Is my surgeon being too conservative with my sliding genioplasty? (Photo)

Question

I have a good bite with no problem. My chin is weak and not long enough vertically. In my country, genioplasty is not common for purely aesthetic reasons and I've only found one surgeon that does it. He declared that he thought 5,5 mm horizontal movement and 3,5 mm vertical movement would be the most we could do. In my eyes that seems quite low. Could that really be enough? He does seem like a dr that usually does these operations for medical purposes. I want to have a strong jaw at the least.

Michael P. Morrissette, DDS, FACS · Answer

Men can tolerate a strong chin so the minimum advancement that I perform is 7mm. An advancement of 5mm is small. In some cases, I perform a 9mm advancement followed by the placement of a chin implant 6 months later. We perform this procedure for purely aesthetic purposes. You might want to consider simultaneous submental liposuction to give you a well contoured jawline as well. We perform the surgery in the office with intravenous sedation.

Barry L. Eppley, MD, DMD · Answer

It takes computer imaging to demonstrate what type of change a patient is seeking. So whether the changes of 5.5mm and 3.5mms is enough or too little can not be known just by the numbers. But it is fair to say that more likely than not those numbers are modest and would likely not achieve your chin augmentation goal. It is more likely that almost double those numbers would be needed

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