Would a chin implant or sliding genioplasty be best for me? (photos)

Both procedures can provide outstanding results and improve facial balance. There are several considerations. Chin implants are a good option when a straight forward advancement is needed and it is not over 5 mm (for women). In females, implants that have greater than 5 mm of horizontal projection can sometimes look wide and a bit masculine. Implants cannot provide length when the chin is short. If your need greater than 5 mm of horizontal projection and need additional length, then a genioplasty can provide both and looks the most natural. In addition, I generally recommend jawline liposuction when performing either of theses procedures. Both procedures are performed in our office with intravenous sedation and young patients are able to return to work in 3 -5 days. Neither procedure will effect your ability to chew or change your bite.

Thank you for your question. Like most of my patients, the answer that is best is the one that's right for you. Luckily, there are several ways to accomplish your goal. The first, and least invasive, would be fillers. If you're on the fence or just don't have time for surgery and want an immediate result, this is a good option. The downside of course is that it lasts about a year depending on the filler used. Silicone implants are also an option. These are placed usually under anesthesia, but I have done some under local anesthesia depending on patient comfort. The downtime I advise is a week due to swelling. This is a great option for achieving a permanent result, but it is certainly more invasive than fillers. Sliding genioplasty I save for patients who don't like the idea of an implant, but also want a permanent result. This is the most invasive of the three options, but some patients prefer it. Long story short, my advice is to speak with your surgeon so you have an understanding of the pros and cons of each option, and to choose the one that's right for you. All the best, and I hope I've been of help.

Dear acerv021,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from chin augmentation. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I think you would benefit greatly with an extended mandibular augmentation and a submental liposuction. The procedure is quick , safe and predicable. Please consult with an experienced facial plastic surgeon to discuss your options.

First of all, it's important to be at your ideal body weight with a BMI less than 30 before undergoing any facial cosmetic surgery. The photographs demonstrate fat deposits located in the neck above and below the platysma muscle along with a recessive chin profile. Consider a necklift procedure to remove the fat deposits located both above and below the platysma muscle in addition to a platysma plasty. Placement of a chin implant will augment the chin forward for better facial balance and proportions.

The best procedures for you would be a sliding genioplasty and neck liposuction. With a short chin and open neck angle moving the chin bone forward in someone of your young age would be best long-term. A sliding genioplasty even by itself helps the neck better than a chin implant. While the submental/neck liposuction would make the sliding genioplasty result look even better it is not going to create a defined jawline. (which is the appearance of the jawline behind the chin back to the jaw angle area) That requires a different procedure to achieve that effect.

Your lower jaw is underdeveloped genetically so a sliding genioplasty is ideal to add definition and prominence as well as flattening the submental area. Lipo can be decided with the surgeon in person examination