Would a sliding genioplasty help balance my face? (Photo)

A genioplasty is performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay at the hospital, and it's much more invasive. This procedure is usually performed when the teeth are significantly out of alignment. Consider placement of a small chin implant to augment your chin forward for purely cosmetic purposes. This can be performed under local anesthesia as an outpatient procedure, which takes about 30 minutes.

Making a quality craniofacial assessment is not easy or straightforward.
The assessment should come from providers who offer the procedure and I don’t think an orthodontist is the correct person to do this.
I think you’re much better off consulting with oral surgeons who have the capacity to do complex facial reconstruction.
I’m guessing that the deficit in your mandible is actually further back because the mentalis has fairly good projection. You already have a well defined nasolabial fold and further projection of the chin would deepen the fold.
The procedure is sometimes done by plastic surgeons, but I find it is more commonly performed by oral surgeons.
You can consult with providers from both backgrounds.
The degree of skill and experience in making a quality assessment, will definitely vary depending who you see.
It’s never a bad idea to have multiple consultations before selecting a provider.
Best,
Matt hagstrom, MD