Is sliding Genioplasty a good idea for me? (Photos)

Question

I've always had a weak chin. I've had braces in the past to correct my overbite but i'm 20 and those braces had no effect on my jawline or chin. I was wondering if sliding genioplasty or other solutions would help my profile.

Matthew Bridges, MD, FACS · Answer

You could consider a chin implant instead of a sliding genioplasty.  Either approach would provide increased chin projection.  Computer imaging in the office would help determine how much projection you need for profile balance.  Good luck!

Barry L. Eppley, MD, DMD · Answer

There are advantages and disadvantages to the two methods of chin augmentation, a sliding genioplasty and a chin implant. Neither one is the perfect chin augmentation solution for everyone. From the side view their results can look similar but in the front view they can have different aesthetic effects.

William Portuese, MD · Answer

A sliding genioplasty is usually performed under general anesthesia in a hospital setting with an overnight stay.  It is performed  by an oral surgeon for patients who have significant issues with the way the  teeth fit together.  A chin implant is much less invasive, this performed under local anesthesia as an outpatient procedure that takes approximately 30 minutes.  For many examples of chin implants, please see the link and the video below

Michael Elam, MD (retired) · Answer

kakka1234, As long as your bite is corrected and you have no dental issues then I would highly suggest a chin augmentation with sub-mental liposuction. This will bring a nice balance to your profile and overall facial aesthetics. Imaging during consultation can show you the proposed results so you can determine if chin augmentation would provide the results you desire. Chin augmentation is a very simple recovery period compared to sliding genioplasty and would provide you the stronger profile you are looking for. See examples in the link and video below. Best regards, Michael V. Elam, M.D.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 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 (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone).  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.

Is sliding Genioplasty a good idea for me? (Photos)

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