Difference between chin wing implant, sliding genioplasty and jaw surgery?

Question

I am a male and I have a weak chin. I also want a better jaw from the front/side view. What would you recommend to me, I might also want to alter my chin shape. Is there any surgery that enhances your jaw without implants? I want a better jaw and a stronger chin/different shape if possible. What procedures should I be looking at, I have somewhat of a underbite. Could I do a sliding genie to correct my jaw and then a different shape chin implant? Also what's a chin wing? Thank you.

Michael P. Morrissette, DDS, FACS · Answer

A genioplasty is a surgery to improve chin projection and chin length and is performed in my office under IV sedation and takes about 1 hour. There is no change to your bite so you can go home and eat a normal dinner. It can change your profile more significantly than a chin implant because the muscles of the chin are advanced as well. I routinely perform both procedures. A genioplasty can change your chin position more than a chin implant.

William Portuese, MD · Answer

A sliding genioplasty is performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay and is much more invasive than a chin implant. A genioplasty is performed when patients have significant alignment issues with  their teeth. A chin implant is placed under local anesthesia which takes approximately 30 minutes to cosmetically augment the chin forward, add height, and lateral width. Chin implants are three-dimensional structures, therefore a full set of facial photographs and an in-person examination is usually required to make a determination. For more information about chin implants and many before-and-after examples, please see the link and the video below

Barry L. Eppley, MD, DMD · Answer

Jaw surgery moves the entire lower jaw forward and requires braces for proper teeth alignment before and after surgery...this is to what you are looking for. Chin implants and a sliding genioplasty change the chin shape but will make no changes to the jawline behind the chin. A chin wing osteotomy is and extended version of the sliding genioplasty where the  bone cut goes all the way back to the angle. It will bring the chin forward and lengthen the front half of the jawline but will not create any jaw angle width or make the jaw angles stronger. There is no implant-fee option that can change the whole jawline as you desire. The lesser implant burred approach is a sliding genioplasty with jaw angle implants.

Francis R. Palmer, III, MD (retired) · Answer

Hi, Non smiling photos of your face from the front and side would help in the evaluation of your chin and jaw line.  I have performed many chin augmentations and other facial shaping procedures over the past 30 years using dermal fillers, facial implants, liposuction, facelifts and neck lifts.   Following my beauty principles of the face and body that I heave developed over the past 30 years, men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles.  If the chin is weak, this will create imbalance in the lower face by making the nose appear large, the mid face top heavy, the lower face weak, de-emphasizing lip fullness and allowing for early formation of a "double chin".   I correct weak chins with Chin Augmentation using silastic chin implants placed through a small, curved incision under the chin often using local anesthesia alone in 30 minutes or less.  The chin implants with wings are called "anatomical" as their design mimics an ideally shaped chin that tapers in all directions, including alone the lateral (outside edges where the chin becomes the jaw line).  In my humble opinion, this is far less of an invasive procedure than a sliding geniolasty that has mire dissection, requires bone cuts with metal screws and/or plates to secure the cut segments of bone. If the mandibular angle is weak, this can be augmented using a dermal filler as , again in my opinion, there are too many unwanted side effects with jaw implants. None of the procedures above will have any impact or alter your bite alignment.  Hope this helps.

Difference between chin wing implant, sliding genioplasty and jaw surgery?

Answers (4)

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