I was conferring if I am a good candidate for a chin implant or jaw surgery? (Photo)

Question

I have overbite. My upper lip and lower lip do not align which makes me think I might not be a good candidate for a chin implant. Any comment would be valuable to me.

Michael P. Morrissette, DDS, FACS · Answer

The photos show that you have a very recessive chin and jaw. You would likely be a candidate for corrective jaw surgery if you feel that your goal is to correct your bite as well as cosmetics. If it is only the cosmetics that bother you, then you will need a sliding genioplasty with maximum advancement and possibly a chin implant as well. I recommend the sliding genioplasty be performed first to determine if the amount of projection with this surgery meets expectations.  I will sometimes place a small implant 6 months after the genioplasty. This will provide you with the most natural results.

Gary M. Horndeski, MD · Answer

You are an excellent candidate for a chin implant.  I would do this first since this is less invasive.  Jaw surgery is more invasive.  Both can be done if desired.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

You will need both bite and chin surgery. In-person. Consultation with an experienced oral-maxillofacial surgeon could be a good starting point. Good luck.

Jacob Tower, MD · Answer

Hello, hope you are well. You would be an excellent candidate for an augmentation genioplasty (chin re-shaping). There are a few techniques for doing this, but the most straightforward is by placing a chin implant. This can be performed as an in-office procedure under local anesthesia. With a transoral approach, there is no scar on the skin. Hope this helps!
Best,Dr. Tower

Whitney Pafford, MD · Answer

Based off your pictures and your report of an overbite, I'd recommend you see an Oral Surgeon about a mandibular advancement. These surgeries are much more involved than a chin implant, but will address your true issue which is a smaller and posterior displaced mandible when compared to your upper teeth or maxilla. It also can help with opening the airway if you suffer from sleep apnea which is not uncommon in people who have similar anatomy.

Jennifer Goodrich, MD · Answer

Good afternoon. You would definitely be a good candidate for a chin implant. An implant will NOT correct any bite disturbances (if your teeth do not line up properly such as an over bite). If it is the cosmetic underprojection of the chin alone that bothers you, an implant would be a good choice.
Best of luck!

Mats Hagstrom, MD (license on probation) · Answer

I suggest having a few in person, consultations with oral surgeons in your community to get an assessment regarding the relationship between your mandible and your maxilla.
A thorough assessment needs to take many different variables into consideration, including your dental inclusion.
To get an accurate assessment and proper treatment may be a little more involved than getting a chin implant though that might be a realistic option. This condition can be treated by both oral surgeons and plastic surgeons. It’s not a bad idea to consult with providers from both specialties. If you find plastic surgeons, who have craniofacial fellowship training, and that might be ideal.
Best,
Mats Hagstrom, MD

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