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

Mark83Jul 16, 2022
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?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Alejo Villarreal, DDS
Oral & Maxillofacial Surgeon
Answered on Jul 25, 2022
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David M. Kowalczyk, MD, MBA, FACS

Hi there! Yes, you can have a LeFort I procedure after a sliding genioplasty. The genioplasty changes the lower border of the mandible, but not the dentition. A LeFort I can be used to move the palate into a new position. What is most important is that the dentition will align with proper...

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Gerald Wittenberg, MSc, DMD (retired)

You have a vertical growth pattern and although the orthodontist and surgeon suggest 'no surgery'; the 'long face' and bite are typically approached surgically. If you prefer, a masking approach can work via both a genioplasty and jawline augmentation/contouring. The 'slope of the lower jawline'...

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Alejo Villarreal, DDS

Luckily, you have options. You could try temporary fillers to see if you like the effect a more balanced chin will produce. A genioplasty is an excellent choice, but the surgery is more invasive. Your bottom lip will indeed be affected in some capacity, but an experienced surgeon who often does...

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