What Is The Best Way To Fix My Chin And Jaw Asymmetry?

Q: Dr. Eppley, I have facial asymmetry which has impacted on my self esteem for the most part of my life. I wondered if it was possible to treat and if so what procedures it may entail. I was researching v line surgery to have a more symmetrical, balanced and feminine face shape. On the pictures you can see one of my jaw bones is more square and the other more rounded. The rounded side is the side of my face that is wider. I prefer the square jaw on the side where my chin is over to. 

Thank you for your time.

A: Thank you for your inquiry and sending your pictures. Your jawline asymmetry, by description and as illustrated in the pictures, has a left more square jaw angle, wider rounder right jaw angle and chin asymmetry. While a jawline reshaping procedure would be indicated, any form of traditional v line surgery would not be appropriate. I think you mentioned that approach with the intent of the result, not in how the surgery would be done. Since the one corner of your jaw is good (left square jaw angle), it is the other two corners of the jawline that need to be changed. The right jaw angle would be reduced in width by burring and a very small jaw angle implant ‘cap’ but one it to make it just more square. The chin bone would be moved to the right to put it into the midline. Before surgery a 3D CT scan of your jaw should be done to fully visualize the bony anatomy and plan the surgical changes.

Dr. Barry Eppley

Indianapolis, Indiana