Genioplasty in St. Augustine, FL

Permanent chin enhancement using your own bone structure for natural facial balance and improved profile aesthetics.

Enhance your profile and facial balance with chin surgery that creates permanent, natural-looking results using your own bone structure.

Are you concerned about a weak or receding chin that affects your profile? Does your chin appear disproportionate to other facial features? At St. Augustine Oral & Facial Surgical Center, Dr. Douglas L. Johnson provides genioplasty procedures—also known as chin surgery or chin augmentation—that can reshape and reposition your chin to create better facial balance, enhance your profile, and improve overall facial aesthetics with natural-looking results. Call (904) 460-0505 to schedule your consultation.

What Is Genioplasty?

Genioplasty is a surgical procedure that reshapes the chin by repositioning or modifying the chin bone (mental protuberance). This cosmetic and reconstructive procedure addresses chin size, projection, asymmetry, and facial profile imbalance, improving both facial aesthetics and function through precise bone manipulation, and is often performed alongside rhinoplasty for complete profile enhancement.

Types of Genioplasty

Sliding Genioplasty

Method: Chin bone is cut and repositioned forward/backward
Recovery Time: 4-6 weeks
Best For: Permanent results, severe chin recession or protrusion

Chin Implant

Method: Synthetic implant placement over existing bone
Recovery Time: 2-3 weeks
Best For: Enhancing projection with less invasive approach

Reduction Genioplasty

Method: Removing or reshaping excess bone
Recovery Time: 4-6 weeks
Best For: Reducing overly prominent chin

Vertical Height Adjustment

Method: Repositioning bone vertically
Recovery Time: 4-6 weeks
Best For: Correcting chin length/facial proportions

Genioplasty Procedure Steps

Pre-operative evaluation: Comprehensive facial analysis, 3D imaging, and surgical planning
Anesthesia administration: General anesthesia for patient comfort during procedure
Intraoral incision: Access chin bone through incision inside lower lip
Precise bone cutting: Osteotomy performed using specialized surgical instruments
Bone repositioning: Chin segment moved to desired position for optimal aesthetics
Fixation: Titanium plates and screws secure bone in new position
Closure and recovery: Incision sutured and patient monitored during initial recovery

Dr. Douglas L. Johnson, DMD

With over 25 years of experience in oral and maxillofacial surgery, Dr. Johnson provides care using the latest techniques and technology.

Dr. Johnson is a board-certified oral and maxillofacial surgeon who completed his education at the University of Pittsburgh School of Dental Medicine and advanced training through residency at the University of Florida and a fellowship in facial cosmetics and reconstruction. His extensive training and experience allow him to perform complex facial bone procedures with precision and care.

At our AAAHC-accredited state-of-the-art facility in St. Augustine, we prioritize your comfort and results. Dr. Johnson and his trained staff are committed to providing you with the highest standard of care in a welcoming environment. Call (904) 460-0505 to learn more about chin surgery options.

Who is a Candidate for Genioplasty?

Individuals with recessed or protruding chin affecting facial balance
Those seeking to improve chin projection or symmetry
Patients with adequate bone structure for repositioning
Adults with completed facial growth (typically 18+ years)
Non-smokers or willing to quit before surgery
Individuals in good overall health without contraindications
Those with realistic expectations about surgical outcomes
Patients seeking a permanent chin enhancement solution

Benefits of Genioplasty in St. Augustine

Permanent, natural-looking results
Improved facial profile and proportions
Enhanced jawline definition
Correction of bite issues in some cases
Minimal visible scarring (intraoral approach)
Can be combined with other facial procedures

Our Reviews

Why Patients Choose Us

Care and Commitment

From the front office to the exam room, our practice is made up of professionals who take your oral health very seriously. Using state-of-the-art equipment designed with safety and efficiency in mind, we are able to offer top-notch care. As you walk through our office, you will notice that everything is clean, comfortable and thoroughly sterilized. Your safety and comfort are our priority.

Honesty and Affordability

We know that the cost of care can be confusing. In addition to offering a number of in-office payment options to fit your budget, we also give you up-front cost information on your treatment ahead of time. We are in network with Delta Dental, Humana, and Cigna Dental, and we offer dental financing with credit available in time frames that fit your needs. We are happy to help you navigate your dental insurance and alternative payment options.

Comprehensive Oral Surgery Care in One Location

At our practice, we are qualified to handle all aspects of your oral and maxillofacial care, so you are always surrounded by people that you trust. If we must refer out, we promise to send you to carefully vetted colleagues who apply the same professional principles in their office that we do in ours.

Frequently Asked Questions

Am I a Good Candidate for Genioplasty?

Ideal candidates for genioplasty include individuals who have a receding, weak, or disproportionate chin that affects facial balance; have realistic expectations about what chin enhancement can achieve; are in good general health without conditions that impair bone healing; do not smoke or are willing to quit before and after surgery; and have completed facial growth (typically age 18+ for females and 21+ for males). Genioplasty can address concerns that chin implants cannot, including significant chin deficiency, vertical dimension issues, chin asymmetry, or chin excess that requires reduction. During your consultation, Dr. Johnson will evaluate whether genioplasty is appropriate for your specific facial structure and aesthetic goals, or if alternative approaches might better address your concerns.

How Does Genioplasty Compare to Chin Implants?

Genioplasty and chin implants represent different approaches to chin augmentation, each with distinct advantages. Genioplasty offers several benefits over implants: it uses your own natural bone rather than foreign material; allows for three-dimensional adjustments in multiple directions rather than just forward projection; can address more significant chin deficiencies than implants can correct; eliminates concerns about implant visibility, shifting, or erosion of underlying bone; and provides permanent results without the potential need for implant replacement. While chin implants may offer simpler surgery with quicker initial recovery, genioplasty typically provides more comprehensive, customizable, and natural-looking results, particularly for patients with significant chin concerns or those needing vertical or width adjustments rather than simple forward projection.

Will I Have Visible Scars After Genioplasty?

No, genioplasty performed by Dr. Johnson involves incisions made entirely inside your mouth along the lower gum line, leaving no visible external scars. This intraoral approach provides complete access to the chin bone while keeping all surgical scars hidden within the mouth. The small titanium plates and screws used to secure the chin bone in its new position remain in place permanently but are not visible or typically palpable once healing is complete. This approach provides the significant advantage of leaving absolutely no visible evidence of chin surgery, allowing you to enjoy your enhanced profile without concerns about scarring.

Visit Us in St. Augustine

St. Augustine Oral & Facial Surgical Center is conveniently located at 1301 Plantation Island Dr. Suite #101, St. Augustine, FL 32080, making us easily accessible for patients throughout St. Augustine, St. Augustine Beach, Butler Beach, Vilano Beach, and surrounding communities in St. Johns County seeking genioplasty or chin surgery.