How to correct long midface/ possible genioplasty correction?

Question

I had advancement of the lower jaw, combined with a sliding genioplasty when I was 16 to correct an undeveloped jaw/tmj/overbite. While the surgery resulted in some noticeable improvements, there are aspects I am still unhappy with. A) the first of these being the hooked shape of my chin from the side profile- What is causing this/how can it be it be corrected to a more smooth/straight chin shape? B) My midface is elongated- how to mitigate? Upper jaw surgery, lip lift, cheek implants, etc?

Michael P. Morrissette, DDS, FACS · Answer

It is difficult to give you accurate advice from just a few photos. It appears that your cheeks are quite flat and may benefit from more convexity so cheek implants could be a consideration. The depth of the mentolabial fold is significant and this usually comes as a result of a short chin. A CT scan would reveal the actual height so a genioplasty may be indicated. In addition, your chin point appears a bit wide so the width of the chin can be narrowed. A bit more information or a Facetime consult would be helpful.

John L. Burns Jr., MD · Answer

One simple solution may be to inject the labial mental sulcus which is very deep and accentuates your projected chin.

Jeffrey H. Spiegel, MD · Answer

There are several things that can be done to soften your appearance. Often after maxillofacial surgery there can be edges that need revision in the future.  We can adjust the bone and soft tissue, adjust balance between cheeks and jaw, and improve tooth show by lifting your lift.

How to correct long midface/ possible genioplasty correction?

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