18, female, should I consider a sliding genioplasty or v-shape surgery? Or other options? (Photos)

You have made a good self assessment. I think that V line surgery to diminish the width of the angle of your mandible, a reduction rhinoplasty and buccal fat pad reduction will help provide a thinner appearance to your face.

We do this procedure 3-4 times each week and have done so for around 20 years. This is, in fact, one of the most common procedures we do at our office in Boston.

Whether it is for subtotal or total V line surgery reversal a custom jawline implant is always the best approach for a smooth and controlled amount of bone augmentation. While bone grafts can also be used such grafts do not do well in terms of survival when placed as an onlay graft and will...

It would be very difficult to give you meaningful advise without in person consultation. Second opinion consultation with a board certified plastic surgeon with good reputation in face/neck surgery is recommended. Good luck.

There are only two procedures that can visibly decrease the length of the face, vertical chin and forehead reduction. As least for the lower face you don't need V line surgery you need vertical wedge reduction bony genioplasty.

I think that V-line surgery is not indicated in your case. Your chin may be a bit long which may benefit from a reduction procedure. Profile photos would be helpful.