Sanchaita Kohli, MDS

A sliding genioplasty to increase the length and projection of the chin remarkable improves the jawline by making it stronger and more defined. It also rejuvenates the face by stretching out the soft tissues over and under the chin, making the face ans skin look tighter and younger. This also reduces any double chin appearance.

Bringing your hairline forward by a scalp advancement or forehead reduction procedure would hide most of the prominent part of the forehead at the top within the hair.

The middle protruding part of the forehead can be reshaped by bone contouring (frontoplasty) to flatten out the projected part.

Both these procedures can performed in the same operation through the same incision (hidden at the hairline).

This would give you a very good result,

Hi @Dynamic320178.

In my opinion, you do not require a V-line reduction as your jawline has a gentle tapering contour already. You would, however, benefit from a buccal fat removal procedure. This would give you that coveted contoured and "chiseled" appearance.

Buccal fat is removed from the middle part of the face (the area of the cheeks where you apply your bronzer). When this tissue is slimmed, it gives the middle face a sucked-in appearance and makes the cheekbones on top and the jawline below more prominent.

This is what gives you the chiseled look by making the bones stand out and making you look skinny.

Hope this helps :)

Buccal fat pad is resistant to diet and exercise. It is a deep fat pad that can only be reduced by surgical excision when in excess. It can be removed by a very simple procedure from inside the mouth. This is a definite requisite in your case.

Apart from that, the roundness of your face comes from the inherent bone structure that is relatively wider at the jaw angles and under projected in the chin area. Jaw sculpting would include a tapering of the lower edge of the jaw bone to give it a slimmer, V-shape.

Also, mild chin augmentation by an osseous genioplasty would not only add a tapered look to the lower face, but also stretch out the bulky neck soft tissue forward. This would flatten out the neck and reduce the double chin appearance.

Jaw sculpting with Genioplasty are simple procedures performed completely from within the mouth, giving permanent results.

In my opinion, these procedures should be performed before considering any other soft tissue procedure like liposuction or RF skin tightening. The need for those can be assessed once bone shape correction is done and the results are evident, but the need would be highly unlikely.

Hope this helps :)

You are a really good candidate for jaw sculpting. This is a scarless surgery performed completely from within the mouth that contours the bottom edge of your jaw bone to achieve symmetry and a tapering shape.

The bone around your chin is shaved to achieve a V-line contour and a mild chin augmentation will further enhance your jawline and the slender V shape.

Surgical simulation helps us achieve the ideal bony contours and symmetry by mirroring one side to the other. This procedure has a very small surgical downtime and quick recovery.

Hope this helps. :)

Hi Lily.

There is definite contouring required in the forehead region to give it a rounded appearance.

I would like to examine the face further before commenting conclusively about the nose but it definitely needs hump reduction. Some fat grafting in the cheek area would give you a feminine high cheekbone look.

The chin and jawline overall requires contouring and tapering for sure. The cleft in the chin can be corrected in the same operation. That is a very simple procedure.

Hope this helps :)

Hi @shaneerivera.

You are right in pointing out that your face has a long appearance. The 2 most striking features are the broad forehead and the large lower jaw.

For the upper face, I would recommend a hairline lowering along with forehead bony contouring. For the middle face, a feminizing rhinoplasty to decrease the width and projection of the nose along with cheek fat grafting to give you a prominent cheekbone appearance.

The lower jaw needs a definite reduction in height and tapering for a slender look. Jawline contouring with genioplasty would address these concerns.

Hope this helps :)

Hi Charlotte.

I feel you would benefit greatly from a forehead reduction (hairline lowering) along with a type 3 reconstruction for bony contouring.

I would also recommend fat grafting to get high cheekbones and buccal fat removal for the middle face.

In my opinion, some chin and jawline contouring would also improve your overall outcome by giving you a tapered heart shaped face.

Considering your age and apparent skin type, I anticipate that your results would be excellent.
Hope this helps :)

Hi @kay.eff

I can understand your confusion about upper face feminisation in particular as you do not have the typical frontal bossing pattern with a depression above. Nonetheless, a significant rounding can be expected from a frontal and orbital bone contouring, giving you gentler curves and decreasing the flattened appearance of the forehead.

Apart from this, in my opinion, a hairline lowering would do winders for you by concealing a large part of the upper flat forehead under the hair. This would also shorten your forehead, which would in itself further add to a feminine appearance.

Regarding the nose, you would need a hump reduction along with some asymmetry correction.

I also feel you would greatly benefit from a chin and jawline contouring as well.

Hope this helps. Cheers :)

Hi Amimelly.

I can completely understand where you're coming from. A lot of our patients express the same wish and understandably so.

The simple difference between jaw surgery and chin surgery is the fact that jaw surgery corrects the disturbed tooth relationships along with the face profile, and has the potential to give a greater degree of change than chin surgery.

Chin surgery has the sole purpose of improving the profile and is independent of the the way the teeth meet. The only limitation is the amount of correction that can be achieved with sliding genioplasty.

What limits the amount of augmentation we can achieve with a sliding genioplasty is the distance how much we can slide the chin segment forward without losing bone contact with the jaw bone above. Maintaining bony contact with the parent bone is essential for good healing.

This means that we can only slide the chin forward for a distance which is equal to the width of the chin bone. This is different for different individuals and needs to be measured precisely on the x-ray so that the surgery can be planned accordingly.

The approximate width is usually in the range of 8-12 mm. So, to give you a rough estimate, a chin advancement of up to 10 mm, or 1 cm, can be safely performed in most cased with genioplasty alone.

I have performed several corrections greater than 10 mm also in my practice. But this needs to be planned according to the patient's individual measurements.

Hope this helps. Take care.