Should I have a sliding genioplasty? (Photo)

Since you are not interested in a chin implant, sliding genioplasty is recommended. In addition, I would recommend simultaneous submental and jawline liposuction. The sliding genioplasty will provide improved facial balance. We perform the procedure in the office with intravenous anesthesia and most patients can return to work in 3-5 days. The surgery does not change your teeth or affect how you chew food. We tell patients to resume a normal diet immediately after the surgery.

I would do a chin implant with neck liposuction for you. These would both be done in the office. A rhinoplasty can be done after or with them.
A chin implant will get the same look as a genioplasty, but is easier to recover from, leaves better foreign material in some ways compared to the metal of the genioplasty, and will feel smoother once healed.

A sliding genioplasty is performed in the hospital setting by an oral surgeon under general anesthesia with an overnight stay at the hospital, and is much more invasive. Placement of a small chin implant can be done under local anesthesia as an outpatient procedure, which takes about 30 minutes. The fat in your neck are located both above and below the platysma muscle in your neck. Liposuction alone will only be minimally helpful because most of your are fat is located below the muscle which requires a surgical neck lift to remove the fat deposit deep below the muscle, and then a platysma-plasty to significantly improve your jawline. The chin implant goes through the very same incision as a neck lift. A closed rhinoplasty can accomplish shaving down the dorsal hump, refinement of your nasal tip, and narrowing the bridge line with all the incisions placed on the inside of the nose. No external incisions are required and no painful packing is required either.