Sliding Genioplasty vs Chin Implant

Q: Dr. Eppley, I received a large chin implant about 5 months ago, but I am still not quite happy with the projection. I’m looking to achieve a more angular, masculine face and feel I could use some length at the bottom of my face in addition to projection. Attached are my before and after pictures.

I’d like to explore a sliding genioplasty in addition to buccal fat removal and would love your opinion.

A: While a sliding genioplasty will bring your chin further forward and even provide some vertical lengthening, be aware that will make your chin look more narrow in the front view. This would be contradictory to your goals of a more angular/masculine lower facial appearance, you need to see the side profile changes as well as a chin/jawline widening effect in the front view. This is not what a sliding genioplasty can do. While a sliding genioplasty is a very versatile chin reshaping procedure, it can not address all dimensional changes of the chin.

Dr. Barry Eppley

Indianapolis, Indiana