What procedure would fix an asymmetric/tilted jaw and chin?

If you want to repair the cant, you will need orthognathic surgery of both jaws. If you are comfortable with your bite, then I would recommend a genioplasty to fix your asymmetric chin. This procedure will not change your bite and recovery is 3-5 days. In order to make the jawline more symmetrical, you would need a custom jawline implant.

Presuming you have a good bite and can live with the occlusal cant then a custom jawline implant is needed to provide the symmetry correction. (camouflage approach) Otherwise upper and lower jaw surgery (bimaxillary procedure) is needed to shift the complete maxillomandibular skeletal complex (up on left and down on right) to make the symmetry improvement. (root cause approach) It all depends how complete you want the correction to be (with or without the occlusal cant) and how much far you are willing to go for the improvement. (camouflage vs base correction)

100% of people have facial asymmetry as the norm. The human mind is accustomed to seeing facial asymmetry as normal and for that reason seeing a purely symmetrical face has an awkward strange and abnormal look. You can look at computer-generated symmetrical faces with a simple Internet search and see for yourself. Your degree of facial asymmetry is no more than the average person. The fundamental asymmetry is skeletal and trying to manipulate it with soft tissue manipulation will only create two asymmetries. I highly recommend leaving this alone and not spending so much time looking in the mirror.



Best,

Mats Hagstrom MD