Genioplasty - why would a doctor move a chin down diagonally and not forward? (Photo)

Dear Caring3081, Thank you for your pictures. To soften your profile, I believe the most accurate way would be to have a formal sliding genioplasty as opposed to shaving off the chin. Contouring shaving is less predictable. Seek the opinion through consultation from several board-certified,...

It appears that you have a thin soft tissue pad. If that is the case, that makes the reduction genioplasty more predictable. A CT will be needed to confirm. In cases, with excessive soft tissue, there are treatment techniques to reduce the soft tissue pad.

There are generally 2 solutions to this problem. If the chin becomes ptotic with motion, you can try botox to diminish this movement. If the chin is long based on a CT scan, then the chin can be reduced in the vertical dimension and pore-positioned in the horizontal plane.

A revision genioplasty can be performed where several options may be explored. In some cases, removal of the plate and shaving the bone is all that is needed. In other cases, the plate is removed and a small osteotomy is done to center the chin. Lastly, if the problem is only the soft tissue,...

A sliding genioplasty or a chin implant would greatly improve your facial balance. The chin implant can easily be removed if the aesthetics don't meet your expectations. Both of these procedures are performed in the office with sedation anesthesia and will not change your bite.