Will genioplasty make my chin stick out too much from the rest of my jaw? (Photo)

Question

I've got a sliding genioplasty planned next year with 3mm horizontal and 2mm vertical advancement, but I'm afraid it'll make my chin appear too narrow/pointy and stick out too much from the frontal view. Not sure if I should pull through with the surgery, any advice?

Michael P. Morrissette, DDS, FACS · Answer

The effect of a genioplasty procedure is powerful and patient satisfaction is high. The amount of movement that you are considering are too insignificant and not worth the time and recovery. I never perform this procedure without moving the chin forward at the minimum of 5 mm. In men, I usually move the chin 8-9 mm forward and vertically increase the length 2-4 mm. For anything less, a silicone chin implant is sufficient. The genioplasty procedure is performed in our office with intravenous sedation and takes about an hour. Patients are instructed to eat a diet as tolerated following the surgery. Moving a patients own chin forward provides the most natural result as all the muscles are able to re-attach to their bony origin.

Jeffrey H. Spiegel, MD · Answer

I do both chin implants and genioplasties.  The chin implant gives you an excellent result, is fully reversible, and overall in my opinion leaves you with much less chance for a foreign body to extrude in the future.  The metal of genioplasty is substantial.  We do this right in the office.

Barry L. Eppley, MD, DMD · Answer

The amount bony movement you are contemplating with a sliding genioplasty are very slight for that procedure. I would doubt very highly that such movement will make your chin too big or too narrow. Bit this is where the role of computer imaging will help you deterge if such changes are too much.

Mats Hagstrom, MD (license on probation) · Answer

A sliding genial plasty will not give lateral projection at all.A sliding genial plasty will not give lateral projection at all. Based on your single picture it appears you could use some volume on the sides of your chin as well.When making an assessment for chin surgeryreview the chin in context to the face.I understand the desire to maintain anonymity. Without showing at least your mid face we can’t really make a good assessment in regards to what is ideal surgical correction.The profile is also a more important view than a frontal picture.not including a profile picture is probably the main reason no one is going to give you a good assessment or recommendationin regards topotentially getting excessive projection.
Talk to your provider about options. If your provider is comfortable doing both procedures then here she should be able to steer you in the right direction. You could also get a few new in person consultations. if you choose a sliding genioplasty then you are choosing a procedure that doesn’t give lateral projection. That is simply the inherent limitation of that procedure as well as a few others.that’s not to say chin implants don’t have their set of issues as well.
Fillers work very nicely  on the lateral aspect of the chin though it is a temporary treatment and may not be something you’re interested in.
Best,
Mats Hagstrom MD

Will genioplasty make my chin stick out too much from the rest of my jaw? (Photo)

Answers (4)

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