Can sliding genioplasty be done at a certain angle? (photos)

Question

I am looking to get Sliding genioplasty done by the end of the year. So far I've seen results where the jawline is clearly more contoured, some vertically reshaped, some made more square or pointy, and even lips appearance. My question is: Can the surgeon do the sliding genioplasty at a certain angle (as close to 90*), or does it just push the chin forward (in a case where a lower third is downgrown due to recession, it wouldn't look very appealing) See my illustration example after

Michael P. Morrissette, DDS, FACS · Answer

The angle of the sliding genioplasty will vary depending on the anticipated results. For severely recessive cases, the horizontal osteotomy is made with maximum advancement in mind.  A more vertical approach is taken when less advancement is needed. You seem to have a deep mentolabial fold and may require vertical lengthening.

Timothy Osborn, MD · Answer

The great thing about a genioplasty is its versatility. The chin segment can be moved up, down and even to the side; it does not have to just come forward. The example photo to have is very much doable. It is all about facial balance. Our office offers in-person or virtual consultations if you would like to discuss options further!

Mats Hagstrom, MD (license on probation) · Answer

There are definitely choices in which direction the bone segment should be advanced with a sliding genioplasty. And some individuals they need forward to projection, while others may need augmentation in a more vertical direction. In your case, you already have a good forward, projection of your chin and pushing the chin segment, further forward will create an abnormally deep labiomental fold. 
In your case, a more vertical augmentation is probably better.
I’m not completely sold, that you need a sliding genioplasty.
Best,
Mats Hagstrom, MD

Can sliding genioplasty be done at a certain angle? (photos)

Answers (3)