Genioplasty, chin implant or Botox/filler? (photo)

Question

Which do you think will best suit me? It is a struggle to keep my mouth closed comfortably and when I do close it, I have dimpling on my chin. I don't want anything that's going to make my chin look bigger or longer than it already is. I also have issues with clenching my teeth very hard when mouth is closed especially while sleeping. I posted a photo of my teeth for any questions regarding overbite or underbite. I've had orthodontic work and have never been told I had an issue.

Lexie Wang, MD · Answer

You 100% have a weak chin. Because your chin/jaw isn't forward enough, your mentalis muscle is working extra hard to keep your mouth closed, hence the dimpling. The reason you feel your chin is long is actually because you don't have enough chin, so your facial expression muscles are working overtime (like going to the gym 24/7) to keep your mouth closed, and therefore they're big, but it's not actually your chin itself htat is. Not sure why your orthodontist did not mention this to you bc I can tell that in your 2nd to las photo, they artificially pulled your teeth forward, probably to try to make room for your teeth to straighten them, but in the process of doing that are only making it even harder for your mouth to close around your teeth. You probably should have had jaw expansion surgery instead. '

in terms of what to do now, I wold NOT do botox bc this will only make it harder for you to close your mouth. Your best bet is prob to consult with an oral surgeon (OMFS) who can do any of the options: jaw advancement, genioplasty, chin implant and figure out whats the best for you based off of your facial skeleton.

in terms of what to do now, I wold NOT do botox bc this will only make it harder for you to close your mouth. Your best bet is prob to consult with an oral surgeon (OMFS) who can do any of the options: jaw advancement, genioplasty, chin implant and figure out whats the best for you based off of your facial skeleton.

Eric M. Joseph, MD · Answer

If you are not looking to change the appearance of your chin, around 20 units of Botox to your mentalis muscle would do the trick. Based on your photos, you appear to have a relatively underprojected chin on profile, and a short chin on front view. And our experience, chin implants are efficacious for diminishing dimpling of chin skin. Please consider visiting with a reputable facial plastic surgeon so you can see which option would be best for you. I hope this helps! Sincerely, Dr Joseph

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Dear Nikki, doodle,

Thank you for your pictures. Despite having orthodontics, I believe based on your pictures, you have still a recessive lower jaw and have jaw surgery. This would take the strain off of your mentalis/chin muscle to allow you to close your mouth more comfortably and naturally.

The next best solution would be a sliding genioplasty to move your chin slightly forward and possibly reduced the height of your chin.

Please seek a evaluation from art Plastic Surgeon familiar with sliding genioplasty or oral and maxillofacial surgeons for in person consultation..

Best wishes,

Earl Stephenson, JR., MD, DDS, MBA

ESJ Aesthetics

Gary M. Horndeski, MD · Answer

You would benefit from a chin implant. This will elongate your recessed chin and make it more normal. A genioplasty involves using the bone to do it and that is an alternative but it is more painful and costly. The chin implant is done through an intra-oral approach so there is no external scar, takes about 1 hour to perform under general anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Michael P. Morrissette, DDS, FACS · Answer

Filler can be used to augment your chin, but the effects are temporary. For a permanent solution, either a sliding genioplasty or a chin implant is recommended. Some patients have a personal preference as to the type of procedure, but either will give a nice result. Both procedures (sliding genioplasty and chin implants) are performed in our office under IV sedation. Neither procedure will change your bite or eating. Most young patients are able to return to work in 3-5 days.

Genioplasty, chin implant or Botox/filler? (photo)

Answers (5)

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