Will A Sliding Genioplasty Produce A Better Aesthetic Effect Than My Existing Chin Implant?
Q: Dr. Eppley, I have an existing chin implant but I do not like the effect it has. I am interested to know more about sliding genioplasty and possible some jaw angle implants. I have attached images of what my chin and jaw profile looks like today with the existing implant, and what I would ideally like my results to look like (poorly photoshopped so please forgive me).
My existing implant has brought my chin profile forward a little bit but it has also widened and rounded my jawline from the front and the side. I would like a sliding genioplasty and some jaw angle implants to provide more chin projection, more defined jaw corners, and more of a V shape from the front.
Please let me know what you think and if you need any more information!
Side Note: Patient 27 on your Chin Surgery gallery page seems to have a similar case to mine although I realize every case is unique I believe this is the type of procedure I am looking for?
A: Thank you for your inquiry and sending your pictures. As often happens in a female with a significantly short chin the use of standard chin implants ends up widening/rounding the chin regardless of how much horizontal projection the implant provides. I believe you have come to the more appropriate procedure for you of a sliding genioplasty as you need about 10mm of horizontal chin projection. (+ the current amount of projection your indwelling implant provides…based on your own imaging) But in do doing it will also make the chin more narrow rather than wider. From the side view alone it is hard to draw conclusions about the style of jaw angle implant needed (widening vs lengthening) but that is an issue that will require further imaging from the front and oblique views to ascertain.
Dr. Barry Eppley