The shape of the nose and chin plays a decisive role in assessing a harmonious and aesthetically balanced facial profile. Patients are particularly aware of irregularities in these areas — especially in cases of severe malocclusion, such as an open bite, deep bite, or underbite/overbite. Depending on the severity, jaw misalignment can significantly affect facial proportions. After corrective jaw surgery, refinement procedures such as nose and chin correction often provide the final enhancement, giving patients a sense of newfound symmetry and balance. At groisman & laube, we always take care to harmonise all facial components to create a natural and individual aesthetic result.
Nose Corrections in Malocclusion Cases
Rhinoplasty is one of the most common aesthetic-plastic procedures. However, few patients are aware of the correlation between the shape of the nose and lips and the position of the upper jaw. As a result, the functional aspects — such as nasal breathing, lip closure, and biting function — are often overlooked in rhinoplasty procedures.
If you experience the functional or aesthetic symptoms associated with a jaw malformation (dysgnathia), we recommend undergoing a comprehensive malocclusion diagnosis before any planned nasal surgery. Whether your concerns are aesthetic, functional, or both, addressing the jaw misalignment first ensures optimal long-term results. Only after the bite correction should nasal aesthetics be refined.
Chin Corrections in Malocclusion Cases
Chin corrections are frequently performed as part of malocclusion treatment, though they can also be carried out as standalone aesthetic procedures. In general, both autologous tissue and implants can be used. Each approach achieves a three-dimensional enhancement of the chin region and requires meticulous examination, analysis, and planning — supported by computer-assisted cephalometric measurements.
Following the correction of a malocclusion — for example, an advancement of the upper jaw combined with a setback of the lower jaw — the lower jaw may still appear dominant. This effect can be aesthetically unfavourable, particularly in women, making an additional chin correction advisable. In such cases, the bony chin is reduced in height and/or length to achieve facial harmony and improve lip function.
For patients with a weakly defined chin, a chin advancement procedure (genioplasty) may be performed by repositioning the chin tip. We sculpt an individual chin contour using the patient’s own tissue, avoiding any foreign materials. In cases where a greater shift is required, bone grafts or bone substitute materials may be used.
Correcting chin asymmetries — for example, those associated with facial scoliosis — can be technically demanding, as all three spatial planes (vertical, sagittal, and transverse) may be affected. In such cases, we combine several surgical techniques. To promote bone and tissue regeneration, growth factors derived from the patient’s own blood can be isolated and injected — a method similar to the vampire facelift technique commonly used in wrinkle reduction treatments.
If, for specific reasons, a chin correction using the patient’s own tissue (chin advancement) is not possible, chin implants provide an effective alternative. These can be individually shaped and have been successfully used in facial surgery for many years.
Both chin reshaping procedures and the placement of implants are performed without external facial incisions — exclusively through the mouth.
