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Am I a candidate for genioplasty? Do I have enough bone or is an implant required? (Photos)

tiw88Jul 4, 2024
I had issues flagged with an overbite when I was a teen by an orthodontist and had a twin block appliance but was used too late so was suggested to go to an Orthognathic surgeon who recommended genioplasty and jaw advancement as a late teen. I went again to one two years ago who said I didn’t need anything but kept commenting on the shape of my chin (CT below) and comparing it to th vertical advancement of other patients. Do I have enough bone for genio or is an implant required? I have fillers

Answers (3)

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Dr. Michael P. Morrissette, DDS, FACS
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Dr. Michael P. Morrissette, DDS, FACS
Board Certified Oral & Maxillofacial Surgeon
5.0 | 12 Reviews
Answered on Jul 8, 2024
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Dr. Jeffrey H. Spiegel, MD
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Dr. Jeffrey H. Spiegel, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
4.8 | 383 Reviews
Answered on Jul 5, 2024
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Dr. Zoran Potparic, MD
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Dr. Zoran Potparic, MD
Board Certified Plastic Surgeon
4.6 | 146 Reviews
Answered on Jul 5, 2024
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Zoran Potparic, MD

There is no doubt that liposuction of the neck and chin augmentation would change and improve your profile. However, I am not sure about buccal fat removal. In person consultation with a board certified plastic surgeon with good reputation in facial surgery is recommended. Good luck.

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Earl Stephenson, Jr., MD, DDS, MBA

It appears that you have a slightly prominent chin. It throws your facial balance out of proportion. Unfortunately, there are no surgical ways to treat this. The best method is through reducing your chin with a sliding genial plasty. This is a surgical procedure, but it is very powerful. I have...

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Earl Stephenson, Jr., MD, DDS, MBA

Dear Abel, 123, Thanks for your pictures. Your overall profile is not bad. In my opinion, based on your pictures, you need upper jaw surgery to move it slightly in genioplasty to help your lower third contour. The most prudent way to get a definitive answer would be to seek an opinion from...

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Earl Stephenson, Jr., MD, DDS, MBA

Independent, A very in difficult problem to address. There are no standardized solutions to this issue. If this truly is scar tissue, maybe this can be reduced from an intraoral approach BUT there are no guarantees that this would lead to satisfactory outcome. Please visit with several...

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