What are my options for correcting facial asymmetry and receeding chin? 5 years post chin implant (photos)

Question

I have always been insecure about my lower face, particularly my receding chin and crooked mouth. I had a chin implant five years ago, but I am not happy with the results. I also think my mouth is crooked because of my crooked teeth, which were straightened with braces when I was younger. I am feeling very insecure about my appearance and have tried everything from diet and exercise to improve my confidence. I am open to any suggestions you have for how to fix my chin and mouth.

Timothy Osborn, MD · Answer

You may be a candidate for jaw surgery. It is a large procedure and many factors go into deciding whether or not it is the right choice for you. How is your bite? Do your teeth align? Do you have sleep apnea or sleep issues? It is something that should be discussed before you are any other cosmetic changes. However, if you are strictly looking for cosmetic procedures, your best option would be a genioplasty. This would bring your chin forward and down, adding projection while elongating your jawline. It would also fix the asymmetry you have in your lower face. Our office provides in-person or virtual consultations if you would like to discuss options further!

Jacob Tower, MD · Answer

Hello, hope you are well. You have microgenia which is corrected with augmentation genioplasty. There are two primary methods to doing this: implants and sliding genioplasty. The implant you currently have is insufficient. The possibilities include exchanging it for a larger pre-formed implant, or a custom fabricated implant can be designed from a CT scan. Alternatively, sliding genioplasty is a surgery that involves separating the chin bone from the rest of the mandible, advancing it forward, and securing it in place with titanium plates. There are advantages and disadvantages to each method. It would be helpful to have your operative note from the original procedure to know what type of implant is currently in place, and have a more nuanced discussion with a facial contouring surgeon to help guide you to the best option for you. 
Best,Dr. Tower

Gerald Wittenberg, MSc, DMD (retired) · Answer

the ideal approach is a combination of orthodontics and jaw surgery to advance the lower jaw. The chin implant is attempting to 'mask' the small lower jaw; but it is not particularly effective.

What are my options for correcting facial asymmetry and receeding chin? 5 years post chin implant (photos)

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Everything you need to know about Chin Implant

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What are my options for correcting facial asymmetry and receeding chin? 5 years post chin implant (photos)

Answers (3)

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Recommended reading

Everything you need to know about Chin Implant

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