Bony jaw asymmetry - how bad is it and what can I do? (Photos)

Question

See the attached CT scans. I want to balance my lower face and the asymmetry is really bugging me - especially when viewed from below. Is orthognathic surgery my only option? Could a unilateral implant work? Would a custom chin implant help at all?

Alejo Villarreal, DDS · Answer

Hi Mark83,
The image does show a noticeable asymmetry at the ramus and jaw angles level.
However, to better identify the severity of the asymmetry, we would need to see your face as well. 
A custom implant could easily correct the asymmetric concerns if this was merely a skeleton. Still, since we are dealing with a living human being with muscles and skin, we would need to evaluate the face as a whole to determine the look the implant should aim to accomplish with certainty. 
In short, the answer is yes; a unilateral implant can work? 
Nevertheless, a comprehensive examination must be conducted to know the best course of action. 
Best regards,

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