Candidate For Sliding Genioplasty? Unhappy With Chin Implant.

You are absolutely correct. Chin implants should generally be reserved for the elderly who cannot tolerate anything more than minimal surgery and healing. Chin implants cannot ever change the vertical height of the lower third of the face nor can they significantly change width and projection is limited. The down side of chin implantation is that patients ALWAYS have both soft tissue and bone errosion which assures someone like you that you will need a more complex surgery... more

In 25 years of practice I have done over 700 chin implants . I have done zero sliding genioplasties. I think the operation is high risk, difficult and generally, judging by the results I have seen, cosmetically inferior. It may be good for more serious craniofacial deformities but for basic micrognathia problems it is a terrible choice. Also looking at your pictures I think your basic result as best I can tell seems fine. I would do nothing