Small screws after genioplasty are very rarely removed; it has to be a good reason like visible, palpable deformity, which is very rare with that size of screw? However, if needed, removal should be done using already existing incision/scar inside the mouth or underneath the chin. In that case ...
Looking at your photos you would benefit from an advancement genioplasty. This will improve your chin projection which at the moment the analysis lines of the face suggest the chin is retruded. Advancement of the chin will partly help with your 'double chin'. Some of that is caused also by the...
The sliding genioplasty will give you more chin projection and create a balanced look to your lower face. Patients with a deep mentolabial fold tend to have a chin that is short vertically. In order to provide the best result, the sliding genioplasty allows changes in the length and height...
