Suggestions for improving weak lower profile after sliding genioplasty? (Photo)

Question

I had a sliding genioplasty performed by a surgeon in the Dallas/Fort Worth area around 2009. I am still bothered by my "weak" profile, skin under my chin, and full cheeks. I'm 5'7'', and my weight stays pretty stable around 135 lbs. I returned to the surgeon, who suggested I undergo a revision genioplasty. The recovery was tough the first time, so I am looking to avoid another genioplasty. Any other suggestion? Fillers, chin implant, liposuction, etc. Any input is greatly appreciated!

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your picture.  A detailed examination would go a long way here.  It appears to me based on your profile that at least your lower jaw could be moved forward.  This would improve your chin.  The other option would be to have a small implant placed and some neck liposuction to improve your chin projection and neck contour.  Consult with several board certified plastic or oral surgeons for the best options.  Best Wishes.

David P. Mueller, DDS · Answer

thank you for your question. I would seek a consultation with a board certified oral and maxillofacial surgeon. Based on your profile image, the issue is as much with the position of your jaws as it is your chin.   A surgeon can only make a chin look so large. Giving you an over-sized chin implant or extreme sliding genioplasty would make the chin appear un-natural.  Having a full work up with a board certified oral and maxillofacial surgery would most-likely show that Jott advancement surgery, and possible submental liposuction would be the treatment of choice.  Best of luck to you. Dr. David Mueller

William Portuese, MD · Answer

The photograph demonstrates a weak and recessive chin profile, even after having had a sliding genioplasty. A Silastic chin implant can be inserted through submental approach to give the appropriate added projection to the  chin to help with facial balance and  proportions.  A small amount of liposuction in the neck can also be performed which  is complementary to the chin implant procedure. Both procedures can be performed under local anesthesia as an outpatient procedure.

Suggestions for improving weak lower profile after sliding genioplasty? (Photo)

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Suggestions for improving weak lower profile after sliding genioplasty? (Photo)

Answers (3)

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Everything you need to know about Genioplasty

Our mission is to create a world where every investment in modern beauty is Worth It.