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I am considering a Sliding Genioplasty. Do I just need projection? Or do I also need added vertical height? (photo)

I have consulted with a local oral and maxillofacial surgeon, and he seems confident that he can help. I've read that one should go to specialist in sliding genioplasties when considering this procedure. Is this so? I also have mentalis strain and lip incompetence. Will the genio resolve those issues? How common is ptosis? I am concerned about that as well.

Doctor Answers (3)

Genioplasty

+1
You appear to be a good candidate for a geiniplasty but you may also benefit from a chin implant which is simpler.  If yoiu have lip incompetence, it usually improves, but cold persist.  Some of this depends if you have maxillary excess (gummy smile).  In my ecperience, most lip incompetence improves with chin implant or genioplasty, but if it does not, Botox can help.

Joe Niamtu, III DMD
Cosmetic Facial Surgery
Richmond, Virginia 
niamtu@niamtu.com


Richmond Oral & Maxillofacial Surgeon
5.0 out of 5 stars 6 reviews

Chin surgery

+1
You have a longer facial development pattern which leads to the lip 'incompetence ' and the smaller chin projection. The OMS will do a sliding genioplasty to advance the chin but also " shorten"" the facial height. This also allows better lip posture so the lip does not protrude ahead of the chin point and it enhances the overall lip balance with the upper lip. You could also discuss jawline augmentation or ramal implants depending upon how narrow your face appears from the front .

Gerald Wittenberg, MSc, DMD
Vancouver Oral & Maxillofacial Surgeon
5.0 out of 5 stars 3 reviews

Sliding genioplasty

+1
I do not believe vertical lengthening is needed in your case.  Obviously, a surgeon who performs a lot of one particular surgery, would have less complications, including ptosis. Lip incompetence in my opinion  is best resolved with jaw surgery. 

Majid Jamali, DMD
New York Oral & Maxillofacial Surgeon
5.0 out of 5 stars 8 reviews

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