Surgeon said sliding genioplasty will give me same results as chin implant?

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

It would be very uncommon that the chin bone could not be advanced or provide as much projection as that of a chin implant. I would recommend a second opinion. It would be helpful to see pictures of your profile as well as a cephalometric x-ray to determine your bone thickness. 

A chin implant is three-dimensional augmentation of the chin gives not only forward projection, lateral width and small amount of  vertical height.  A chin implant will not help fix the way the teeth come together.  Chin implants are performed under local  anesthesia as an outpatient procedure which takes approximately 30 minutes. A sliding genioplasty is performed by an oral surgeon  under general anesthesia in a hospital with an overnight stay, since the mandible is being cut, slid forward, and plated into the new forward projection. For more information, diagrams of chin the implants and many before-and-after examples, please see the link and video below

Hi Julia, If your surgeon says this then most likely they are correct. You can not advance the chin too much. The bone healing would not occur properly. If you need your chin advanced so much you may need jaw surgery instead to begin with.

There is a way to actually 'see' what the surgeon means; the cephalometric xray/side view xray does show the 'thickness' of the chin bone area. Therefore you can calculate the 'amount' of advancement that is possible. However, even if the amount is'less than what you want', the surgeon can add 'implant strips' in front of the advancing bone; so you get a fuller effect. Quite common for some of us when approaching large advancements. The genioplasty is a better option to control the position and height of the chin and the 'stretching' of the muscles under the chin to give a flatter look

 Hi, I have performed many Chin Augmentations using chin implants for over 30 years.  Non smiling photos of your face from the front and side would help in the evaluation.  A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. 





 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.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.    In my humble opinion, I've never understood how a weak chin (bone cap) can be moved and manipulated to provide as much forward projection to the chin as a silastic chin implant...which is one of the reasons I prefer using chin implants.



Hope this helps.