Q: Dr. Eppley, I have a receding chin and wonder if you can help me get a reolution for this problem. I guess a sliding genioplasty will benefit me and it will also correct the vertical growth of the chin which a chin implant will not. And will this surgery make my already narrow chin look more pointed if the chin is brought forward by more than 5 mm.
A: Here is a computer prediction of a sliding genioplasty for you. That is the correct procedure given the magnitude of your chin deficiency problem. I would also add submental ljposuction to give a better neck profile as well. You are correct in assuming that a 10mm to 12mm advancement will likely make your chin look slightly narrow in the frontal view. That can be overcome by adding a small pre-jowl implant in front of the osteotomy which will make the sides wider and lessen the palpable notching on the edges of the osteotomy where it joins the body of the mandible posteriorly.
Dr. Barry Eppley