Am I A Good Candidate For A Sliding Genioplasty?

Q: Dr. Eppley, I am wondering if you could tell me if I would be a good candidate for a sliding genioplasty procedure judging by the attached photo. On the left is what I currently look like, and on the right is how I would like to look. I have talked to a previous surgeon and he says he won’t perform the surgery because my face is already balanced. I disagree, and think my chin needs to be moved down vertically and slightly forward to balance out my face and to decrease the mentolabial fold. I would greatly appreciate your input before I schedule an in person consultation with you. 

A: Your supposition about your lack of facial balance is correct as your own imaging has demonstrated. I am baffled how any surgeon could say your present facial profile is balanced. But even if it was in balance it is really up to the patient to determine what they want. That looks to be a sliding geniopasty movement of about 7mm forward and 2mm vertical.

Dr. Barry Eppley

Indianapolis, Indiana