Would a sliding genioplasty help get me the results I want? (Photos)

Question

hello! i (18 female) am considering getting a sliding genioplasty next summer. before i officially decide i wanted to confirm that a genioplasty is actually what i need. i made a morph to show my ideal side profile. is this achievable with a sliding genioplasty?

Michael P. Morrissette, DDS, FACS · Answer

A sliding genioplasty or a small chin implant will likely provide similar results, so you are a candidate for either procedure. It appears that any degree of horizontal movement will improve your overall facial balance.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Dear Sensible,

From your photos, you appear to have a mild to moderate chin retrusion (a slightly recessed chin), and your morphed image shows a very realistic improvement in facial balance. Yes — a sliding genioplasty could help achieve the result you’re after, as long as your teeth and bite are in proper alignment and you don’t need orthodontic correction for your jaw position.
This procedure allows your own chin bone to be advanced forward and sometimes slightly forward, creating a natural contour and stronger lower-face definition without relying on an implant. It’s especially effective for younger patients like you who want long-term, bone-based enhancement rather than temporary fillers.
Before moving forward, a comprehensive in-person evaluation with a board-certified plastic surgeon or oral & maxillofacial surgeon is essential. That consultation should include a cephalometric X-ray and bite analysis to confirm that your lower jaw and teeth are in the right position for this surgery to give optimal harmony.
With the right surgical plan, your morphed photo looks both achievable and balanced.
Summary:
A sliding genioplasty could achieve your desired profile if your bite is correct. An in-person evaluation with X-rays and bite assessment is critical before proceeding.

Earl Stephenson, Jr., MD, DDS, MBA
ESJ Aesthetics – “Where Confidence Takes Shape!”

Jeffrey H. Spiegel, MD · Answer

Yes, a sliding genioplasty can be done.  But there are other options too.  We do many genioplasties, implants, and fillers. Each of these can result in a good outcome and we should discuss the advantages of each.  Genioplasty is forever (as are implants though implants are easily reversed) but genioplasty typically has a large amount of metal that is used while implants are usually without any, though a silicone block is used.  You have several good options.

Alejandro Nogueira, MD · Answer

I believe I already answered you before to the same question / topic. I strongly recommend you refuse fillers and chin implants, taxatively, a big no, due to complications, limitations, short-livedness, etc.

A sliding genioplasty is for a lifetime, get it and forget, that's your new face, however... the surgeon has to be trained, have good aesthetic judgment, be open to discuss your wishes and give prevalence to your goals, etc.

See below results and further explanations.

Would a sliding genioplasty help get me the results I want? (Photos)

Answers (4)

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