Should I get a chin implant or genioplasty? (photos)

I believe you need jaw surgery. But if you don’t want to go through that, sliding genioplasty with lengthening is the best option. 

If you do not have any current bite issues then a sliding genioplasty is not needed. Genioplasty is a very involved procedure and it has a long post operative recovery. You should be an ideal candidate for chin augmentation to provide more projection to your weak chin. This will balance your facial profile and overall facial aesthetic nicely.  I like to use a silastic chin implant and these come in many shapes and sizes. I prefer to use a small incision placed under the chin which allows the patient a speedy recovery and less risk of infection then an intra-oral incision. See some experts in the field and have imaging performed to show you how chin augmentation will improve your facial aesthetics. See many before and afters in the link below and the imaging process in the video attached. Best regards, Michael V. Elam, M.D.