Chin Augmentation Vs. Jaw Advancement Surgery

You should be evaluated for a malocclusion. This means that if your upper and lower teeth do not meet properly, then it is more likely that you will need a jaw advancement. If your teeth are in proper alignment then you may benefit from the chin implant procedure alone. In my opinion, you would greatly benefit from a rhinoplasty and should consider it as an option to enhance your overall profile.

To create a profile where each element of the face is in balance, we often perform rhinoplasty and chin augmentation at the same time. However, a chin implant alone is often sufficient to balance out a larger nose. Some patients may choose this option because it also allows them to preserve their ethnic identity. As for jaw advancement, like rhinoplasty it is a major surgery that could be outside your particular budget right now. I hope this helps.

Thank you for the question and your photo. Based on the profile you submitted, your chin/jaw seem undersized. However, an evaluation of your bite needs to be performed (ideally by a dental professional). If you have an overbite, then advancement of the jaw would be a good option. In addition, the overall harmony of your facial features is negatively affected by the relative size of your nose. If you are able, making the nose a bit smaller would help as well. Chin and nose surgery are frequently performed together.

The chin and jaw line are important
characteristics in male and female faces and if weak or recessed can result in
facial imbalance. Chin augmentation can be achieved by several methods:

Non-surgical
augmentation of the chin with fillers (hyaluronic acid, Radiesse) offer a
conservative augmentation that is temporary for between 6-12months. Fillers are
generally softer materials so the augmentation of the bone along the jaw line
is generally limited in effectiveness. They offer the advantage of a
non-surgical procedure that enable a patient to “try out an improvement” before
surgery.

Chin
augmentation with a chin implant requires a surgical procedure to insert the
chin implant, however the size of the implant can be tailored to the individual
and the implants will last long-term.

Augmentation
of the chin with jaw advancement surgery (termed sliding genioplasty) requires
more invasive surgery than insertion of a chin implant. Often the treatment is
coupled with orthodontics requiring braces to realign bite that requires many
months of treatment, there is numbness in the area of the jaw after treatment
which can be permanent.



Non-surgical treatments have a fairly
limited effectiveness and are only useful for a mild augmentation of the chin
for a temporary period. For most individuals the insertion of a chin implant is
generally effective and long-lasting. With chin augmentation, insertion of too
large an implant results in a box shaped or unnatural looking appearance to the
chin that is not attractive.

The answer is dependent upon the total evaluation of the face and its components.  The nose should be evaluated to see if it needs a surgical procedure prior to a chin procedure.  After the nose has been evaluated then the selection can be made.  The chin implant is usually a less expensive procedure compared to the jaw procedure.

From the photo, I doubt that you will need a "jaw advancement".  However, some people might suggest a sliding genioplasty instead of a chin implant.

Most people would choose a chin implant over a sliding genioplasty as not only is it less expensive, but it has a shorter recovery and will give you a similar result with far less risk.

 

Genioplasty surgery is always an option, and you could certainly consider this option. Chin Implant surgery takes under 30 minutes, and downtime is minimal. The majority of my patients are thrilled with their results after Chin Implant Surgery.
I hope this is helpful for you.

I would agree with the other doctors.  Don't sell yourself short.   Do the procedure correctly.  That means if you are considering doing the nose, save up and do it the best way possible.  You will not get your best result with just doing the chin, whatever technique you use.
If your teeth meet properly, you may want to consider a chin implant.  That way if you don't like it, or want a different size, it is an easy fix.  It is very difficult to reverse maxillofacial surgery if you don't like the look.  Once the bone is cut, it is cut.  Patients complain of stepoffs where the bone was cut, feeling the little plates, and a not insignificant incidence of sensory nerve injury even if the surgery is well performed.  It is a long healing process.
For large cases or cases where there is a significant underlying problem with the bones, maxillofacial surgery is usually necessary.

 If your teeth fit together withy normal occlusion then you would find it far easier to have an implant, plus considerably cheaper as well. You should really consider having your nose done as well as it will give you a great result.

When assessing the chin one needs to address the front to back and vertical dimensions of the chin. The male aesthetic norm for chin position is a chin point that touches a tangent line between the mid nasal bridge & the edge of the upper lip. For a woman the chin point looks more feminine if it is about 5mm behind this tangent line. Additionally the male chin has a squared contour while the feminine contour is more rounded. The vertical length from the nose-upper lip junction to the chin point should be equal to the distance between the nose-upper lip junction & the upper edge of the eyebrow.
A number of surgical procedures are available to achieve these aesthetic goals. A vertically long chin can be shortened by removing a horiontal wafer of bone. Conversely a vertically short chin can be cut horizontally & a bone or hydroxyappetite spacer placed for lengthening. Retruded chins can be cut horizontally, the chin point advanced forward & then the bone fixed in position. Squared chins can be recontoured with a burr to be rounded. Squared or round chin implants made of a variety of materials (silicone, porous polyethylene etc) can be used to advance the chin point forward &/or change chin contour from round to square or vice versa. If the front to back deficit is more than a centimeter and a half or so most surgeons would agree that cutting and advancing the bone is a better option than placing a chin implant. That is because larger implants have a greater risk of shifting position due to gravity and muscle movements. Bone cutting is also more appropriate if there is significant right left asymmetry of the chin.
Since you only provide a side view the chin right left symmetry is not visible. From the side view it appears that the bone deficit involves the entire jaw not just the chin. That does not mean you have to have the bone cut to advance the entire jaw but it does mean the assessment prior to surgery is a bit more complex and you have to go over the options before making a decision of what to do. Part of that assessment is dental alignment. The upper incisors (2 front teeth) normally sit 2mm in front of the lower incisors with their lower edge 2mm below the the level of upper edge of the lower incisors when the mouth is closed. The more these distances differ from the 2mm norm the more advisable it is to have bone surgery rather than just implants.
As for the rhinoplasty and the sequence of surgery you should have the surgery on the part that bothers you the most first.

Hi scuba tim,
Jaw advancement surgery is much more invasive than having a chin implant. Unless your occlusion is off, I would avoid major jaw surgery. A chin implant will help, but it would be best to save your funds and have both rhinoplasty and chin augmentation during the same procedure which will ultimately save you money in the long run.
Good luck and be well.
Dr. P