How Much Chin Reduction Do I Need?

Q: Dr. Eppley, Hi, I had a bad surgery experience with a surgeon abroad who advanced my lower jaw by around 10-15mm I believe, he also did a 7 degree Ccw rotation and then on top of that exploited me and made me pay for a genio too. I don’t know the measurements of the genio but I have consulted with a surgeon near me for a revision, he has proposed a 3mm setback and 2.5mm upward movement will this shorten and soften my chin enough. I really cannot stand my current chin length and prominence, I’ve attached an image

A: While I haven’t seen any x-rays to make a more accurate estimate, but I do not think that these small movements will make a big difference in the size of your chin. You are more likely going to need at least 7 mm of vertical reduction and 5 mm of setback. This may create some soft tissue chin pad excess, but to make a real difference, you are going to have to make a more significant bony chin reduction.

Dr. Barry Eppley

Plastic Surgeon