Do I Need Double Jaw Surgery Or Implants?

Q: Dr. Eppley, I feel self conscious about my profile, specifically the maxillary area and the more downward grown midface. I want to achieve more skeletal support to have a more modelesque appearance. I don’t know what can be done . I feel specifically on profile, my jaw is more rotated down and back and goes at a bad angle. I don’t know what to do.

A:Thank you for your inquiry and sending your pictures. The pictures are not of the greatest quality to make an ideal assessment or do any imaging. But what they demonstrate as best as I could see is that you have a classic conundrum in terms of facial projection. You lack ideal forward projection of the midface and the mandible. This can either be addressed by double jaw surgery or implant augmentations. Each approach has its merits as well as its indications. The logical first approach’s to get an evaluation by a maxillofacial surgeon to determine whether double jaw surgery advancement would be beneficial and whether you want to go to that effort. You only consider implants when you have made the determination that double jaw surgery is either not indicated or it is simply not a surgical approach which you want to do.

Dr. Barry Eppley

World-Renowned Plastic Surgeon