Is a sliding genioplasty with submental lipo the best option for the results I want? (Photos)

Without an exam your question cannot be answered.  You will need to see an Oral/Maxillofacial surgeon to see if othognathic surgery, genioplasty or using an implant is best for your specific case. It should be noted that patients with severely weak jaws or abnormally functioning jaws may be better treated with other facial surgery (orthognathic surgery), although a chin augmentation may be an option at a later time. These patients should seek the advice of a plastic surgeon to determine which course is right for them. Here is some information to help you make this decision: Candidates for Chin Augmentation - Patients whose chin profiles are weak but have normally functioning jaws are candidates for Chin Augmentation. Many of these candidates have used injectable fillers in the past to strengthen the protrusion of their chins, but are looking for a permanent solution. If you are one of these patients, then you are a likely candidate for chin augmentation
#weakchin #chinimplant

There are a variety of techniques that can be used to augmented the chin and improve your profile. A more temporary approach includes dermal fillers (e.g., Sculptra, Voluma, and Radiesse), while fat grafting, use of permanent fillers (Aquamid, Bellafill ) and facial implants would offer a more permanent solution. A sliding genioplasty is a procedure that I feel gives a rather blocky, unrefined look in a number of cases. However, in severe cases, this may be the best option. One also has to evaluate your actual bite through orthgnathic analysis and possible orthodontia.  Additionally, liposuction of your submental region all the way back to your ears can be performed to highlight your jaw line and give you a more elegant shadow. To address your concerns I would recommend having an in person consult with a board certified plastic surgeon who specializes in facial aesthetics and contouring.

Great question! I've posted a video below so that you can see how to determine whether you are a chin implant candidate. I believe that you are by your photo but the video shows you how I judge this with my patients. The key question is whether you proceed with a chin implant which is a cosmetic surgery that is quite straightforward for an experienced surgeon. The alternative, a sliding genioplasty, addresses your bite while changing your chin position. If you wish to have your teeth realigned you are best served by seeing an oral surgeon in consultation. If your concerns are cosmetic and enhancing your chin to bring it in to balance with your other features--then a chin implant is the way to go. 
For you, yes a bit of submental lipo will give you a bit more definition. The celebrity photo is rarely achievable due to the position of muscles under the chin in most people (not fat) which limits how much you can get that neck line. That said, you may get an extra 20% benefit by adding submental lipo and I would recommend it. 
You will generally find that rhinoplasty surgeons tend to have extensive experience with chin implantation because it is such a frequently performed procedure in conjunction with rhinoplasty. The incision can be made through the skin or through the mouth but i prefer to do it inside the mouth because it has minimal discomfort and is invisible without any external evidence of scar. My patients tend to be very happy with this approach. I hope that information is helpful!
I hope that helps!
Jeffrey Watson, MD
Fellowship Trained Facial Plastic Surgeon and Rhinoplasty Specialist
Board Certified Ear, Nose, and Throat Surgery
Graduate, Harvard Medical School