Recessed chin only with neutral expression, candidate for genioplasty? (Photo)

Question

I have a recessed chin when I am not smiling but it becomes less noticeable when I am smiling. I am considering getting a genioplasty, but I am afraid that if I were to bring the chin forward it will come out too far when I am smiling! Not sure if jaw surgery is necessary, but I am hesitant to get any jaw surgery because I had a rhinoplasty and I heard it can change the shape of your nose!

Jeffrey Lisiecki, MD · Answer

Great question--you should be seen in person to be evaluated, but part of the reason your chin protrudes more when you animate is because your mentalis muscle needs to work to keep your lower lip up, because your chin is retrusive.  Examination in person to check how your teeth come together will help tell if you need jaw surgery or just genioplasty or chin implant.

Jeffrey H. Spiegel, MD · Answer

I think a chin augmentation is a great idea for you. I don't think it will look bad when you are smiling, and, it will balance your nose so it looks even better. The nose shape won't change but the facial harmony should improve. We do these in the office with local anesthesia in about 20 minutes.  Watch our videos to learn more.

Michael P. Morrissette, DDS, FACS · Answer

In general, surgical changes are based on a static expression and not when someone is smiling. Many rhinoplasty surgeons recommend chin surgery simultaneously with the rhinoplasty surgery. You have a recessed chin and your facial balance would be improved with a sliding genioplasty or chin implant.

Zoran Potparic, MD · Answer

There is no doubt that your chin is small and would benefit from augmentation; implant or genioplasty will produce the same result. In person consultation with a board certified plastic surgeon with good reputation in chin augmentation is recommended. Good luck.

William Portuese, MD · Answer

Ate genioplasty as performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay at the hospital, and is much more invasive. That procedure is usually performed when the teeth are significantly out of alignment. Placement of a chin implant is done under local anesthesia which takes about 30 minutes in the office setting. From the photographs presented, a small silicone implant would be all that would be required to  be placed through a submental approach.

Mats Hagstrom, MD (license on probation) · Answer

I suggest having a few in person, consultations with oral surgeons or plastic surgeons with cranial facial surgery, fellowship training.
Get an accurate assessment by somebody who is well trained, and can do all the various procedures, and let them help you guide you through the decision process.
The deficiency in your mandible is not just in the mentalis or chin region. The body of the mandible is also lacking in projection, and this is why you have an overbite occlusion and your lower lip, lacks forward projection compared to your upper lip.
It’s not a bad idea to have multiple consultations to get the most accurate assessment and find the best provider.
Best,
Mats Hagstrom, MD

Recessed chin only with neutral expression, candidate for genioplasty? (Photo)

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