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In order to provide symmetry and uniformity to the jawline, I would recommend a custom mandibular implant. This will provide a well-balanced lower face and contour to the jawline. The implant can extend the sides and chin in a complete implant.
There are several ways to improve a witch's chin deformity. The soft tissue pad can be reduced, a chin tuck can be performed, the deep submental fat pad can be positioned to decrease the submental crease. In some cases, neurotoxins can be used to minimize the effect of muscle pull.
This is a common procedure for us. We go through the inside of the mouth and can contour the bone and soft tissue for a better look. Jaw surgery on the palate can be done, but it will not reduce the jaw.
Yes, we can make a chin implant of any size. It is easy to contour an implant the way you may wish. We do a lot of jaw and chin surgery. It should be fine to adjust with an implant over a prior genioplasty.