Would I benefit from any sort of chin/jaw surgery e.g. sliding genioplasty? If so, which would I benefit most from? (Photo)

Question

Hello I'm considering a sliding genioplasty but honestly I don't know what kind of effect that would have. I also don't want to undergo surgery if I can make significant progress through mewing, which have done for a bit more than three months. Prior to that my tongue posture was poor and I mouth breathed. Please let me know if there's any procedure I should get asap without trying to just wait for mewing.

Charles S. Lee, MD, FACS · Answer

Your chin is pretty far back, so in order to get full correction, you would need to consider moving the entire jaw forward in addition to moving the chin forward in a sliding genioplasty. This would particularly be true if your bite is significantly out of alignment (overbite), in which braces would be combined with the surgery. If you do not want to undergo orthognathic surgery, then I would definitely recommend a sliding genioplasty - This will immprove your profile while also pulling your tongue muscle forward, which will give you a better airway when sleeping at night.

Michael P. Morrissette, DDS, FACS · Answer

The single photo provided suggest that you have a significantly recessed chin. The degree of recession is such that a genioplasty procedure would provide the greatest amount of advancement. It can also provide some improvement in length. The surgery will not change your bit or occlusion, but will provide improvement in facial balance. We perform this procedure in out office with IV sedation and the surgery takes about 1 hour. Most patients eat a normal diet following the surgery and are back to work in 5 days.

Jeffrey Jumaily, MD · Answer

If your bite and teeth are good then a sliding genioplasty is the best option for you. If your teeth are not aligned you may need orthognathic surgery with braces etc. Consider a consultation to do an exam and learn some of the issues and solutions that are best for you. Best wishes.

Barry L. Eppley, MD, DMD · Answer

A sliding genioplasty is the best procedure for you given that you may need up to 15mms of horizontal chin advancement. Dependent upon what type of change you may desire from the front view the sliding genioplasty may need a small implant overlay to keep the same chin width or make it even wider than it is now.

William Portuese, MD · Answer

From the very limited photograph, there's a significant recessive chin profile present. If your teeth are significantly out  of alignment, consider a sliding genioplasty performed by an oral surgeon. This procedure is performed in a hospital setting under general anesthesia. If you're simply trying to augment the chin forward for cosmetic purposes, then consider a chin implant performed under local anesthesia.

Gerald Wittenberg, MSc, DMD (retired) · Answer

We have treated many persons with your facial growth issue. A genioplasty does help along with full jawline augmentation to ensure balance in the front  and side views; along with balance with the cheekbone area. Very common and well practiced procedures.

Michael Elam, MD (retired) · Answer

If you do not have any current bite issues then a sliding genioplasty is not necessarily needed to provide a more balanced profile. Genioplasty is a very involved procedure and it has a long post operative recovery however when the chin is very recessed or there are bite issues this is the best procedure. Many patients like yourself are ideal candidates for chin augmentation alone to provide more projection to weak chin. This will balance your facial profile and overall facial aesthetic nicely. I personally like to use a silastic chin implants and these come in many shapes and sizes. I prefer to use a small incision placed under the chin which allows the patient a speedy recovery and less risk of infection then an intra-oral incision. See some experts in the field and have imaging performed to show you how chin augmentation will improve your facial aesthetics. For further information see the link below and video attached. Best regards, Michael V. Elam, M.D.

Would I benefit from any sort of chin/jaw surgery e.g. sliding genioplasty? If so, which would I benefit most from? (Photo)

Answers (7)

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