Is jaw reduction, V-line, orthognathic, or chin surgery best for my jaw asymmetry and unbalance? (Photos)

Your jaw appears asymmetrical on the photos. The right jaw is much bigger and this is due to larger masseter muscle and the jaw bone is wider. Surgery to reduce the bone and muscle can be done using an incision inside of the mouth. I have performed many of these surgeries over the past 25 years. there are relative few complications and recovery is 2 to 4 weeks. You can visit my website at dredmundkwan.com for photos.

I agree with you that your angles are too wide and strong. You're young and your skin laxity is excellent so your jaw line definition can be preserved. A V line jaw surgery can be done and it will help you. We can control how narrow the result is so you don't have to worry about being too narrow if you don't like that. The asymmetry can be improved but probably some asymmetry will always be there. Consider a consultation to discuss the details.

As your panorex x-ray confirms your facial asymmetry is caused by hypertrophy of the right jaw angle/jawline. The correct treatment would be reduction of the enlarged side. The method for the reduction would be based on whether a widening reduction, vertical reduction or a combination of both to adequately reduce it for improved symmetry to the other side. A 3D CT scan or cone beam is needed before surgery to have a complete appreciation of the differences between the two sides the jaw.