My face melts into my neck. Can a Sliding Genioplasty with vertical and horizontal advancement give me desired results? (Photo)

Question

I was a mild candidate for BSSO (I also had a Class II Malocclusion and Deep Bite), but wanted to avoid undergoing such a serious procedure. A TMJ dentist is treating me through orthodontics - by erupting the teeth and moving the bite forward slightly. However, the aesthetic impact is minimal. Can I achieve the desired profile, facial length, and lip position with a sliding genioplasty? Or should I have had the BSSO to address my functional and cosmetic concerns?

William Portuese, MD · Answer

The pictures are too small to delineate what needs to be performed. It does appear that you have a week chin profile. A genioplasty can address your bone structure of the mandible and set it forward.  This surgery is performed under general anesthesia at a hospital with an inpatient stay for one to 2 days afterwards. A chin implant is inserted under local anesthesia as an outpatient surgical procedure. For many examples of chin implants, please see the link below

Jason J. Hall, MD, FACS · Answer

Your pictures come up too small to view, but typically a genioplasty with both horizontal and vertical advancements can camouflage an underdeveloped lower jaw.  An in person consultation will further help decide which changes will most balance your lower face and bring it into harmony with the rest of your profile.

My face melts into my neck. Can a Sliding Genioplasty with vertical and horizontal advancement give me desired results? (Photo)

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