Jaw surgery genioplasty or Braces? (photos)

Question

I have little overbite and overjet(and lower jaw recessed) but my lower teeth are protruding. If i move my jaw a little forward i get long face+underbite. And i have so little asymmetry(not sure) at teeth and jaws.. Im just so confused cuz all orthos say different. One say 4premolar extract only other say genioplasti with braces(without extract). I dont want extract my teeth but want to fix my side profile and teeth crowds. Is it possible or can anything fix my little problems(together big) ?

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures and x-rays.  You are best served by having a mandibular advancement +/- a sliding genioplasty.  This will solve both your dental and facial balance issues.  Best wishes

Alejandro Nogueira, MD · Answer

You have a so called weak chin needing advancement and augmentation. Being an option, chin implants have serious disadvantages, specially in
the mid and long term, patients are rarely happy with them after 5-6
years, all are out by then or later.Consider the chin advancement by means of sliding genioplasty, the advantages are:-lifetime procedure, no more revision or renewal procedures-more natural than implants-no visibility of implant edges during gestures-improves
the double chin effect at the sub-mental muscles (floor of mouth)
hammock caused by lack of tension there; also improves the shape and
tension of perioral muscles; implants do no offer this feature-horse-shoe enhancement, covering the chin and also the jaw sides of it-no future displacements or neuritis of mental nerves-practically zero infections and 100% healing of bones-no
need for complex plates and screws that may need future removal; just
steel wires synthesis may suffice, they stay buried into bone callusThe cons are:-expensive, but cheap if you consider the lifetime pros-technically
demanding, few surgeons are experienced or comfortable (though I
personally perform 100% of the chin augmentations by this osseous
method, always after offering the patients both options)-scary for the patient (though not so much if you explain well the stuff around it)You'll
 find in this website dozens of negative experiences with chin implants 
in the short and mid term, do read my profile's Q&A and you'll find 
them too. I am doing sliding genioplaties for 15 years with the highest 
success and no one patient regreted, totall the opposite, I did many 
chin implant removals and one staged sliding genioplasties to replace 
them.

Jaw surgery genioplasty or Braces? (photos)

Answers (2)

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Everything you need to know about Genioplasty

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

Jaw surgery genioplasty or Braces? (photos)

Answers (2)

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Recommended reading

Everything you need to know about Genioplasty

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