Is Chin Burring right for me?

Question

Since I was a child, I've always had a crooked chin (not jaw). In the past I've gotten braces, so while my bite is now aligned, my crooked chin has become more pronounced. This is compounded by the fat on my chin which is pushed down when I smile. Could minor chin burring be a permanent solution to this problem? Or are there other options? The lopsided look this causes in photos has been plaguing me for years, and I'm ready to get this fixed for good!

Barry L. Eppley, MD, DMD · Answer

'Simple' chin burring is probably the best solution to your asymmetric chin...unless you do it from below through a subkmental incision. The intraoral approach for chin burring strips off a lot of soft tissue which may or may not reattach back properly. This is not an issue when the chin bone is approached from below where less soft tissue is removed and it can be reattached properly. The only intraoral approach to consider is that of an asymmetric osteotomy to bring the chin back to the midline and shorten the longer side or lengthen the shorter side based on which will look the best.

Alex Kim, MD · Answer

I believe contouring the chin by burring or other methods may be the best option for you.  In general, bony shape is the main cause of the asymmetric chin, and it often requires shaving the chin to contour it so that it is symmetric.  Best,Alex Kim, MD

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