What Type Of Chin Reduction Do I Need?
Q: Dr. Eppley, I was interested in a chin reduction surgery, perhaps rhinoplasty (although I really don’t mind my nose). I am very comfortable with my appearance, and don’t mind it much although I find my chin to be too large! I think I would be much more attractive and feminine if I had a smaller, less gaunt/obvious chin. I was wondering if you could possible let me know if I would be a good candidate? I know most doctors suggest a traditional ‘almond’ shape, but I don’t mind my jaw square-ness, I just wish my face were shorter. Thank you, I can’t wait to hear your reply!
A: Your chin reduction request is a bit uncommon as what you have is a horizontally short chin that is vertically long because of its retrusive position. This type of chin reduction would actually be performed by a sliding genioplasty technique where the vertically long but horizontally short chin bone is cut at an angle and moved forward. (with a wedge of chin bone removed in the process) I have attached some imaging to illustrate that type of change. What actually happens is that as the chin bone comes forward it is vertically shortened as it is horizontally advanced.
Dr. Barry Eppley