Do I need a genioplasty? Is there any structural issues? (Photo)

From your notes, it seems the double chin is structural rather than fat-related, which explains why mesolipo and HIFU haven’t worked. A recessed chin changes the entire neck angle, making the area appear fuller even with minimal fat. Orthodontic treatment can improve bite alignment but usually d...

Your way of thinking is far from being racist, we all feel intuitively better understood by our alikes, your thoughts are natural and as simplistic and valid; if you have difficulties to feel protected and cared for by non-Asian surgeons, I strongly recommend you to find one with the required...

Unfortunately not, only an osseous genioplasty with osteotomies may help you; beware from simple shaving the contour of the bone, that's a very very bad technical option.

You're on spot believing you are not a case for orthognatic surgery, at all! You have microgenia, this is small bone developtment at the chin, therefore you need chin augmentation with bone supply (iliac grafting); not a case for sliding genioplasty giving there's no indication to slide...

We do this frequently. The chin is reduced including any contributing structures - bone, muscle, soft tissue, skin. We should be able to get a meaningful improvement.

A sliding genioplasty or a small chin implant will likely provide similar results, so you are a candidate for either procedure. It appears that any degree of horizontal movement will improve your overall facial balance.