Q: Dr. Eppley, I am interested in a sliding genioplasty. (I think) Please see attached pictures of my frontal and profile view. In the first three pictures, I am pushing my lower jaw out forward, which is normally how I rest my face to create the illusion of a stronger profile/jawline. The next 3 pictures depict what my jawline looks like if I bite down normally. The end look that I desire is a masculine/defined jawline. I wanted your insight on what would be most aesthetic for my face/what would make me look the most ruggedly handsome. I look forward to hearing back from you soon.
A: Thank you for your inquiry. Based on your pictures I would recommend a sliding genioplasty combined with small widening jaw angle implants. That will accomplish what you are showing by thrusting your jaw forward for the chin as well as add some complementary width to the back of the jaw. I would prefer a sliding genioplasty in your case as the chin augmentation increase you are demonstrating by a jaw thrust create both a horizontal and vertical chin change. This is best done by moving the chin bone down and forward. While that does not widen the chin, that does bot appear to be a chin dimension change you are seeking since a jaw thrust does not widen it either.
Dr. Barry Eppley