I have a recessed chin and think I want a sliding genioplasty - suggestions?

Question

I have a recessed chin and think I want a sliding genioplasty but have a couple questions; 1. My bite is normal but I do have a slight overbite (class 1) and a 2mm overjet. Would it look odd if I did not correct this first? 2. I have not gotten an xray yet so Im not sure, but I plan on getting a 10+ mm advancement. How bad would recovery be for this? How long would it take for most swelling and bruising to go away? 3. The main reason I don’t want a chin implant is because I care about my front profile as well as my side profile and generally before/afters I have seen look better with sliding genioplasties. Is there an actual aesthetic difference between these two surgeries? Or am I just seeing bad examples?

Michael P. Morrissette, DDS, FACS · Answer

I tell my sliding genioplasty patients that if they can eat a normal diet, then corrective jaw surgery is not necessary. The majority of patients with a recessive chin are mainly interested in correcting the cosmetic aspect, and the chin advancement will not change their bite. Most young patients are able to return to work within 3-4 days or within one week, and I advise them to eat a diet as tolerated from day one. I perform both procedures (implants and genioplasties), and I prefer the genioplasty when the advancement is greater than 6-7 mm. Good results can be achieved with chin implants when the amount of change is small. I have performed both procedures in the same patient when the advancement is 15 mm.

I have a recessed chin and think I want a sliding genioplasty - suggestions?

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