Q: Dr. Eppley, I am looking to get a sliding genioplasty or maybe shaving plus fillers (on the front, not on the angle of the chin). I want vertical shortening and minimal increased projection (~3 mm) and a bit more definition/chiseling on the front view. I got a rhinoplasty last August, which gives the illusion that my chin is larger. I like my side view way better but the front is worse. I’ve done a lot of research and without a doubt I am going to do something.
A:Thank for sending all of your pictures. As you may or may not recall this is not the first time that I have seen them. Based on your own imaging and desired goals (vertical shortening and increased horizontal projection) the only treatment option would be an intraoral sliding genioplasty if one wants to use their own bone to accomplish both types of dimensional changes. The other alternative would be a submental approach from below with an inferior border reduction with the addition of a small 3mm central chin implant.
But I think a sliding genioplasty would be the bette choice as it addresses both concerns in a single procedure without an implant.
Dr. Barry Eppley