Should I get rid of my implant and get a genioplasty? Unhappy with my lower-thirds. What would make the most difference? (Photo)

Your best bet is removal of chin implant and have a sliding genioplasty done. You will get a more natural look and harmony to face. In the long run you will save money.

In many ways implants and the sliding genioplasty offer similar advantages and create similar issues.

Forward augmentation are your chin whether through facial skeletal surgery or an implant is going to worsen your labial mental angle.

Sliding genioplasty can be advantageous and correcting vertical heights while at the same time addressing anterior projection.

Straining of the mentalis muscle can happen from both procedures.

You’ll find oral surgeons are stronger proponents of a sliding genioplasty while plastic surgeons tend to favor implants.

I suggest you have a few consultations with board-certified plastic surgeons who’ve done cranial facial fellowships or highly accomplished oral surgeons.

There are a lot of dynamic things to take in the consideration to discuss before committing to a different procedure or approach to treating this.

It’s important from the patient’s perspective to have a clear understanding of what can and cannot be accomplished and what the underlying problem is.

This includes things like understanding dental occlusion etc. etc.

In this sense surgeons who have a dental background have certain advantages.

Best,

Mats Hagstrom MD