Step 1: diagnosis
We have a few ways to assess whether a jaw is recessed. Typically, I believe it's pretty clear just visually, but I've found the best objective way is through the facial convexity measurements.
Generally, we want the facial convexity, which considers the browridge, maxilla, and chin to be at least 166 degrees for all ethnicities, and 168-176 degrees ideally.
Measure your face for free: https://www.photopea.com/
The closer we get to this range of values for convexity, the more we see drastic improvements in aesthetics
Step 2: Fixes
Double jaw surgery (bimax) is the best overall solution for jaw recession. It can correct issues such as downgrowth, a flat jaw, or a generally recessed jaw.
Many jaw surgeons offer free online consultations where they’ll map out a plan and show you a concept of how your jaw will look post-surgery.
If you ever want my opinion on a surgery plan, feel free to message me—I’ll take a look.
Here are some great double jaw surgery before-and-afters:
Genioplasty is a great solution for when you have good jaw proportions but simply a small mandible (the body of your jaw)
For example, this was a great genioplasty case; he had an acute gonial angle and proper jaw angle from the side but just needed more projection.
This guy got a genioplasty, which did indeed improve his looks, but a double jaw surgery could have added more height to his jaw and yielded a far better result:
What he got vs what he needed:
About 95% of the time, double jaw surgery is the correct approach to fixing jaw issues. In rare cases where everything is fine except for chin projection, genioplasty is recommended.
In some cases, a surgeon may opt for both double jaw surgery and genioplasty if a significant movement is needed.
Occasionally, contouring or downgrafting may also be required, but it’s best to leave these specifics to the surgeon performing and designing the procedure.
Top jaw surgeons
Dr. Raffaini (The best in the world): https://www.instagram.com/face_surgery_parma/?hl=enDr. Ramieri: https://www.instagram.com/dr.maxilloroma/reels/Dr. Pagnoni: https://www.instagram.com/yourface_surgery/?hl=enDr. Eren Pera: https://www.instagram.com/drerenpera/?hl=en
Remember, there are plenty more great jaw surgeons, and many are often undiscovered, so if you are considering jaw surgery, do further research and book consultations with a few names to get an assessment and discuss a plan.