Is My Sliding Genioplasty Chin Augmentation Goals Achievable?

Q: Dr. Eppley,I am inquiring about a sliding genioplasty. I have attached some photos to show what would roughly be my goal in this surgery. My chin is recessed and seems that it would require some downward and forward repositioning to achieve a desired result. I was wondering if this seems within reach with this type of surgery.

A:I don’t think that type of chin augmentation change is completely achievable. What you are showing is a significant horizonal advancement and significant vertical shortening….a change only remotely possiboe with a sliding bony genioplasty., The problem is that with a conventional sliding genioplasty it would be very challenging and almost impossible to get that amount of vertical chin shortening no matter how much you tilted up tehg repositioned chin bone. Such a change requires a jumping genioplasty where the cut chin bone is moved directly in front of or ‘jumped onto the bone above it. The problem with the jumping genioplasty technique is that you never know whether the attached muscles to the down fractured chin segment will allow that amount of stretch to make that jump….sometimes it will and others it may not in my experience.

Dr. Barry Eppley

World Renowned Plastic Surgeon