Hello everyone (first post please be kind)
In August, I approached a maxillofacial surgeon for advice on the best course of treatment for a retrognathic chin, lip incompetence and a protuberant lip. I was initially looking into a genioplasty as an implant would not fill the 15-20mm deficit.
At the time, the consultant said that I had a malocclusion class 2 and the best course of action would be surgery. Later that month I saw him again and an orthodontist. X-rays and impressions of my teeth were taken. I was then told to wait for an appointment with the orthodontist. Three and a half months later I was back at the hospital.
However, rather than getting a date for braces - which I was expecting and rather looking forward to. I was told that the Lefort and BSSO were too "high risk" because of the "characteristics" of my jaw and teeth. That been a very high angled jawline and deep roots. Mandibular advancement would cause excessive vertical chin length.
Despite the genuinely great effort of the surgeons/orthodontists, that's where my journey suddenly ended. Needless to say, it was all very disappointing.
I asked whether a genioplasty with bottom braces (to fix the teeth protusion causing the proturberant lip) could be at least be an option. I was told that it would not, due the high angle of the jaw which would cause the chin to appear vertically long. Surely the cut and slide would go against the jaw direction? The deep labiomental fold may also cause a "witches chin" type of appearance. Also, no to braces as the teeth may not move to the desired position due to the deep roots. The thick tissue on the lip may not have any discernable effect either...
Do I have any other options that would give me anything resembling a normal looking chin? Is the genioplasty worth pursuing despite comments to the contrary?
fyi - I'm a male, 41 years of age.
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