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Genioplasty

A “weak chin” is not always an implant problem. Sliding genioplasty is a bony repositioning procedure that can correct projection and, in selected cases, vertical height with the patient’s own bone.

The key is vector planning. A few millimeters can change profile balance and the neck–chin angle. Overcorrection can look unnatural.

The aim is controlled refinement: improved chin support and facial balance without an implant-led look.

If you are considering sliding genioplasty, an in-person assessment is the safest way to evaluate chin proportion, dental relationships, and realistic change based on individual tissue behavior.

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What is Genioplasty?

Sliding genioplasty is sometimes described as “chin surgery without an implant.” That description captures one benefit, but it does not explain what makes the procedure powerful. It is not simply adding projection. It is repositioning the patient’s own chin bone in a controlled direction to improve facial balance.

Genioplasty (sliding chin surgery) is a procedure in which the chin portion of the mandible is cut and repositioned forward, backward, up, down, or in a combination of vectors, then stabilized. It can address retrusion, excessive projection, vertical height issues, and certain asymmetries. Because the patient’s own bone is used, it can provide structural correction without an implant.

The anatomical complexity begins with diagnosis. Chin deficiency can be projection, vertical height, width, or asymmetry. Dental and bite relationships also influence lower-face harmony. If jaw position or occlusion is the dominant issue, orthognathic surgery may be the correct category. Sliding genioplasty is for chin-level correction within an overall facial plan.

Vector planning is central. A forward movement can improve neck–chin definition and profile balance. Vertical adjustment can change facial thirds. These changes must be proportionate to the nose, lips, and jawline. Symmetry is a goal, not a promise.

Soft tissue behavior sets limits. The chin soft tissues must re-drape over the new bony position. Individual tissue behavior influences swelling, numbness duration, and how quickly the chin looks stable.

It is also important to clarify what genioplasty is not. It is not a weight-loss procedure. It does not remove submental fat. It does not guarantee perfect symmetry. It is not always the right answer when the dominant issue is neck skin laxity or heavy submental fat.

Recovery variability should be expected. Swelling and temporary numbness are common. The chin can feel tight early. The final contour is judged over weeks to months.

Revision logic exists. Secondary adjustment can be considered if under-correction or asymmetry persists, but revisions are more complex because bone and scar planes are altered.

When properly indicated, sliding genioplasty can improve facial balance in a durable, structural way: better chin support, improved profile harmony, and a more coherent lower face. The best outcomes come from careful facial analysis and conservative vector planning.

Genioplasty

Frequently Asked Questions

Good candidates typically have a chin projection or height issue that is structural and stable, and they want a natural correction without an implant. I assess profile balance, chin dimensions, dental relationships, and the neck–chin transition. A good candidate accepts that individual tissue behavior influences swelling and numbness recovery.

 

A chin implant adds projection with a device. Genioplasty repositions your own bone and can address projection and, in some cases, vertical height more precisely. Each has different indications.

It can improve the neck–chin angle in some patients by advancing the chin, but it does not remove fat or tighten skin. Additional strategies may be needed.

It is not always the right answer when jaw position or bite correction is the dominant issue, or when the main concern is neck laxity rather than chin structure.

Swelling and numbness vary. I avoid fixed timelines because healing depends on technique and individual tissue behavior.

 

Risks include asymmetry, infection, contour irregularity, changes in sensation, and dissatisfaction if expectations are unrealistic.

Yes, often. Chin projection influences facial profile balance and is commonly planned as part of a profile harmony approach.

Prior augmentation changes soft tissues and scar planes. Planning must be individualized and conservative.

Bony repositioning is durable. Soft tissues continue to age, but the structural change remains.

You should expect improved profile balance and chin support, not a different identity or perfect symmetry.

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Do you feel your chin does not support your profile?

Some patients feel the lower face reads soft or recessed from the side, and photographs capture a weaker neck–chin transition even when weight is stable.

When properly indicated, sliding genioplasty can provide controlled refinement by repositioning your own bone with a plan tailored to your facial framework and individual tissue behavior.

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A Structured Surgical Journey

From your first evaluation to long-term follow-up, every step is structured to help you make a clear and confident decision.

The process begins with understanding your goals and current anatomy. Standardized photos allow an initial assessment to determine whether surgery is appropriate and which approach may be suitable.

A short online consultation with Dr. Mert Demirel is scheduled following the initial review. We discuss your expectations, possible options, and the limitations of each approach to ensure a clear and realistic understanding before any decision is made.

Based on your evaluation, a personalized surgical plan is created. The proposed approach, scope of the procedure, and clear pricing details are shared with you in a structured and transparent way.

Once you decide to proceed, your visit to Istanbul is carefully organized. Airport transfer, accommodation, and clinical scheduling are arranged, followed by an in-person evaluation and the surgical procedure.

The early recovery period is closely monitored with structured follow-ups.
Before your return, a final check is performed to ensure a safe and stable condition for travel.

The process does not end with the surgery.
Your recovery and results are followed over time, with guidance provided at each stage to support long-term stability.

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