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Plates and screws used for fixation of sliding genioplasty are small and flat. There are designed in such a way that material can not be palpated through the skin or mucosa. For that reason hardware used for fixation does not need to be removed.
There is no need to remove the hardware (plates and screws) after facial reconstruction (genioplasty). The plates are only 1.5 mm thick and the screws are 5 to 7 mm. None of which should be palpable.
A sliding genioplasty is usually fixated with the use of an X shaped titanium miniplate and 4 titanium screws with an average lenght of 8mm each. These materials are intended not to be removed. They should only be removed in very special and unusuall situations such as rejection to the material or an infection.
The reason your chin looks bigger or more ‘witchy’ is because the genioplasty pushed the bone forward. There are some non surgical ways with fillers to treat this but sometimes revision surgery is needed. Consider a consultation to discuss the details.
A sliding genioplasty will increase the vertical height of your chin as well as its horizontal projection. It will not, however, improve the result of your jawline or the appearance of your cheeks. Jutting your jaw forward, while replicating the effect of the chin change, creates other facial...
Based on your photo. Two issues are producing the appearance you don't like. 1) Your face looks long because your cheeks are underdeveloped. Augmenting them by fat transfer (yes properly performed it is permanent), Fillers (temporary), or implants will fix that. 2) Your eyes aren't low, your ha...