Can A Sliding Genioplasty Achieve This Result?

 Q: Dr. Eppley, I have attached two images, one of me now and another of an ideal outcome of a genioplasty. I have a couple questions:

1) How much advancement has been made both vertically and horizontally in the ideal outcome?

2) Is this a realistic outcome? 

I’d ideally like my chin to pass my lips in the frankfurt horizontal plane head position and for my lower third to be the tallest third of my face.

Thank you

A: In answer to your sliding genioplasty questions:

1) Those chin advancement movements in profile look approximately like 10mms horizontal and 2mms vertical.

2) I don’t see anything about that imaged result that would suggest the actual clinical result would not be close to it. Your own imaging is helpful as it makes it clear what kind of chin augmentation result you are seeking…one which would not be obvious to your surgeon since it is an extended or more extreme type of chin augmentation result.

Dr. Barry Eppley

Indianapolis, Indiana