her face from the front view, it is very oval and tapered towards the chin.  I would probably recommend something like a medium or even a large depending on what your examination showed and make sure that the front or tip of the chin implant was nicely tapered to maintain the "V-shaped" or oval shaped tear face that is so attractive.  The orthodontic work that you may or may not have done may help the overall appearance of everything but would not appreciably advance your jaw or chin to create a look that you desire.

You may also be a good candidate for a genioplasty which involves incisions inside the mouth and actual cuts in the jaw bone itself around the chin area to remove that segment of the mandible forward.

Best of luck

Chase Lay, MD
Double board-certified facial plastic surgeon

Chase Lay, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 76 reviews

Chin implant

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I have to agree partially with your dentist. You have a moderately small jaw. The best option in my opinion is to get orthodontics and then jaw surgery. You might need to remove some teeth meanwhile. The jaw surgery will give you the best bite and profile. 

Majid Jamali, DMD
New York Oral & Maxillofacial Surgeon
4.8 out of 5 stars 17 reviews

Solution for Receding Chin

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Based from your photos, you have a significant degree of receding chin (profile view) with relatively wide zygomatic (malar) bone on the front view.

On my opinion, a thick implant with forward and a little bit downward projection with extended arm design is what you need to balance out your facial features. Nevertheless, in my service, I make sure I have several other implant sizes and designs available on hand to make sure the patients gets the best result and in case intra-operative adjustment is needed.

Possible chin augmentation candidate

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Dear Apple0101, As many of the other surgeons have stated braces will not correct the complaints you state above regarding your profile. A chin augmentation will greatly improve your profile. Sizing is done in person and varies on the different implant choices and varieties that different surgeons prefer. I would get a second dental opinion before having any teeth removed and planning on braces for two years unless you are having serious bite issues. Regardless of the bite issues the braces will not help the receding chin. Your options are chin augmentation via an implant or genioplasty. Best regards, Michael V. Elam, M.D.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 212 reviews

Braces or implant

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PLEASE do not have braces to advance your chin. It will not work.
You look as though you need either a chin implant, an advancement genioplasty or possibly a mandibular advancement (if you have significant mal-alignment of the teeth.) See a Board Certified Plastic Surgeon.
Best wishes.

Braces vs chin implant

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Braces will not change your chin position unless jaw surgery advancement is planned with the orthodontics.  Your photos reveal significant chin recession and you can improve this with either a chin implant or advancement genioplasty.  Good luck.  Donald R. Nunn MD, DDS  Atlanta Plastic Surgeon

28-year-old with a receding chin. Would chin implants improve my profile better than braces? What size would be ideal?

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Great questions but NOT for via the internet. IN PERSON examination, X-rays, measurements are needed to determine best sized chin implant. Not only for shape but size... 

Chin implant candidate versus orthodontic braces

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 Orthodontic braces are used to straighten your teeth and will not have any appreciable effect on your weak chin profile. To augment your weak chin profile, a chin implant is inserted through sub mental incision  and is placed  over the bone  to give cosmetic improvement. The chin implant will not have any bearing on your  dentition. For many examples, please see the links below

28-year-old with a receding chin. Would chin implants improve my profile better than braces? What size would be ideal?

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You are a good candidate for a chin implant. To determine the size and contour an exam would be required. Wearing braces does not perform the same function as a chin implant. You should do both. The sequence would be determined by your plastic surgeon and dentist together in consultation. 

The face is divided into thirds. The first third extends from the hairline to eye level. The second from eye level to the upper lip and the lower third from the upper lip to the chin. What we look for is a harmonious profile, that is a balanced profile. Sometimes all that it takes is rhinoplasty, sometimes a rhinoplasty with chin implant and sometimes just a chin implant. This seems to be the case with you. I perform all of my chin implants through a buccal incision, that is....through the inside of the lower lip. I prefer this approach because all too often I have seen chin implants displaced downward when the incision has been made under the chin.There are many surgeons that are very successful with this method and as for me, it's a matter of personal preference.

I encourage you to look up the surgeon you eventually select and make sure they are certified by the American Board of Plastic surgery and have years of experience in performing chin implants. Furthermore, request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits? Good luck.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.