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Hello dearThanks for the question and provided information as well. My recommendation for you is a personal consultation with a certified plastic surgeon to be able to make a complete evaluation and suggest the procedures that can fulfill your expectations and provide you with the best results.Good luck :)
The chin is composed of skin, fat, muscles, and the mandible bone. A full set of facial photographs are required to make a determination about being a candidate for chin implant. For many before and after chin implant examples, please see the link and the video below
Without seeing a picture of your chin no definitive answers can be given. But most likely this is due to the shape of your bone. What type of bone modifications may need to be done to reshape your chin depends on what the rest of your chin looks like.
You have a large soft chin pad which becomes protrusive when you smile. That can be improved by a submental resection of some of the chin pad and redrawing over the bone.
The chance of an asymmetry following genioplasty is minimal. Most surgeons use a method to mark the midline of the chin and use this measurement to keep the jaw aligned. The pre-stepped plates used today also help maintain the chin segment centered. Lastly, the soft tissue or skin and muscle ...
Thank you for your pictures. Give your results 3 months to mature. Once all of the swelling goes down you should noticed a more refined chin contour. Best wishes