Custom Jawline Implant vs. Orthognathic Surgery

Q: Dr. Eppley, I’m an out of town patient looking to surgically enhance my jawline. I’m not sure if a wraparound custom jawline implant or even a genioplasty would be enough to have an aesthetic jawline and chin or if I should be pursuing a bilateral sagittal split ramps osteotomy (BSSO) or other orthognathic surgery. Is there any way I could see an approximation of what my jawline would look like with these augmentations and/or get a professional opinion?

A: The answer to your question about orthognathic surgery vs. jawline bone augmentation is fairly simple…orthognathic surgery is only indicated when you have a malocclusion. If you don’t a bite issue that needs to be corrected then only jawline augmentation will work to achieve it. The most effective form of jawline augmentation, if it is more than just a chin issue, is a custom jawline implant. In general orthognathic surgery and custom jawline implants are not equivalent procedures, they have different jawline effects. But orthognathic surgery should never be considered a jawline enhancement procedure even if it can create some greater chin prominence. But it certainly does not improve the shape or size of the jaw angles.

Dr. Barry Eppley

Indianapolis, Indiana