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Those are al great options for improving chin position. A chin implant is the least invasive way to gain chin projection but it has its limitations. It is hard to gain vertical length and sometimes can also lead to bone resorption overtime. A sliding genioplasty is slightly more invasive but offer great flexibility in regards to final chin position and can also help improve the airway. The risk for a genioplasty is numbness of the lower lip and notching at the edge of where the osteotomy is performed. A BSSO offer the biggest change and improvement in the airway. However in your case you may need a lefort in combination with a BSSO to help rotate the entire upper and lower jaw complex to give you an ideal chin projection. This would also be the most invasive. Ultimately you need to balance what your main complaints are with your current medical conditions and tolerance for prolonged recovery. I personally would think both an upper and lower jaw surgery (BSSO + Lefort) would give the greatest change in the esthetics of your facial profile.
I believe you would benefit more from genioplasty and BSSO. Airway and profile would significantly improve.
Chin reduction surgery sometimes requires bone reduction and soft tissue reduction. The chin is repositioned more posteriorly and in some cases a small wafer of bone is removed to provide greater reduction without increasing the width of the face. Lastly, the soft tissue pad of the chin is...
By your pictures and description a submental chin reduction technique were the bone is reshaped (made more narrow) and excessive chin pad is removed and tucked would be the best approach. You never want to debunk the chin pad intraorally as that will create chin irregularities that will be e...
Like many women that have hyperdynamic chin ptosis you have a borderline larger chin. You have a marginally vertically long chin which makes the soft tissue chin pad stick out when you smile...meaning the soft tissue pad is forced forward by the bone as the other soft tissues pull back. To ...