You are correct. Advancing the chin could result in a longer appearing face but the chin can be shortened and moved forward at the same time without this ill effect. Looking at your pictures, however, while a genioplasty (sliding osteotomy) is going to serve you well, more improvement is going to come from a properly done neck contouring. By that, I mean removal of the fat superficial to the platysma muscle, deep to the muscle and even tightening the structures to provide you a well defined neck and chin.
Dear steph267, A chin augmentation would help address your weak chin and combined with liposuction of the neck and chin area will give you a more defined and balanced profile and overall facial aesthetic. The chin implant when placed properly will add projection to the chin and will not further elongate your chin. This is a fairly straight forward procedure in expert hands and is very rewarding for patients with similar facial aesthetics. See the video above and link below for examples. Best regards, Michael V. Elam, M.D.
Hi, I have performed many Chin Augmentations using chin implants for over 30 years. From the photos, your chin is weak. A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin. Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.
I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective. I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone. In my opinion, you are a good candidate for chin implant surgery. There is excess fat in the neck that can be reduced with liposuction at the same time as the chin implant placement.
Hope this helps.
I believe you would benefit from a chin implant or advancement genioplasty along with liposuction of your neck. This should correct the issues you are concerned about. Find a board certified surgeon who does frequent chin surgery. Good luck. Donald R. Nunn MD Atlanta Plastic Surgeon
The photographs demonstrate a weak and recessive chin profile with fatty deposits located in the neck. A Silastic chin implant can be placed through a small incision underneath the chin to give added projection to the chin to help with facial balance and proportions. Liposuction of the fatty deposits in the neck can improve the jawline. For many examples of both procedures, please see the link and the video below