What would you recommend for receding chin and overjet/overbite, sliding genioplasty and lipo? (photos)

Question

Hi: I believe I have a weak/receding chin and jaw, an excess of chin and neck fat (which bundles up whenever I lower my head), as well as overbite/overjet in the teeth. (I've had braces as a teen but the results have not been satisfactory). I am in my late 20s, in good health, body type athletic/skinny except for a chubby chin/jaw. Would genioplasty and necklift be the best course of action here? I would like to have a more defined jaw line as well as fixing the overjet Thanks so much!!!

Kenneth Hughes, MD · Answer

The bite discrepancy will not be fixed with a chin surgery, but I think that a chin implant with chin liposuction can produce a nice change with the least amount of invasiveness.Kenneth Hughes, MDLos Angeles, CA

Barry L. Eppley, MD, DMD · Answer

Short of orthodontics and orthognathic surgery, direct chin augmentation with neck liposuction would be beneficial. Whether the chin should be augmented by an implant or a sliding genioplasty is a matter for discussion. But with some overjet (meaning the vertical length of the chin is a bit short) and some neck fat, I would lean towards the slding genioplasty as it does a better job of pulling some neck structures forward that an implant does not do.

William Portuese, MD · Answer

The photographs demonstrate a weak chin profile and fatty deposits in the neck. To augment the receding chin, a chin implant is placed through sub mental incision. Chin implants are  manufactured in a variety of sizes and shapes which is best determined at the time of consultation and examination, since the chin is a three-dimensional structure. A small amount of fat can be removed with liposuction which can complement  the chin implant placement. For many examples and more information, please see the link and video below

Gerald Wittenberg, MSc, DMD (retired) · Answer

Your images illustrate a 'smaller lower jaw' with an 'overbite/overjet'. The lower jaw is 'behind the upper jaw/incisors' so that you have a couple of options. The most ideal, but more extensive would be to re-enter orthodontics/Invisalign and combine it with a lower jaw advancement surgery. The second option is a sliding genioplasty as opposed to an implant. The sliding genioplasty will give you a 'flatter' area under the chin since the 'muscles attached to the chin' extend with this approach; and not with an implant. Liposuction could be considered but is likely not necessary depending upon which option you choose.

What would you recommend for receding chin and overjet/overbite, sliding genioplasty and lipo? (photos)

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