Best procedure to improve my facial profile (chin implant, genioplasty or orthognathic)? (Photos)

Question

Male, 20yo | 15-20% bf Background: I received orthodontic treatment to fix overbite(currently fixed) I think my recessed jaw is hurting the balance of my facial profile. From the research that I've done the three main options for this issue are: chin implant, sliding genioplasty or an orthognathic surgery. What are the pros and cons of each procedure and the long term optimal solution for the problem? I've attached an example of a 10mm and 15mm chin advancement. Are they realistic?

Timothy Osborn, MD · Answer

An implant would be able to get you close to your 10mm projection in profile, but you start with a wider chin (width outside commissure) so doing an implant would probably look too wide from the frontal view. Genioplasty you could get 10-12mm…your 15mm projection is a bit too much (chin beyond lower lip) and 12mm is about as far as you can predictably go. This would be the best way to get good projection, keep your chin shape (no widening) and give you the best labiomental aesthetics. I almost always prefer genioplasty in younger patients as well, that way you aren’t worried about what will the implant be doing in 40 years. 
Finally, jaw surgery is an option if you want to fix the mid face as well…you have an obtuse nasolabial angle so if you want a great airway, optimized profile, and don’t mind having a bigger procedure, jaw surgery would be best. I would say if you snore or your doc looks at the ceph film from your ortho and you have a narrow airway, give a double jaw serious thought.

Michael P. Morrissette, DDS, FACS · Answer

If your bite is functionally fine then you don't need orthognathic surgery. For small advancements a chin implant works well. In cases that I advance greater than 7 mm I will recommend a sliding genioplasty. Both procedures are performed in the office with sedation anesthesia. The results are similar.

Gurkan Kayabasoglu, MD · Answer

Hello. It is very good that you have completed your orthodontic treatment. You can benefit a lot from a chin implant to enlarge your chin. I recommend you to research the chin implant. Please check our Instagram account and RealSelf photos. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. Best regards.

Best procedure to improve my facial profile (chin implant, genioplasty or orthognathic)? (Photos)

Answers (3)

Recommended reading

Everything you need to know about Genioplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Best procedure to improve my facial profile (chin implant, genioplasty or orthognathic)? (Photos)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Genioplasty

Our mission is to create a world where every investment in modern beauty is Worth It.