Can conservative genioplasty address witch's chin as well? (Photos)

Dear Caring3081,

Thank you for your pictures. To soften your profile, I believe the most accurate way would be to have a formal sliding genioplasty as opposed to shaving off the chin. Contouring shaving is less predictable. Seek the opinion through consultation from several board-certified, oral surgeons and or plastic surgeons, comfortable with chin and neck contouring.

Best wishes

Earl Stephenson, Jr, MD, DDS, MBA

ESJ Aesthetics

A minimal approach is to shave some of the horizontal projection and tuck some of the soft tissue below the chin to minimize the witch's chin effect. The dynamic changes when smiling are difficult to change and Botox is helpful with an active muscle. You have a deep mentolabial fold in the profile photo and that sometimes indicates a short chin in the vertical dimension. Less horizontal projection is advised in females.

It would be very difficult to give you meaningful advice based on these photos. In general , bone shaping would decrease projection; side augmentation with implant which does not change anterior projection is also a possibility. In person consultation with a board certified plastic surgeon with good reputation in chin surgery would help. Good luck.