How Can I Improve My Short Chin and Obtuse Cervicomental Angle?

Q: Dr. Eppley, I am considering a chin augmentation, and after some initial research, it appears that a vertical genioplasty may help me achieve the results I’m aiming for. I would greatly value your expert opinion on whether adding horizontal movement would also be beneficial in my case. If so, how many millimeters would you recommend for horizontal advancement, and would it make sense to simultaneously widen the chin to prevent it from appearing smaller in the frontal view?

My primary goals are to address an obtuse cervicomental angle and improve jawline definition. I am uncertain whether a combined vertical and horizontal genioplasty would best suit my needs or if additional procedures, such as liposuction or submentoplasty, might offer more comprehensive results.

For your reference, I’ve attached my profile and side profile images, along with front and side morphs.

Thank you very much for your time and insights on the best approach to achieve my aesthetic goals.A:As you have shown by your imaging what you are showing is a vertical chin lengthening to which I can say then following:

1) Your imaging shows no need for any horizontal chin advancement.

2) It is usually not a good idea to destabilize the chin (cut into two pieces to widen it) when it is undergoing any significant dimensional change. Your imaging also does not show any need for chin widening

3) Submental liposuction can only help to try achieve an obtuse cervicomental angle. A submentoplasty would be a more ideal procedure in that regard.

Dr. Barry Eppley

World-Renowned Plastic Surgeon