What are the risks of having a second genioplasty? I feel I need more advancement.

To fix the cosmetic problem of a chin dimple, either a chin implant or the use of fillers would give you the correction you want. You must find an expert facial plastic surgeon to help you with this. I hope this helps.

Sometimes genioplasty like rhinoplasty takes more time to appreciate the final results. An advancement of 6mm is normal. I think that your chin "fits" your face and looks good. I would allow more time before suggesting any changes. It is possible to diminish the amount of pointedness by shaving...

There are multiple treatment options available. For permanent results, I would recommend a combination of silicone cheek implants and chin reduction surgery. This will provide a more feminine appearance and improved balance to your facial features. Cheek fillers offer a temporary solution for...

AiidA bit of facial asymmetry is common in many patients. In the case of a significant asymmetry, dermal fillers can be injected to improve facial balance. Additional photos and a clinical exam would be needed to determine if your asymmetry is due to your your jaw. Sometimes corrective jaw ...

Ideally a non smiling side view is needed for better assessment.  it is likely chin lipo or Kybella would be good options to decrease the fat from underneath your chin.  Consult with a few experienced facial plastic surgeons to review your candidacy.