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

Question

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

Michael P. Morrissette, DDS, FACS · Answer

Baes on your presentation (x-rays and photos) it appears that your chin is short and I would recommend a lengthening genioplasty. There is sufficient bone to perform this procedure. The surgery is done in our office with sedation anesthesia and takes about an hour. You have a deep mentolabial fold and this is often the case with patients with short chins. The horizontal position is fine.

Jeffrey H. Spiegel, MD · Answer

Don't do it.  You are fine.  Your smaller jaw is generally considered desirable.  As long as your teeth fit together well, just be happy with your nice appearance.

Zoran Potparic, MD · Answer

It appears that you might have sufficient bone for chin advancement by means of  genioplasty. However, only the surgeon can make that decision based on in person evaluation. Implant is an option as well.

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

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