Should I get double jaw surgery or just a genioplasty? (Photos)

Question

My bite is currently fine after invisilgn. Before invisilgn I had a class 2 malocclusion. I have a very weak chin... with mentalis strain and lip incompetence. I also have quite a gummy smile. I am so self conscious about my chin and lower half of my face. I’ve seen an oral surgeon who said I ideally need double jaw surgery with rotation plus a little genio .... but he said another option would to be to just have a genioplasty. Any help would be greatly appreciated! Thanks, Isabella

Zoran Potparic, MD · Answer

Based on your symptoms I would say that jaw surgery with sliding genioplasty is a better choice. However, chin implant is a simple surgery with minimal recovery time. You can always change your mind and have jaw surgery if implant doesn't work to your liking. It is quite possible that you may need some form of anterior neck shaping (anterior neck lift?) with chin implant. Good luck.

Barry L. Eppley, MD, DMD · Answer

If you are interested in improving your bite as well as your short chin then orthognathic surgery with a smaller sliding genioplasty would be the correct choice. If you do not want to change your bite, then a large sliding genioplasty alone can be done.

Louis W. Apostolakis, MD · Answer

Hello,You have quite the decision to make here.  Orthognathic surgery is a big deal.  It is a lengthy process involving orthodontics (braces) for months or years, followed by a big surgery, followed by a significant recovery.  It is expensive and complications are potentially significant.  However, it is really the only way to potentially fully or mostly correct all of your concerns.Regarding a genioplasty, I highly recommend an implant as opposed to a sliding genioplasty.  A chin implant will certainly not be able to fully correct your chin position to what one might call "ideal", but it will be able to get you about half way there.  The difference in cost, risk, recovery however is huge as compared to orthognathic surgery, so you might say "good enough".  Combiing a chin implant with perhaps some botox and gum surgery might further address your concerns and again, avoid that big surgery.In summary, ideally you would have the orthognathic surgery where it goes smoothly and doesn't drain your life savings.  But you might realistically choose to go the other route.Best of Luck to you,Dr. AAustin, Texas

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 photo, your chin is extremely weak.  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.  
Hope this helps.

Should I get double jaw surgery or just a genioplasty? (Photos)

Answers (4)

More Chin Implant Questions

WE SEND PRETTY
EMAILS

Answers (4)

More Chin Implant Questions

Would a sliding genioplasty be appropriate for me and would it make enough of a difference? (Photo)

Muscle strain after chin implant?

Is it possible to increase vertical length of lower 1/3 of face? (Photos)

I have a chin implant that is slightly crooked. (Photo)

I had a chin implant 10 years ago and have been left with an asymmetrical smile, bite, left shift, can this be corrected?

Chin implant (Conform Extended Anatomical Chin Implantech in Large size): I’m not satisfied with the result. (Photos)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS