I need at least 2 types of chin advancement (BSSO, genioplasty, and implant), but I'm wondering if I should get all 3 (Photo)

Question

My priority is to achieve the biggest aesthetic improvement possible, which definitely means a massive increase in chin volume. Would having all 3 procedures be overkill and give me an unnaturally prominent chin? If so, which one should I skip? I know BSSOs are the most extreme surgery, but since my priority is the best aesthetic outcome I'm not ruling it out on those grounds. Or is my chin recessed enough that I should advance it as much as possible?

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

Thank you for your picture.  In my opinion, you would benefit from a lower jaw advancement surgery (BSSRO) and a sliding genioplasty (chin advancement).  See a board certified plastic surgeon or oral & maxillofacial surgeon for a consultation.

Barry L. Eppley, MD, DMD · Answer

The first decision is to determine if lower jaw advancement surgery would be beneficial and this is based on the current state of your bite and whether you want to commit to a significant presurgical course of orthodontics. If so then a sagittal split mandibular advancement with a sliding geniopasty would be the right course. If lower jaw advancement is not an option then a siding genioplasty combined with an implant overlay would be the other alternative.

Michael J. Yaremchuk, MD (license resigned) · Answer

The proper choice for jaw enlargement will be determined by your occlusion (how your teeth fit). If your occlusion is problematic, sagittal split osteotomy may be most appropriate, since appropriately planned and executed, it will serve both a functional and aesthetic purpose. However, if your occlusion is satisfactory, orthognathic surgery will require significant pre and post op orthodontic therapy. Implants are usually a better option when the occlusion is satisfactory.

Somyos Kunachak, MD - Account Suspended · Answer

Hi iwotm8, From your 3 options, the least invasive method will be the use of chin implant (using the largest implant size appropriate) provided that your occlusion is normal. Sliding geniopplasty alone may not give a satisfactory result. If you have malocclusion, however, you will need to have it corrected first if it also concerns you.

I need at least 2 types of chin advancement (BSSO, genioplasty, and implant), but I'm wondering if I should get all 3 (Photo)

Answers (4)

Answer: Most Appropriate Chin Augmentation Procedure

Answer: Most Appropriate Chin Augmentation Procedure

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Everything you need to know about Chin Implant

Our mission is to create a world where every investment in modern beauty is Worth It.

I need at least 2 types of chin advancement (BSSO, genioplasty, and implant), but I'm wondering if I should get all 3 (Photo)

Answers (4)

Answer: Most Appropriate Chin Augmentation Procedure

Answer: Most Appropriate Chin Augmentation Procedure

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Recommended reading

Everything you need to know about Chin Implant

Our mission is to create a world where every investment in modern beauty is Worth It.