Should I do a chin implant or a genioplasty?

Not to pick apart your question, but there is a nerve that will sometimes need to be considered with doing a genioplasty. Nerve issues are the most common long-term issue with any chin surgery, whether implant or genioplasty. In my experience, most people suggest what they are most comfortable with in terms of genioplasty or implant (and that is very important). There are limitations of both, but if the nerve is low, it is at risk in either procedure. Best thing to do is to get a couple of opinions, get a simulated outcome so you know it is what you are comfortable with, and express your concerns with the provider. I would say unless your nerve is all the way at the bottom and there is no way to work around it (which I have never seen), you would be a candidate for either. Genioplasty is a harder procedure technically, though the recovery is not wildly different in our experience, so some providers are more likely to suggest implants.

Either a chin implant or genioplasty can be performed in most cases interchangeably. I prefer a genioplasty when greater than 6 mm of advancement is needed. A Facetime consult would be helpful to determine which is best.