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Chin ptosis is caused by the removal of implants. After the skin and muscles are stretched in the area, the sudden loss of that volume will cause them to sag. The hardware put in for a genioplasty will essentially become useless after a few months. Once the bone is healed, the plate and hardware and can be removed (although we usually leave them in unless they become an issue. It is an unnecessary procedure if everything healed well.) Occasionally one of the screws may become irritated and is taken out, but again, once the bone has healed it is safe to do. One of the many elements we love about a genioplasty, is that they are fairly predictable, and generally have little complications.
Your photo is a little blurry and not exactly from the side so it is harder to determine how much projection you need. That being said, moving your chin forward and slightly down could add length and projection to your chin, balancing out your profile. It would also add length and definition to...
There are several factors that go into this. Most of which are based on the patient's actual anatomy and their desired appearance. I would also say that some doctors have their own personal limit on how for they are comfortable moving a chin. A genioplasty is not yet a procedure commonly...
To assess facial proportions non-smiling facial pictures are needed. From these pictures computer imaging needs to be done so you can determine whether vertical chin length is beneficial. Look at chin augmentation with and without vertical lengthening so you can make the best decision.
