Genioplasty alone? Or is double jaw with genio required? (Photo)

Question

Does my jaw structure allow for a successful genio? Or Is my mandibular angle too steep? I have been recommended for double jaw surgery d/t malocclusion of my teeth but I’m hesitant. My weak chin is what bothers me most( tried implants w poor results - current misplaced implant is in CT & have bone erosion from my first) I have no jaw pain/symptoms from my misaligned teeth. So, is it worth it to undergo DBJ surgery in hopes to improve my chin? Is it my only option?

Michael P. Morrissette, DDS, FACS · Answer

Many adults are reluctant to undergo jaw surgery when the chief complaint is the chin.I would recommend a reduction genioplasty to decrease the vertical height and moving the chin in the horizontal plane to achieve the most aesthetic result. Chin surgery can be accomplished in the office with intravenous anesthesia and the surgery will not change the alignment of your teeth. You would have a normal diet following surgery. Good luck

Barry L. Eppley, MD, DMD · Answer

If your only goal is to improve your chin that can be done by a sliding genioplasty technique. You were never a good candidate for a chin implant because of the backward angle of the surface of your chin. Putting a chin implant will create as much vertical lengthening as horizontal augmentation. What you need is horizomal augmentation combined with vertical shortening....which only a siding geniolasty can do.

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