Would I be a good candidate for lefort 1, lower jaw advancement and genioplasty? (Photos)

Question

Hi, I had braces when I was in high school to fix an overbite, but unfortunately, my orthodontist told me that it would never be completely corrected unless I underwent jaw surgery. How much of an improvement to my profile/jawline I might see with lower jaw advancement and genioplasty? I am also wondering if lefort 1 would benefit my midface? Is my maxilla recessed at all, since my lower jaw is underdeveloped I am wondering if my upper jaw would also have the same problem.

Larry S. Nichter, MD, MS, FACS · Answer

Without an exam your question cannot be answered.  You will need to see an Oral/Maxillofacial surgeon to see if othognathic surgery, genioplasty or using an implant is best for your specific case. It should be noted that patients with severely weak jaws or abnormally functioning jaws may be better treated with other facial surgery (orthognathic surgery), although a chin augmentation may be an option at a later time. These patients should seek the advice of a plastic surgeon to determine which course is right for them. Here is some information to help you make this decision: Candidates for Chin Augmentation - Patients whose chin profiles are weak but have normally functioning jaws are candidates for Chin Augmentation. Many of these candidates have used injectable fillers in the past to strengthen the protrusion of their chins, but are looking for a permanent solution. If you are one of these patients, then you are a likely candidate for chin augmentation
#weakchin #chinimplant

Majid Jamali, DMD · Answer

we need to see X-rays to evaluate the lower teeth inclination before deciding on genioplasty alone or combined with jaw surgery.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  From the photos, your chin is quite weak however, this can be corrected with proper placement of a silastic chin implant which is far less invasive than a sliding genioplasty.   When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.  Similarly, the mandibular angles can be augmented using a dermal filler.  
Hope this helps.

Would I be a good candidate for lefort 1, lower jaw advancement and genioplasty? (Photos)

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Would I be a good candidate for lefort 1, lower jaw advancement and genioplasty? (Photos)

Answers (3)

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Everything you need to know about Chin Implant

Our mission is to create a world where every investment in modern beauty is Worth It.