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Dear Fierce965963,it is hard to tell for sure without an examination. Based on your photo, it looks like you would benefit from chin augmentation. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
The photographs demonstrate an overly projecting nose and an under projecting Chin. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions especially with respect to the projection of your nose from the side profile. A rhinoplasty procedure can accomplish shaving down the dorsal hump and decreasing the overall projection the nose.
Personally I would not deal with meant for it. Solid silicone implants are what most plastic surgeon use. This should not be any different than doing a regular chin implant and I would guess most plastic surgeons should be comfortable doing this. Another option is redoing the sliding...
A chin implant typically rests upon the lower aspect of the front part of jawbone and there are designs that can extend variably to the sides. These can be sutured to the periosteum or covering of the bone. Since they basically just sit above the bone in a precise pocket, they should not...
To provide a slight horizontal and vertical chin increase as well as keep the chin narrow a sliding genioplasty would create those exact changes. This will not alter your existing chin cleft.