Would I be a candidate for sliding genioplasty? (Photo)

Question

I do not like the way my side profile is as I have a recessed chin. I was bullied in high school from it, my orthodontist only recommended an orthognathic surgery at the time (around 14 years old) - which my parents denied. I am now almost 25 years old and beyond self-conscious of my looks. Would a sliding genioplasty help bring my chin forward to look the most appealing? Would a chin implant work? Thank you.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you so much for your pictures. In my opinion, to gain the maximum improvement you may need a lower jaw surgery, jaw angle implants and a sliding genioplasty. A sliding genioplasty alone will not totally give you the jaw, chin and neckline that you desire.  I hope that this was helpful.

Earl Stephenson, Jr, MD, DDS
es@drstephmd.com

Timothy Osborn, MD · Answer

You are a candidate for jaw surgery. I would highly recommend speaking with a cranio-maxillo facial surgeon first before any cosmetic surgery. I would also do some research into "idiopathic condylar resorption." A genioplasty would unfortunately not give you the results you are looking for. Jaw surgery is a major procedure, but it would fix most of your aesthetic issues, as well as improving your bite and other problems you may have (jaw pain, sleep apnea...). It would give you better quality of life, as well as avoiding other problems down the road. You can also have jaw surgery with a genioplasty added for the extra facial contour and definition. We are more than happy to have a virtual or in-person consultation with you if you would like more information.

Michael P. Morrissette, DDS, FACS · Answer

Your chin is severely recessive and in order to improve facial balance I would recommend an advancement genioplasty to move the chin forward 9-10 mm. After 6 months I would then place a chin implant over the advancement genioplasty. A chin implant alone will not give you enough advancement. Both these procedures are performed in the office under intravenous anesthesia and takes about an hour. I have treated many cases like yours, and both procedures are needed to provide a balanced lower face. Braces are not needed and your bite will not be affected.

Would I be a candidate for sliding genioplasty? (Photo)

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Would I be a candidate for sliding genioplasty? (Photo)

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