Side profile concerns - Would a chin implant help or would i need jaw surgery to fix this? (Photo)

They are appealing: quick surgery, cheap, outpatient management and veeery easy technical for the surgeon, even the less skilled and experienced can do them, however they have very bad downsides, in practical terms they have short duration due to pain, displacement, visibility, mobility, weird gestures, failing to achive goals, etc

You have microgenia, this is small bone developtment at the chin, therefore you need chin augmentation with bone supply (iliac grafting); not a case for sliding genioplasty giving there's nothing to slide, it is primery deficit of bone substance.

If you are satisfied with your diet and ability to eat food, then a cosmetic chin surgery will improve your facial balance. Both a chin implant and sliding genioplasty can be considered. In patients who have significant deficit of their chin in a profile view, the sliding genioplasty allows for up to 10 mm of added projection. Both procedures are performed in the office with sedation anesthesia, and neither procedure requires braces or will change your bite. Most young people are recovered enough to return to work within 3-5 days.

Jaw surgery would be recommended if your teeth are significantly out of alignment. That procedure is performed by an oral surgeon under general anesthesia hospital setting with an overnight stay at the hospital. If you're looking for purely cosmetic improvement, then consider placement of a chin implant, which can be done under local anesthesia in the office setting surgery center. It would take about 30 minutes and you can walk in and out.