Will jaw implants help balance out my "extruding" jaw and widen my narrow face or would they make me look too masculine? (photo)

Question

I have previously had maxilla widening and advancement which helped balance out my midface and to correct my bite, but I'm still not happy with the overall balance. I am considering rhinoplasty to decrease the height of the profile as well as fix a deviated septum, but I worry that will also make my chin look extra extrusive.

Michael P. Morrissette, DDS, FACS · Answer

Thank you for the photos. A combination of chin reduction surgery and facial implants would likely provide the best results. You show significant temporal hollowing and I would recommend temporal implants to provide a wider upper third of your face and enhance the "triangle of beauty". For the lower jaw, both custom mandibular angle implants and chin reduction surgery would provide a more feminine appearance. Lastly, Following the above surgeries, additional soft tissue of the chin itself may need to be removed from a skin side approach. I would only consider this following the bony work.

P. Daniel Ward, MD · Answer

Thank you for your question. I would focus on three main areas to address your concerns. First, I suggest rhinoplasty to help provide improved balance and symmetry to the face. The excessive volume of the tip of the nose and the deviation of the nose draws the eye to the mid face. Second, cheek augmentation would provide improved balance. You have a very thin face and adding volume to the cheeks will help improve the balance. Third, the chin is long vertically and reducing the chin height will help provide better proportional balance.Please let us know if there are any other questions or concerns!

Barry L. Eppley, MD, DMD · Answer

You have a high and narrow jaw angles combined with a long and wide chin. The combination of chin reduction through intraoral T-shaped osteotomies (vertical and width reduction) combined with jaw angle implants that provide some vertical and width increases would provide favorable aesthetic changes to your lower face. Rhinoplasty also has value, although not as significant as lower jaw reshaping with correction of the deviation and tip narrowing.

Gerald Wittenberg, MSc, DMD (retired) · Answer

You have a vertical growth pattern so ideally you would augment the cheekbone area/midface to balance the jaw and nose. The high slope of the jawline emphasizes the chin prominence with a more narrow jawline; so a chin vertical change could also be considered; given that you have tried to augment the width of the lower jaw

Ronald V. DeMars, MD (Retired) · Answer

Thanks for the interesting question. We can't make specific recommendations for an issue of this complexity without a full consultation and examination, but you may also want to consider a fuller midface with cheek implants and definitely consider a chin reduction (not a setback of the chin).

George Commons, MD (retired) · Answer

I don't think jaw implants are the answer.   I think a mandibular setback would be best.   This would correct mandibular protrusion and give you a softer look.  My Best, Dr Commons

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

Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (for the cheeks, lips), liposuction and/or facelifts for over 30 years.  From the photos, your cheeks are concave in the front making the face appear very thin and rectangularly shaped (which is a relatively masculine facial shape).  The lower face and chin appear balanced but the back portion of the jaw line is a bit weak.  In my humble opinion, the concentration should be on properly shaping the cheeks (mid face) to feminize and soften the face.  Adding jaw implants would masculinize both the jaw and the face. 
 Following my beauty principles, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  When the cheeks are flat or concave in the front, cheek augmentation with a dermal filler or using silastic cheek implants (permanent enhancement) will create full, round cheeks that will feminize the entire face.
 The back portion of your jaw line is a bit weak and can be augmented, without making your face appear masculine, using precise placement of a dermal filler (I prefer using Restylane Lyft).  
Hope this helps.

Will jaw implants help balance out my "extruding" jaw and widen my narrow face or would they make me look too masculine? (photo)

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