Sliding genioplasty vs chin implant for narrow chin

[shoggothface]

I have quite a narrow jaw and chin (attached), and I am quite afraid that if I go ahead with a sliding genioplasty I will get a result like this:

But at the same time, I don't want a procedure that I will have to think about in the future. Bone resorbs over time, and in say, 30 years, the implants may look uncanny as they don't change in shape and sit on resorbed bone.

Anyone here have experience with sliding genioplasty know if something like this can be addressed (e.g. widening, custom implants on side of jutted chin, etc)

 

[sanchez451]

You can move your chin in all three dimensions with sliding genioplasty. You can get it widened along with the forward advancement to avoid your chin looking narrow

 

[RoyaleWithCheese]

You can move your chin in all three dimensions with sliding genioplasty. You can get it widened along with the forward advancement to avoid your chin looking narrow

Yep. This is exactly how my genio was and I was satisfied with my results.

OP, are you sure all he had done was genio? Looks like he might have gotten fillers on the sides that don’t blend around the rest of the jaw.

 

[shoggothface]

Yep. This is exactly how my genio was and I was satisfied with my results.

OP, are you sure all he had done was genio? Looks like he might have gotten fillers on the sides that don’t blend around the rest of the jaw.

Not sure, another post mentioned genio by Eppley, but didn't say anything more.

 

[shoggothface]

You can move your chin in all three dimensions with sliding genioplasty. You can get it widened along with the forward advancement to avoid your chin looking narrow

I've heard mixed things from different surgeons. Pagnoni said I could widen, but some surgeons have said the widening would be limited and surgically riskier.

 

[sanchez451]

I've heard mixed things from different surgeons. Pagnoni said I could widen, but some surgeons have said the widening would be limited and surgically riskier.

I got mine widened by 3mm along with 6mm forward and 3mm vertical advancement. I even told the surgeon I wanted to widen the chin last second the morning of the surgery and he had no objections. Overall the result was fantastic and I’m glad I did the widening as well. I haven’t heard widening being a major issue for most surgeons during this procedure.

 

[shoggothface]

I got mine widened by 3mm along with 6mm forward and 3mm vertical advancement. I even told the surgeon I wanted to widen the chin last second the morning of the surgery and he had no objections. Overall the result was fantastic and I’m glad I did the widening as well. I haven’t heard widening being a major issue for most surgeons during this procedure.

Did you have a stepoff? As I have a narrow jaw + chin, and average cheeks, I was wondering if I would have jutting chin look. I am aware the side has a stepoff too, but I frankly don't care about that. It's just the front I am worried about.

Does widening help address the stepoff to some extent?

Might also use some fillers if I am actively dating to fill in step offs.

 

[mvp2v1]

The average surgerymaxing dude is so funny to me. Like literally all the work they get done is from the lower maxilla down. Which is hilarious when you look at the result and especially when you know that the entire upper part of their skull is still notably deformed which is why they 99.9% of the time never make it to model tier looks. If your going to hardmax you cant ignore litteraly half your skull; maxilla, your orbitals, your cheekbones etc.

 

[sanchez451]

Did you have a stepoff? As I have a narrow jaw + chin, and average cheeks, I was wondering if I would have jutting chin look. I am aware the side has a stepoff too, but I frankly don't care about that. It's just the front I am worried about.

Does widening help address the stepoff to some extent?

Might also use some fillers if I am actively dating to fill in step offs.

I didn’t have a step off. But I also got vertical advancement which would have helped not getting one. Either way you shouldn’t have a visible step off unless it was an extremely dramatic movement and you have a very steep gonial angle. You should ask these concerns to your surgeons

 

[chemosh]

View attachment 2493791The average surgerymaxing dude is so funny to me. Like literally all the work they get done is from the lower maxilla down. Which is hilarious when you look at the result and especially when you know that the entire upper part of their skull is still notably deformed which is why they 99.9% of the time never make it to model tier looks. If your going to hardmax you cant ignore litteraly half your skull; maxilla, your orbitals, your cheekbones etc.

Show your side profile ct scan please.

Step offs on genioplasty are easily fixable.
Most good surgeons work with some kind of bone material to fix if it is big issue, like hidroxyapatite

 

[chemosh]

I have quite a narrow jaw and chin (attached), and I am quite afraid that if I go ahead with a sliding genioplasty I will get a result like this:
View attachment 2488865
But at the same time, I don't want a procedure that I will have to think about in the future. Bone resorbs over time, and in say, 30 years, the implants may look uncanny as they don't change in shape and sit on resorbed bone.

Anyone here have experience with sliding genioplasty know if something like this can be addressed (e.g. widening, custom implants on side of jutted chin, etc)

Depending on your skull, broadness of your jaw and mandibular plane angle you can maybe end up like this. But it should be fixable if you pair with implants to the side of the jaw to mask this chin popping out effect

 

[mvp2v1]

Show your side profile ct scan please.

Step offs on genioplasty are easily fixable.
Most good surgeons work with some kind of bone material to fix if it is big issue, like hidroxyapatite

I think u replied to the wrong comment because I have not had genio nor was my comment about step off deformities. I’m talking about surgerymaxers only addressing the lower half of their deformed skulls. It’s like half chad half incel Frankenstein creature.

 

[shoggothface]

I didn’t have a step off. But I also got vertical advancement which would have helped not getting one. Either way you shouldn’t have a visible step off unless it was an extremely dramatic movement and you have a very steep gonial angle. You should ask these concerns to your surgeons

Gotcha thanks. I have about 126 degrees, which is definitely steep. Ill check with multiple surgeons. I am going to a specialist who primarily does both the primary surgery but particularly the revisions (cosmetic revisions for stepoffs), so I suppose he would know.

 

[12PSLsubhuman]

Yep. This is exactly how my genio was and I was satisfied with my results.

OP, are you sure all he had done was genio? Looks like he might have gotten fillers on the sides that don’t blend around the rest of the jaw.

Check dms

 

[12PSLsubhuman]

I got mine widened by 3mm along with 6mm forward and 3mm vertical advancement. I even told the surgeon I wanted to widen the chin last second the morning of the surgery and he had no objections. Overall the result was fantastic and I’m glad I did the widening as well. I haven’t heard widening being a major issue for most surgeons during this procedure.

Who was ur surgeon?

 

[sanchez451]

Who was ur surgeon?

Dr jamali in nyc. Very expensive though

 

[DeformedCell]

View attachment 2493791The average surgerymaxing dude is so funny to me. Like literally all the work they get done is from the lower maxilla down. Which is hilarious when you look at the result and especially when you know that the entire upper part of their skull is still notably deformed which is why they 99.9% of the time never make it to model tier looks. If your going to hardmax you cant ignore litteraly half your skull; maxilla, your orbitals, your cheekbones etc.

That guy is literally deformed, that's what happens when you slap implants onto a deformed skull, you end up looking like a bogdanoff.

 

[shoggothface]

Dr jamali in nyc. Very expensive though

I've heard of him, he's one of the most active on RealSelf. Can I check with you, you mentioned that vertical lengthening would reduce a step off. Is this because a vertical lengthening would allow for a low angle cut to the back?

Was yours done with a low angle cut or a wedge cut at the front with a rotation for height? (If you get what I mean)

And did the widening help with the narrow look of the chin from the front?

 

[sanchez451]

I've heard of him, he's one of the most active on RealSelf. Can I check with you, you mentioned that vertical lengthening would reduce a step off. Is this because a vertical lengthening would allow for a low angle cut to the back?

Was yours done with a low angle cut or a wedge cut at the front with a rotation for height? (If you get what I mean)

And did the widening help with the narrow look of the chin from the front?

I say a vertical lengthening would help step off because it would allow the chin to continue in the same path of your original mandible plane. Although too much vertical would do the opposite. If you have a steep gonial angle and you just bring the chin forward then there would be a sharp change of inclination from where the chin was moved. Either way you shouldn’t have too much concerns. If your gonial angle is steep then chances are you don’t need vertical lengthening anywyas since downward grown. And yea the widening helps a lot. Best of luck and talk to your surgeon

 

[shoggothface]

I say a vertical lengthening would help step off because it would allow the chin to continue in the same path of your original mandible plane. Although too much vertical would do the opposite. If you have a steep gonial angle and you just bring the chin forward then there would be a sharp change of inclination from where the chin was moved. Either way you shouldn’t have too much concerns. If your gonial angle is steep then chances are you don’t need vertical lengthening anywyas since downward grown. And yea the widening helps a lot. Best of luck and talk to your surgeon

I have a steep gonial angle, but I need significant vertical lengthening (5mm was cited). Hopefully that allows me to continue along the mandibular plane and minimize a step off. Thanks for all the info, really useful.

 

[Geoff2024]

I got mine widened by 3mm along with 6mm forward and 3mm vertical advancement. I even told the surgeon I wanted to widen the chin last second the morning of the surgery and he had no objections. Overall the result was fantastic and I’m glad I did the widening as well. I haven’t heard widening being a major issue for most surgeons during this procedure.

What surgeon?

 

[sanchez451]

What surgeon?

Dr jamali I’m nyc. Very expensive. Better to go somewhere more affordable because the procedure is relatively simple