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Revision jaw surgery: how many mm and what dimensional movements would be needed for the best result?

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vievvienneMay 13, 2022

Had doubl jaw surgery but lower jaw looks still recessed. How can it be elongated and look better? Surgeon said 3mm sliding genio which seems very conservative.

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Dr. Michael P. Morrissette, DDS, FACS
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Dr. Michael P. Morrissette, DDS, FACS
Board Certified Oral & Maxillofacial Surgeon
5.0 | 12 Reviews
Answered on May 18, 2022
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Dr. Gerald Wittenberg, MSc, DMD (retired)
Dr. Gerald Wittenberg, MSc, DMD (retired)
Certified Oral & Maxillofacial Surgeon
Answered on May 14, 2022
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Timothy Osborn, MD

Fixing your asymmetry will involve many different parts. First off, this is not caused by side sleeping, but was actually due to your positioning in the uterus before you were born. As for treating this, I would recommend a cheek implant on the right side, to balance it out with the left. Then...

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Timothy Osborn, MD

Depending on how much of a reduction you are looking for (desired outcome), you may be able to obtain that with just chin/jawline contouring. This procedure essentially shaves down the bone and can contour a more defined shape. However there is a limit to how much can be removed. If you are...

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Timothy Osborn, MD

A genioplasty would not effect your bite, although if you go through with the procedure, you may need to leave your trays out for a day or two. You have a recessed chin, but a genioplasty would allow for your chin to be brought forward and angled in a way that would bring more balance to your...

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Timothy Osborn, MD

It is harder to give you a better answer without any photos to go on but you can have a genioplasty without making your jaw wider. Jawline contouring may also be an option if you are looking to slim your face. Most people are candidates for buccal fat removal as well but it differs from person...

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Michael P. Morrissette, DDS, FACS

Dynamic changes such as smiling are difficult to treat. Sometimes botox injections are used to improve unwanted dynamic changes. In your case, the photos appear to show a prominent chin and a short lower facial height. Without the benefit of seeing your complete photo, you would likely benefit...

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Timothy Osborn, MD

We generally do not add any bone graft to genioplasties. The bone will fill in and heal on its own within a few months. It will become fixed in place fairly quickly, but for the bone to be fully healed will take a little longer. We only use grafting material for larger advancements, and it is...

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