Sliding genioplasty followed by chin implant later on? Would like my chin to come up to my lower lip or just slightly behind.

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 your jawline. I doubt you will need a second procedure to get your chin to reach right behind your lips. Our office provides in-person and virtual consultations if you would like to discuss options further!

What you want to do is maximize the sliding genioplasty movement first. That means move the chin bone out as far as possible which could easily be 15 or 16mms. Then see how it looks and use a chin implant secondarily to manage any residual horizontal deficiency and to have the implant widen the chin and cross over the inevitable lateral stepoff deformities that occur from such large chin bone movements. In essence make the bone movement do the bulk of the work and use the implant for secondary shape refinements if needed.