Chin Surgery (Genioplasty) Before & After Photos

This gentleman has a history of a cleft lip and nasal deviation, with severe difficulty breathing through his nostrils.

I performed a rhinoplasty to straighten a deviated septum, and used the removed cartilage from the septum to make grafts that helped to straighten and support the nasal passages.

We also chose to perform a genioplasty, moving the chin forward to balance his facial features.

This handsome young man has a history of a unilateral cleft lip and palate.

He is seen here 7 months after jaw surgery (maxillary advancement, mandibular setback, and chin advancement), and 1 month after rhinoplasty.

His occlusion (or how his teeth fit together) is now centered and leveled, with the teeth now able to chew optimally. This will help with TMJ and dental health long-term.

The bony work also helped to balance his facial profile, giving his upper lip and chin more support.

The rhinoplasty improved his breathing by straightening the septum and supporting his nasal passages, like having a Breathe-Right strip on the inside of his nose.

His lip scar will also continue to improve after a re-repair and re-orientation of the muscle of his lip.

This patient had a cleft palate and Class III malocclusion, meaning her upper jaw growth had not kept pace with the lower jaw. i.e., the maxilla was further back than the mandible.

This difference in bite causes problems with speech and chewing, and can increase the wear and tear on teeth and the TMJ’s.

Here, a custom-planned Lefort 1 advancement and chin advancement (genioplasty) corrected her malocclusion, while also giving a little bit more chin definition without going through the recovery and risks of a BSSO for the mandible.

We have used 3D planning with custom guides and plates for many years now, and prefer doing so especially with more complex anatomy or movements.

The planning helps us identify any potential problems or anatomic considerations before the day of surgery, minimizing the risks of nerve or tooth injury. The guides and custom plates also provide 3D verification that the movement and final position agree with the occlusion-based, traditional technique.

The custom hardware is more precise and stronger, avoiding damage to teeth, nerves, and with titanium that can be as strong as traditional plates, but with a lower profile. The genioplasty also has a more precise result with custom planning.

This is particularly helpful for our patients with significant asymmetry, like people with hemifacial microsomia.

Finally, putting time in on the planning side ahead of time, helps reduce the time under anesthesia, so recovery is faster and easier.

6 weeks after jaw surgery (and one night after a sister with a hair straightener) for hemifacial microsomia.

Swelling is still ~50%, but already the chin is more centered, and the jaw line more symmetric.

Key goals:
✅ Level, class I occlusion
✅ Bony foundation more symmetric
✅ Protect tooth roots and nerves
🚀 Confidence to the moon

We’re looking forward to his swelling coming down and braces coming off to better see his big smile! Stay tuned for updates!