is it general better to see a maxillofacial surgeon or plastic surgeon for DMV sliding genioplasty?

I would go based on experience and photos they are able to show you. Some plastic surgeons may perform this procedure more, and some maxillofacial surgeons may have more experience. It is important to do your research. You can also have consultations with multiple surgeons and go based on who you felt most comfortable with. Our practice offer virtual consultations if you would like to discuss options further!

I would say that most oral & maxillofacial surgeons and many plastic surgeons have the training to perform a sliding genioplasty procedure. The most important point is to find a surgeon who is actively performing these procedures. The surgeon should perform the procedure often and be willing to show their results. In my practice, we perform the procedure in the office with intravenous anesthesia. The bite is unaffected and patients return to work within 3-5 days.

Both maxillofacial surgeons and plastic surgeons have the expertise to perform a sliding genioplasty, but there are some differences in their training and areas of focus that you may want to consider when choosing a surgeon for this procedure.

Maxillofacial surgeons, also known as oral and maxillofacial surgeons, specialize in surgical procedures involving the face, jaw, and mouth. They undergo extensive training in both medicine and dentistry, which allows them to address functional and aesthetic concerns related to the facial structure, including the chin.

Plastic surgeons, on the other hand, specialize in a wide range of aesthetic procedures throughout the body, including the face. They typically focus on the aesthetic aspects of surgery and may have a broader scope of practice that encompasses various cosmetic procedures.

When it comes to a sliding genioplasty, both specialties can potentially perform the procedure with good outcomes. However, it's important to consider the individual surgeon's experience, training, and expertise in performing sliding genioplasties specifically. Look for a surgeon who has a significant amount of experience and a track record of successful results with this particular procedure.

I hope this helps,
best of luck !

Your question is an excellent one. It seems to me that the procedure is more commonly done by oral surgeons. In the end training of the provider and experience is what determines somebody’s competence. Some programs have more emphasis on when your facial surgery during the residency and some surgeons pick up the technique and practice it regularly, while others do not perform the procedure as commonly. It seems to me that plastic surgeons seem to rely on implants more frequently and cranial facial surgeons tend to prefer the sliding genioplasty.
There are no absolutes, and there are good and bad in both specialties.
During each consultation, ask each provider to open up their portfolio of before, and after pictures and show you their entire collection of previous patients who had similar facial characteristics to your own. And experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
It’s generally a good idea to have multiple consultations before juicing, cosmetic surgical procedures. The more consultations, you have the more likely you are to find the best provider.
In the end, understanding your own candidacy for the procedure, and choosing the right provider are the two are single most important variables.
Best,
Mats Hagstrom, MD