Are my genioplasty expectations realistic? (Photos)

This is Dr Özge Ergün
It sounds like you are at a pivotal point in your decision-making process. Thank you for sharing your photo. I represent the two primary philosophies in chin augmentation, and both have distinct advantages depending on your aesthetic goals and comfort level.
To help you weigh these, here is a quick breakdown of how these paths usually play out:
1. Sliding Genioplasty (The Structural Approach)
Since this uses your own bone, it’s often considered the "gold standard" for long-term stability.
• Pros: No risk of implant rejection or shifting; the result is permanent and feels completely natural (because it is your bone). It can also address vertical height issues more effectively.
• Cons: It is a more invasive surgical procedure involving a bone saw and a longer initial recovery period. There is also a slightly higher risk of temporary numbness in the lower lip/chin area.
2. Chin Implants (The Sculptural Approach)
Implants (usually silicone or Medpor) are often favored when the goal is not just "forward" movement, but specific "shaping."
• Pros: The surgery is generally quicker and less invasive than a genioplasty. It’s excellent for creating a sharply defined or widened jawline that bone movement alone might not achieve.
• Cons: Because it is a foreign object, there is a small risk of infection, shifting, or bone erosion over many years. However, if you don't like the look, it is much easier to "undo" or change than a genioplasty.