Do I have a receding chin or maxilla? (Photo)

Question

Is either my chin or maxilla receded? Everyone always asks me if I'm tired or high, and I read that droopiness of the face can occur because of a receded lower part of face. If I do, how can this be corrected? The pics are of the right and left sides of my face.

Larry S. Nichter, MD, MS, FACS · Answer

Without an exam your question cannot be answered.  You will need to see an Oral/Maxillofacial surgeon to see if othognathic surgery, genioplasty or using an implant is best for your specific case. It should be noted that patients with severely weak jaws or abnormally functioning jaws may be better treated with other facial surgery (orthognathic surgery), although a chin augmentation may be an option at a later time. These patients should seek the advice of a plastic surgeon to determine which course is right for them. Here is some information to help you make this decision: Candidates for Chin Augmentation - Patients whose chin profiles are weak but have normally functioning jaws are candidates for Chin Augmentation. Many of these candidates have used injectable fillers in the past to strengthen the protrusion of their chins, but are looking for a permanent solution. If you are one of these patients, then you are a likely candidate for chin augmentation
#weakchin #chinimplant

Michael P. Morrissette, DDS, FACS · Answer

A comprehensive evaluation including frontal facial photos and X-rays would be most helpful. Based on the photos available, you are likely a candidate for rhinoplasty and chin and cheek implants to improve overall facial balance. It is possible that corrective jaw surgery could also provide an improved outcome if you are willing to go that route.

Burr von Maur, MD · Answer

From your photo,it appears that your chin is a little recessive.This would improve quite nicely with a chin implant.Your profile would be more balanced and stronger.

Barry L. Eppley, MD, DMD · Answer

From a facial proportions standpoint, your chin is recessive, your nose is a bit long and your midface/cheeks flat. In essence you are correct on both counts (receding chin and maxilla)  Whether that combination is what makes your appearance look like those comments I can not say. But from changing your facial proportions, chin and midface augmentations would be beneficial.

William Portuese, MD · Answer

From the limited photographs side profile, it appears that there is a weak and recessive chin profile for which a chin implant can improve.  A full set of facial photographs required to make a determination about a deficient maxilla.  Chin implants are placed for patients to have a weak and recessive chin profile, and a usually inserted through a small incision underneath the chin under local anesthesia.  Cheek implants are placed under general anesthesia through a small incision above the gumline through an intraoral approach.  Both chin and cheek implants are composed of solid silicone, and  can be custom carved when necessary to match patient's unique anatomy.  For  diagrams of the  implants,  and many  before and after examples  of chin/cheek implants, please see the link and video below

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek, chin), liposuction and/or facelifts for over 30 years.  Following my beauty principles, men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles.  From the photos, your cheeks are flat anteriorly (in the front), the chin is weak as are the mandibular angles and there is excess facial fat in front and below the cheeks.  This combines to create an elongated oval shaped face.  The following procedures would create a more ruggedly handsome face.
Cheek augmentation with cheek implants to add angularity to the cheeks and mid face.  This would be combined with liposuction to reduce the excess facial fat to further define the cheek shape.  Liposuction can be combined to reduce any excess fat to further shape the cheeks and face.
Chin augmentation, using a chin implant, to add projection to the chin creating harmony and balance to the lower face.  I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut bone segments).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.  
Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line.
Hope this help.

Michael Elam, MD (retired) · Answer

Dear jakethesnake5353, You would most likely benefit from a combined procedure of chin augmentation and buccal fat pad removal. Your chin is slightly recessive and an implant would provide a better balance not only to your profile but to your overall facial aesthetics. The buccal fat removal would reduce the fullness in the lower cheek area also providing a more balanced jawline and reducing the heaviness in the lower third of the face. See examples in the link below and a combined procedure in the video above. Best regards, Michael V. Elam, M.D.

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