Should I have a sliding genioplasty? Would moving the bone make the chin that much of a difference? (Photo)

I typically would prefer to do an osseous genioplasty in a younger patient.  A chin with excess vertical height and inadequate projection can cause mental strain, or difficulty closing the mouth.  I often prefer to do a sliding or "jumping" genioplasty to correct this.  A jumping or oblique sliding genioplasty can decrease the vertical height and increase the overall chin projection.  I find this to not only augment the chin, but to re-establish harmony amongst the facial proportions. In many circumstances, a chin implant will give an excellent result.  I prefer to use them in a patient of skeletal maturity.  In the case of a chin with excess vertical height, I would favor an osseous genioplasty. 

  Either chin implant or genioplasty is appropriate, and each have advantages.Kenneth Hughes, MDLos Angeles, CA

You appear to be a good candidate for a chin implant or a genioplasty.  The implant is easier, faster, more affordable and easily reversible.  Different surgeons have different methods and there is no single easy answer.  I would want to do a face to face exam and obtain some imaging to see the bone and teeth.  I would probably favor an implant.Joe Niamtu, III DMDCosmetic Facial SurgeryRichmond, Virigina