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I forgot to mention I have severe lip incompetence because of this procedure now. My mouth does not close naturally. You can clearly see the chin is too big and the mentalis muscle/soft tissue cannot adapt to the large movement.
Honest Augmentation Sliding Genioplasty Review, 2 Years Post Op
I underwent a sliding genioplasty with bone graft hoping for a subtle and balanced enhancement to my lower face. What I received instead was a chin that is now excessively large and disproportionate, completely out of harmony with the rest of my facial features.Apart from that, a very large part of my hipbone is missing and it is very pointy, and has left a long scar.
During the consultation, the surgeon used Microsoft Paint (not medical imaging software) to “more or less” illustrate how the chin would look after surgery. This was presented as a projection tool, which is inadequate for a procedure that permanently alters your facial skeleton. By the time this became obvious, I had already prepaid in full, leaving me financially committed despite growing discomfort.
Post-surgery, the result was not what I was promised. The chin protrudes unnaturally and throws off the balance of my face. A respected maxillofacial surgeon I later consulted was appalled by the technique, pointing out the aggressive projection, low screw placement, and odd rotational approach, as well as the large step-off gaps.
When I raised these concerns with the Dr Nogueira, I was met with stalling, excessive paperwork requests, and no meaningful accountability. A refund was impossible, especially from another country. I was offered a second consultation — travels and accommodation at my own cost — which felt dismissive and pointless given the extent of the damage.
This experience has been both emotionally distressing and financially draining. I now face undergoing revision surgery with a competent specialist just to undo what should never have happened in the first place.
If you’re considering this procedure, I strongly advise:
• Do not rely on clinics that can’t provide proper digital simulations or medical imaging (!!)
• Don’t let prepayment trap you — it limits your ability to walk away.
• Get multiple opinions from actual maxillofacial surgeons, not just cosmetic doctors.
I’m sharing this to help others avoid the physical and emotional impact of poor surgical planning and outcome.
During the consultation, the surgeon used Microsoft Paint (not medical imaging software) to “more or less” illustrate how the chin would look after surgery. This was presented as a projection tool, which is inadequate for a procedure that permanently alters your facial skeleton. By the time this became obvious, I had already prepaid in full, leaving me financially committed despite growing discomfort.
Post-surgery, the result was not what I was promised. The chin protrudes unnaturally and throws off the balance of my face. A respected maxillofacial surgeon I later consulted was appalled by the technique, pointing out the aggressive projection, low screw placement, and odd rotational approach, as well as the large step-off gaps.
When I raised these concerns with the Dr Nogueira, I was met with stalling, excessive paperwork requests, and no meaningful accountability. A refund was impossible, especially from another country. I was offered a second consultation — travels and accommodation at my own cost — which felt dismissive and pointless given the extent of the damage.
This experience has been both emotionally distressing and financially draining. I now face undergoing revision surgery with a competent specialist just to undo what should never have happened in the first place.
If you’re considering this procedure, I strongly advise:
• Do not rely on clinics that can’t provide proper digital simulations or medical imaging (!!)
• Don’t let prepayment trap you — it limits your ability to walk away.
• Get multiple opinions from actual maxillofacial surgeons, not just cosmetic doctors.
I’m sharing this to help others avoid the physical and emotional impact of poor surgical planning and outcome.
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