How can I fix my recessed chin?I'm 24, had braces from 13-17.I had 4 perm teeth extracted prior to braces for crowding. (photos)

Question

Prior to my extractions I didn't have a recessed jaw. I met an oral surgeon and they said to get a sliding genioplasty 5-7mm. They said I can't do jaw surgery now because my ortho made my teeth fit properly despite my jaw being recessed. They said I should have had jaw surgery done but ortho just pulled back bite with elastics to compensate. I feel genio won't do enough. Is it possible to put back on braces and then get elastics to pull back my bite out of alignment and then get jaw surgery?

William Portuese, MD · Answer

The side profile photographs demonstrate a weak and recessive chin profile for which a chin implant can improve. Chin implants are manufactured in a large variety of shapes and sizes, which is best determined at the time of the consultation and examination. Chin implants are placed through a small submental incision under local anesthesia as an outpatient procedure. For many examples and more information, please see the link and the video below

Barry L. Eppley, MD, DMD · Answer

A sliding genioplasty or a large chin implant would be the appropriate approach now. While you could undergo lower jaw advancement surgery you are going to have to completely undo your orthodontic alignment which is now very difficult due to the prior teeth extractions.

Majid Jamali, DMD · Answer

I believe you would had  benefited from jaw surgery in the past. For now you could have a jaw surgery with maxilla mandible rotation. Please see an oral surgeon for further details

Gerald Wittenberg, MSc, DMD (retired) · Answer

it is not uncommon, unfortunately to have your situation. There are a couple of ways to go; but the easiest and very successful is to augment the entire jawline including further augmentation of the chin (NOT just the chin only). We have had to do this many times when teeth have been removed without consideration for the 'face' appearance. A Maxillofacial Cosmetic surgeon is the place to start.

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,Consder a chin implant. They can be custom made to advance your chin enough to make a difference.Best,Dr.S.

How can I fix my recessed chin?I'm 24, had braces from 13-17.I had 4 perm teeth extracted prior to braces for crowding. (photos)

Answers (5)