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Lower face asymmetry - Filler or Genioplasy?

N
nevert00lateAug 23, 2025

Hi, My lower face asymmetry makes me look like a monster in photos and videos. Do I need surgery or is this something filler can fix? Thank you!

Answers (1)

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Dr. Alejandro Nogueira, MD
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Dr. Alejandro Nogueira, MD
Plastic Surgeon
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Answered on Sep 21, 2025
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Alejandro Nogueira, MD

Vast majority of surgeons attending chin deformities stay short of using just chin implants or fillers, a very bad choice. Some bold and more skilled dare to perform basic sliding genioplasties, not always with optimal results like in your case. The complete mastering of chin surgery has to...

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Michael P. Morrissette, DDS, FACS

A double-jaw surgery will improve your bite. A sliding genioplasty will improve your facial balance. I advise patients that if they can eat a balanced diet, but are mainly concerned with aesthetics, then a sliding genioplasty is all that is necessary. The surgery takes less than an hour and is...

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Earl Stephenson, Jr., MD, DDS, MBA

Dear Turquoiseorchid7, Looking at your chin, the asymmetry does appear more related to soft tissue and muscle activity (rather than a major bony issue). Often, the mentalis muscle (the paired chin muscle) can contract more strongly on one side, which creates uneven dimpling or contour changes...

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Michael P. Morrissette, DDS, FACS

I would recommend a sliding genioplasty at the time of the BSSO. A 5mm advancement of he jaw is minimal so the added sliding genioplasty of another 5 mm will give you greater facial balance.

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Alejandro Nogueira, MD

None of them; a sliding genioplasty is pointless or almost is in your case, you'd end with an over prominent chin; lipo is not the treatment of flaccid neck. You have deep marionette lines due to a familiar trait likely affecting all females in your family tree, this has difficult if any...

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Alejandro Nogueira, MD

I perform genioplasties of all types (sliding, complex sliding, augmentation, reduction, grafting, combinations, etc) and each case deserves a different amount of mm in, for example, advancing the chin. It's better you focus in designing the chin you deem ideal and then discuss it with your...

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