Alejo Villarreal, DDS

Upon reviewing the photo you provided, it is apparent that the sunken appearance you are observing is due to a flat midface area. This effect often gives patients a tired or older appearance. There are several techniques and solutions available, each with its own set of advantages and disadvantages.
Options include chemical fillers, fat transfer, or implants, all of which can replenish and add volume to the midface, resulting in a more uplifted and present appearance.
After considering the various options, I recommend custom-designed implants that are tailor-made for your facial structure. With this approach, you can decide on the desired look you wish to achieve. Additionally, custom-designed implants are permanent and may prove to be more convenient in the long run.

Best,

Based on your description of a "large" chin implant, I assume that it was a generic one. Generic chin implants are often removed due to the unappealing appearance they create.

On the other hand, a custom chin implant is tailored to fit your unique anatomy, not categorized as large, medium, or small. Depending on the material used, generic implants can cause bone loss due to friction on the bone and other issues.

When removing your current implant, there is a possibility of chin ptosis depending on the type and size of the incision used. It is important to consider this when deciding on removing the current implant.

A personalized chin implant is created to reduce the risk of complications and attain the aesthetic result you want.

I understand your concerns about the recommended chin implant. A customized chin implant designed specifically for your needs can indeed enhance your overall look and improve your jawline.

Unlike standard "small, medium, or large" implants, a custom implant ensures a precise fit and addresses your unique facial features, providing a more natural and harmonious result.
You can expect a balanced and aesthetically pleasing outcome by combining the facelift and neck lift with a custom chin implant. The custom implant will complement the other procedures, enhancing the contour of your jawline and harmonizing your facial features.

If you decide not to proceed with the chin implant, it may not necessarily diminish the final results of the facelift and neck lift. However, incorporating the customized chin implant into the overall treatment plan can maximize the potential of the surgery and achieve a more comprehensive and refined transformation.

Hi,

Thank you for sharing your concerns about your face shape. It would be helpful if you could share a photo of your face, both while smiling and not smiling. This will allow me to better understand the specific areas you are concerned about.

Based on your description, there could be a few potential options to address your concerns. Masseter botox can sometimes be an effective option for temporarily and slightly reducing the width of the face. However, it's essential to consider other factors as well, such as the shape of your facial bony structure and muscle shape and the overall harmony of your facial features.

Other potential procedures are buccal fat pad removal and jaw angle reshaping, which can also help enhance the face's contours and create a more balanced appearance.

I completely understand your concerns and the desire to find the best option for achieving your desired facial profile.
Let me address your inquiries one by one:

It's essential to recognize that each individual's facial anatomy is unique, and achieving the precise look you desire often requires a custom approach. While non-custom implants like the Terino Chin Implant and the Vertical Lengthening Chin Implant may offer some standard sizing options, they might not precisely match your specific facial proportions. Using a non-custom implant can potentially lead to issues like uneven results or an unnatural appearance, as it may not cater to your individual needs.

We employ a comprehensive design process that focuses on understanding your aesthetic goals. We take the time to discuss your preferences and expectations, allowing us to create a custom chin implant that perfectly complements your facial features. By utilizing advanced technology and 3D imaging, we can visualize the outcome before the procedure, ensuring that the implant's size and shape harmonize with your unique facial structure.

Custom implants are designed to match your facial contours flawlessly, resulting in a natural and balanced look.
We can tailor the implant's dimensions to achieve your desired vertical length and horizontal projection, ensuring an outcome that meets your exact expectations.
Custom implants help correct any existing asymmetries, providing a more symmetrical and aesthetically pleasing appearance.
With a custom implant, you can expect lasting and consistent results, maintaining the desired changes over time.

By designing an implant specifically for you, we reduce the risk of complications and ensure a safe and successful procedure.

Considering your preference for approximately 8mm vertical length and 10mm horizontal projection, a custom chin implant can be the ideal solution to achieve these measurements accurately and with a natural appearance.
While genioplasty might be another option, a custom implant offers a less invasive and more precise method to achieve your desired outcome.

I invite you to schedule a consultation with us, where we can assess your facial structure, discuss your aesthetic goals in detail, and present you with a personalized plan that incorporates a custom chin implant tailored to your preferences.

Best regards