How would a surgeon fix my jaw and chin? Should I get it done? (Photo)

Question

I previously had a class 3 underbite which was corrected using braces and elastics. I now do not have an underbite, but I still have a crescent moon side profile with a short upper jaw and protruding lower jaw and chin. What would be the best way for a surgeon to fix this? Since my bite is correct, if they bring forward my upper jaw, my lower jaw would have to be brought forward as well... wouldn't that make my lower chin continue to protrude? Please help, I really dislike my profile.

Jeffrey Jumaily, MD · Answer

Thank you for your question and photos. I agree with you that your chin is projected too far forward. Double jaw surgery is not helpful at this point since your bite is ok. You would benefit from Chin reduction. The bone needs to be modified but the soft tissue needs to be addressed as well to ensure it doesn't droop down. Augmentation of the upper face may be helpful as well. Consider a consultation to discuss your options. Best wishes.Dr. Jeff JumailyFacial Plastic Surgery - Los Angeles - Toronto

Barry L. Eppley, MD, DMD · Answer

Orthognathic surgery at this point is not the correct approach to improve your profile/facial proportions. While your bite is good you have a central lower midface deficiency and excessive chin projection/length. You need a combination of premaxillary-paranasal augmentation combined with chin reduction. There are numerous ways to perform both of these facial changes which requires a more extensive discussion to discuss the merits of the different techniques to do so.

Yirae Ort, MD · Answer

Hi there!
I recognize and understand your concern. Since the bite was non-surgically treated and was camouflaged as best as possible, the teeth fit great; however you are still left with a strong chin/lower jaw facial profile. This can potentially be corrected with jawline surgery or chin surgery alone.
Have a consultation with a surgical specialist who performs bony surgeries of the face. Usually the consult will entail physical exam and a CT scan of the facial bones. Jawline contouring surgery including chin shaping and midface augmentation (add volume to the hollow areas of your cheeks next to your nose) would be helpful in my opinion.
Thanks for your question and hope this helps!
Yirae Ort, DDS, MD

Gerald Wittenberg, MSc, DMD (retired) · Answer

unfortunately the treatment was a less ideal solution and should not be the proper approach. The distortion caused is difficult to address ideally.  A genioplasty to alter the height of the chin and likely width too; along with paranasal augmentation can help balance the contours

How would a surgeon fix my jaw and chin? Should I get it done? (Photo)

Answers (4)

Answer: Prominent jaw

Answer: Prominent jaw

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Everything you need to know about Jaw Reduction

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How would a surgeon fix my jaw and chin? Should I get it done? (Photo)

Answers (4)

Answer: Prominent jaw

Answer: Prominent jaw

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Recommended reading

Everything you need to know about Jaw Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.