Can I Do A Custom Jawline Implant At The Same Time As Orthognathic Surgery?

Q: Dr. Eppley, Hi, as you can see on the images in the file I look a LOT better on the right. They were both taken today, the only difference is that I bite together on the left picture which in my opinion looks horrible. On the right I jut the jaw forward and downward. (I think my whole lower jaw is too short as well) 

I’m going to have double jaw CCW surgery in a while for health reasons, but when it comes to aesthetics I’m not sure it’ll do the trick. 

As you may understand, my dream look is on the right, how do I achieve that in combination with double jaw in the best way? Hope you understand what I mean. 

A: Thank you for your inquiry and sending your pictures. While such a facial change as you have illustrated is possible it can not be done at the same time as orthognathic surgery. You need first to get the skeletal foundation functionally corrected and then you can build off that to augment the remaining missing contours. Orthognathic surgery will provide some sagittal forward jaw movement but not any width or angular contours This is going to require a custom jawline implant AFTER your orthographic surgery.

Dr. Barry Eppley

Indianapolis, Indiana