Would I be able to achieve my desired results from a sliding genioplasty? (photos)

Question

Hello! I’ve been looking into sliding genioplasty, and am curious if what I have in mind is realistic, or if it would require more extensive jaw surgery. The “goal” photo is a combination of pushing my mandible as far forward as possible, and editing for further chin projection. Both forward and downward projection would be ideal for balancing my face, as currently the weak and short chin draws attention to my large nose. All suggestions and thoughts are welcome, thank you!

Timothy Osborn, MD · Answer

You have an existing labiomental fold, defined jawline, chin is short; these are the cases that look great. If you rotate the chin down, come forward probably 8mm it would be perfect. You can get rid of the cleft in your chin too, in my experience it is love it or hate it. When you want to get rid of the cleft, you can reposition the muscle and likely contour the bone in your case. Some prefer it, so you make sure when you close it you don't impinge on the midline.

Michael P. Morrissette, DDS, FACS · Answer

Based on your photos, you are an excellent candidate for a sliding genioplasty. The surgery allows for both simultaneous horizontal advancement an vertical lengthening. The sliding genioplasty can be advanced up to 9mm. A chin implant will not allow vertical lengthening and cannot be advanced horizontally to the extent of the genioplasty. The surgery is performed in our accredited surgery center under intravenous anesthesia and takes about an hour. It does not change your bite or require braces. Patients return to work in 5 days.

William Portuese, MD · Answer

A sliding genioplasty is performed by an oral surgeon under General anesthesia in the hospital setting with an overnight stay in the hospital since it is quite invasive. It's usually performed when the teeth are significantly out of alignment. Placement of a chin implant can be performed under local anesthesia for purely cosmetic purposes, and is done in the office setting which takes approximately 30 minutes. A closed rhinoplasty  approach can  accomplish shaving down the dorsal hump and reducing the overall projection of the nose. Both a rhinoplasty and chin implant procedures can be performed simultaneously.

Would I be able to achieve my desired results from a sliding genioplasty? (photos)

Answers (3)

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