Help with baby face; what to do? Will a sliding genioplasty do the trick, or would you suggest something else? (Photo)

As some of the other surgeons have suggested, so long as you have a normal bite there is no need to have a sliding genioplasty (which can be quite invasive). From the one profile view you submitted it appears to me that your main concerns might best be met by addressing your neck angle. Your neck angle is wide rather than sharp, which is a common genetic feature and can occur because of 3 reasons:

A lax platysma muscle (the muscle below the chin hangs down, making the neck angle look less sharp)Excess fat in the neck areaA recessive chinMy recommendation would be to see a surgeon for a thorough consultation in regards to what we loosely call a “Double Chin Surgery”. This procedure will vary from patient to patient depending on your main concerns and your pre-surgical exam, but often combines a gentle liposuction, platysmaplasty (to surgically tighten the muscle below the chin which is hanging down, to make the angle sharper), and a chin implant to improve the structure and lines of the lower face. You may benefit from one or a combination of these approaches depending on your examination and goals.



I’ve included a video below that outlines a few important details, plus a link to the double chin surgery of our website.

It is impossible to give you good advice based on your photos and desire. A detailed, in person evaluation and discussion about your goals would help. However, it is possible to temporary improvise result of chin and jaw augmentation (if that is to be considered a way to make you look more mature) by using hyaluronic acid based soft tissue fillers. This will give you a chance to see actual effect of augmentation and, if you do not like, it can easily be reversed. It is possible to reverse the effect of augmentation with injection of enzyme hyaluronidase which will dissolve filler within hours after application.You should seek a consultation with an experienced board certified plastic surgeon with good reputation in facial surgery for detailed clinical evaluation and open discussion. Good luck.

A sliding genioplasty is performed under general anesthesia as an inpatient procedure in the hospital setting with an overnight hospital stay. It is usually performed when the teeth are significantly out of alignment. Consider placement of a chin implant to help with facial balance and proportions, which brings the mandible forward for cosmetic purposes. Chin implants are placed under local anesthesia as an outpatient procedure which takes approximately 30 minutes, and is completely reversible by removing the implant. Chin implants are manufactured in a large array of shapes and sizes, which is best determined time of the consultation and examination. In our practice, we have used  Implantech Silastic pre-Jowl chin implants for over 25 years  With an excellent success rate. Look for a surgeon who performs chin implants quite often and has a large before-and-after photo gallery. Digital computer imaging would also be helpful time of the consultation to see what can be accomplished with your chin on your facial features. For many examples and more information about chin implants including diagrams of the implants themselves, please see the link and the video below