Sliding Genioplasty and Invisalign

Q: Dr. Eppley, I’m interested in a browlift, sliding genioplasty, and cleft chin reduction.
I want to achieve a slimmer more sculpted face, I want the sliding genioplasty (with central wedge reduction) to give me a more v-line chin and for my profile to look sharper. 
I would like to fill in my chin dimple with fat from the rest of my face. I want my face to be skinnier. 
And I would like a hairline browlift because from what I’ve read, the results are more permanent and it doesn’t make your forehead bigger. I just want to stop having to raise my eyebrows myself 24/7. 

What is the recovery like for each procedure? 
Will it take a long time for swelling to go down until I look normal?

Also I want to get invisalign, do I have to wait a certain amount of time after a sliding genioplasty to get that? 
And I have tmj so I want botox on my masseter muscle, do I have to wait a certain amount of time to get that after sliding genioplasty?   Thank you! 

A: Thank you for detailing your concerns. I would need to see pictures off your face to determine whether the procedures you seek can be done with achieving your aesthetic goals.

A sliding genioplasty can be done to bring your chin forward and down (which helps make as face look thinner) if that type of chin change will work for the rest of your face. At the same time a central wedge reduction can be done which can have narrowing effect also. The chin dimple can be filled in with injected fat at the same time. It takes about 3 weeks before most of the chin swelling goes although it really takes several months for the true final result to be seen. There is no correlation or effect between Invisalign and chin surgery. The same applies to the masseter muscle and its treatment with Botox injections.

When it comes to the pretrichial browlilft you are correct in that it is the only browlift technique that does not change or can even lower the vertical length of the forehead.

Dr. Barry Eppley
Indianapolis, Indiana