Sliding Genioplasty Vs Chin Implant

Your profile photo demonstrates a mild to moderate microgenia (or weak chin). I would recommend a Chin Implant to improve this area. The external approach has the quickest recovery and the lowest risk of complication. Dr. G

Personally, I prefer chin implant to sliding genioplasty. This preference is mainly guided by the final esthetic outcome which, in my opinion, is superior with chin implant. Why? With the boney advancement, only the central chin bone itself is advanced leaving the patient with a relative deficit in the sides of the chin - an area commonly referred to as prejowls. The chin implant provides a softer enhancement because it extends more to the sides and allows for a gentler transition. As a side effect, the recovery after chin implant is usually easier and quicker than after bone alteration.

A quick word regarding your cheek: I would hesitate to recommend buccal fat removal. Your face is already relatively long and narrow and reduction of your lower cheeks will further accentuate this. Rather, consider cheek upper cheek enhancement which will widen your narrow upper face and improve the overall balance of the face. Buccal fat extraction is a procedure that is commonly is seen with regret years later.

Isn't it interesting how cosmetic facial surgeons have differing views on how to enhance the face?