40 y/o female, would a sliding genioplasty or chin implant correct asymmetry? Should I consider other options? (photos)

You appear to be a candidate for jaw surgery. I would consider speaking with a cranio-maxillo facial surgeon first before cosmetic surgery. Jaw surgery is a major procedure, but it would fix most of your aesthetic issues, as well as improving your bite and other problems you may have (jaw pain, sleep apnea...) If you are sure you do not want to go that route, a genioplasty with jawline contouring would get you a decent outcome. It would bring your chin forward and balance out some of the asymmetry. It would also improve the labiomental fold, and decrease the shadowing on your chin.

Thank you for your pictures. I agree with you that you have facial symmetry. I think a sliding genioplasty or a chin implant would not give you your desired result. I believe the best option, for you would be an upper jaw and Laura gel surgery to correct the asymmetry with a genioplasty. The second best option would be lower jaw contouring on the right and a sliding genioplasty. I hope this helps.

Earl Stephenson Jr, MD, DDS
es@drstephmd.com

You have Mentalis strain and a shallow mentolabial fold which indicates a very recessive chin. With an asymmetry, you would need a custom implant or a sliding genioplasty to correct the asymmetry. With large advancements greater than 6-7 mm I prefer to perform a sliding genioplasty.