Bony chin pointing outwards, reduce? (Photo)

Without an exam your question cannot be answered.  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
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The best approach for a pure horizontal chin reduction would be a submental approach. When reducing the chin projection you have to account for what the overlying soft tissue chin pad will do. An intraoral approach may leave that hanging whereas a submental approach removes and tightens soft tissue as well as reduces the bone. The other potential option is a vertical opening genioplasty done intramurally. You have a vertically short chin which is why it probably protrudes too much horizontally. By dropping down the front edge of the chin (vertical lengthening) through an intraoral osteotomy this will also reduce the amount of horizontal projection. You would need to see computer imaging to determine which aesthetic result would be best from the two different chin reduction approaches.