Should I Have Double Jaw Surgery Or A Sliding Genioplasty Instead?

Q: Dr. Eppley, I am interested in having a chin implant combined with perioral mound and chin liposuction.

I have attached three photos from three angles with a simulation of the above procedures (next to each other, for comparison).

I was wondering if it would be possible to have a few questions answered (regarding this) before I commit to a consultation?

1. Do you think that the photo simulations attached show a realistic, achievable result?

2. Am I the correct candidate for these 3 procedures, or would I benefit more from undergoing double jaw surgery or genioplasty instead?

3. Can a chin implant improve my lip incompetence? If not, can double jaw surgery or genioplasty improve it?

4. Can a chin implant improve my mentalis strain (possibly combined with botox)? If not, could double jaw surgery or a genioplasty improve this?

I apologise for the many questions!

Thank you so much for taking the time to review my photos and answer my queries! I greatly appreciate it!

A: Thank you for your inquiry and sending your imaged pictures. I think that is a reasonable result provided it is done with a sliding genioplasty and not an implant. The sliding genioplasty will do better for the lower lip incompetence, mentalis muscle function/position and aesthetic result. (by pulling all the surrounding tissues forward)

Double jaw surgery would be better IF you had as a primary goal of improving your excessive tooth show (vertical maxiillary excess) as well as the aforementioned issues.

Dr. Barry Eppley

World-Renowned Plastic Surgeon