Genioplasty in St. Augustine, FL
Genioplasty in St. Augustine, FL
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) 439-7980 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


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
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.
