Can My Short Chin Be Vertically Lengthened with A Sliding Genioplasty?

Q: Dr. Eppley, I feel like a have short chin that lacks height. When I push my lower jaw forward and down it creates the chin augmentation effect that I am seeking. What are your recommendations?

A: I have reviewed your pictures and did some imaging to which I can make the following comments:

1) Your chin dimensional needs is largely vertical with slight horizontal, thus they sliding genioplasty (technically open wedge bony genioplasty) would be the preferred procedure. 

2) During the bony genioplasty the vertical and horizontal bony gaps would be filled with allogeneic corticocancellous chip grafts (tissue bank bone), not only to fill the expectant bone gaps but also to help soften the labiomentao fold.

3) Submental/neck liposuction contouring would work well with the vertical chin lengthening for the best cervicomenta angle appearance but also would be a convenient fat source for concurrent fat injection grafting into the left chin soft tissue contour deformity from the prior vascular occlusion event.

Dr. Barry Eppley

Indianapolis, Indiana