Chin implant or Sliding Genioplasty? (Photos)

Without an exam your question cannot be answered. However, your photos are helpful and you are probably a good candidate for a Chin Augmentation. 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

A sliding genioplasty is the more 'natural' procedure and has a lower risk of infection than a chin implant. The key question is what type of chin look can they both create. From the side view the difference between a chin implant and a sliding genioplasty may not look that different. From the front view, however, they can look different. A chin implant can make the chin wider and more square of desired. A sliding genioplasty will keep the front view of the chin the same or may make it look a little more narrow.

A sliding genioplasty is performed by an oral surgeon under general anesthesia in the hospital setting with an overnight hospital stay, and is much more invasive.  Placement of a chin implant is performed under local anesthesia as an outpatient procedure which takes approximately 30 minutes.  The chin implant procedure is much less invasive and the implant can always be removed if ever needed.  In our practice, we use Implantech Silastic chin implants for over 25 years with an excellent success rate.  For many before and after results of chin implants and diagrams of the implants themselves, please see the link and video below

 Hi, I have performed many Chin Augmentations using chin implants for over 30 years.  From the photos, your chin is weak.  A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. 





 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.



Hope this helps.

I believe you will have the best result with a sliding genioplasty with possible liposuction of the neck.  You need a good amount of chin advancement to improve your profile.  The liposuction will also help to further define the jawline.  I believe that an advancement genioplasty gives the most natural look.  Find a board certified surgeon who does frequent chin surgical procedures.  Good luck.  Donald R. Nunn MD,DDS  Atlanta Plastic Surgeon