Sliding or Vertical Genioplasty? (Photo)

Question

I have a very square face and defined jawline... but a very short chin. I always thought my forehead was too long, but it may look longer because of my short chin. My teeth are all aligned in the back (just had xrays from an orthodontist). I had an overbite fixed with braces 15 years ago. Would a sliding genioplasty be right for me? I was considering getting a rhinoplasty as well (my nose is crooked from the front), so maybe a profileplasty? What would you recommend?

Timothy Osborn, MD · Answer

You could definitely use more vertical height. In doing so, your chin will also come slightly forward as well. This will help to balance out your profile. If you are also unhappy with the stronger jawline, you can  add jawline contouring to soften out the back angle of your jaw, creating a softer appearance. Both procedures can be done at the same time, which means only one recovery, which is nice.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures. I think the lower third of your face is short. It probably would benefit you from having a vertical lengthening of your chin. Your nose looks pretty good on his profile. I could see that it’s slightly deviated to your right on the frontal view. Overall, your nose is well balanced with your face. Consider in-office consultation for the best treatment options.

I hope this helps.

Earl Stephenson Jr, MD,DDS.

I hope this helps.

Earl Stephenson Jr, MD,DDS.

Mats Hagstrom, MD (license on probation) · Answer

I think your face is well balanced and proportionate. You have good projection of your mandible. This shows because your dental occlusion is good. Most people seeking chin augmentation have a occlusion overbite. this usually presents with the upper lip have a more forward projection in the lower lip and profile pictures. Your picture shows your lower lip project more than your upper lip. You also have a slight may be a mental crease with a good leave you a mental angle. Forward advancement of your chin with deep in that crease or angle. 
Vertical augmentation of your chin only would not align with the rest of your man the ball. Your entire mandible is slightly lacking in vertical height but it is straight and consistent. Increasing the height of just the chin would diminish from that straight perfect jawline you have.
To me your overall facial balance is quite good including your nose and I don’t see a strong indication for surgical intervention.
To make a really accurate assessment we need really high-quality pictures.
Profile pictures should be done without turning your neck.
Frontal pictures you need to show your full face. with the camera height lined up with the dorsum of your nose.
You can certainly consult with plastic surgeons or oral surgeons in your community.
Surgeons make a living doing surgery so if you ask enough plastic surgeons somebody is going to recommend surgical intervention.
Be grateful for all the excellent facial features that you do have. 
Best,
Mats Hagstrom MD

Gerald Wittenberg, MSc, DMD (retired) · Answer

You have a 'low angle' jaw growth with prominent 'angles' of the jaw. When one looks at a face from the front, the eyes start at the eyes and 'travel' down towards the angle and then move towards the chin, in many cases. When the angles are strong, the chin appears short. When the angles are weak the chin can appear long. You can either reduce the prominence of the angles (more appropriate in your case) or increase the chin height with care (over increasing it could lead to an inability to close the lips naturally

Sliding or Vertical Genioplasty? (Photo)

Answers (4)

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