Is a genioplasty right for me? (Photo)

Question

Hi, I've been a mouth breather all my life. I noticed that my jaw is recessed, it impacts not only the way I look but how I breathe as well. I wake up through out the night & have a dry mouth in the morning. I had a septoplasty done however in my sleep I still resort to mouth-breathing. I'm looking into a genioplasty and using a CPAP machine, or going towards a more invasive procedure that would solve both. I have a normal bite. Unsure if genioplasty would be the ideal treatment.

Michael P. Morrissette, DDS, FACS · Answer

The genioplasty procedure is purely cosmetic and will balance your face and provide much improved chin projection. Orthognathic surgery will re-position both jaws (even with a normal bite) to reduce your sleep apnea and improve breathing. It involves braces and the treatment time may take up yo 2 years. The genioplasty procedure will still need to be performed in order to improve aesthetics.

Timothy Osborn, MD · Answer

Have you had a sleep study? If not, I would recommend one. That will tell us whether or not you have sleep apnea (the reason you would use CPAP). If that's the case, you could benefit from jaw surgery. Your lower jaw did not grow far enough forward, which can impact your airway. There are many things that go into deciding if jaw surgery is right for you, and we would need certain imaging to give us a better idea what is going on structurally. As for a genioplasty, we would move your chin forward and down, bringing balance to your profile and reducing the fullness under your chin. A lot of this would depend on whether or not jaw surgery would be the right choice for you! Our office offers virtual or in-person consultations if you would like to discuss options further!

William Portuese, MD · Answer

A genioplasty is performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay, and can help with sleep apnea. For purely cosmetic purposes, a chin implant can augment your chin forward, and a neck lift procedure can accomplish removal of the fat deposits in your neck located both above and below your platysma muscle in the neck to get a more aesthetically pleasing jawline. You'll still have sleep apnea with elective cosmetic surgery.

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