With a sliding genioplasty, you can either do it through the oral cavity approach or under the chin approach . Doing it through the mouth can disrupt vital supporting muscles of the lower lip which can actually worsen lower lip ptosis (sag). Therefore, though advancing the chin would provide...
If you have a palatal expander in for jaw surgery preparation, then having a reduction may change the surgical plan. I would discuss this with your surgeon/whoever placed the expander first. If jaw surgery is not part of the plan, then a genioplasty should be fine. Depending on how much you are...
You are a candidate for a genioplasty. You are correct in that jaw surgery would be too much without any functional issues. A genioplasty would get you the results you are looking for. Your chin is a bit short and recessed. By moving it forward and down, it would bring balance to your profile...