Ideal chin Implant, what are the general guide line for proportion chin of a men?

Question

I know it's a matter of shape and nose size. But I'm just asking for the General guidelines. I don't want an imbalance chin/ or it to be too prominent. I like the chin shape of the "model" in the picture. I'm not sure whether I want my chin few mm behind lip line or at the lip line. I'm worried that bringing it up to the pipe line will create a too " Man-ish look"

John Bitner, MD · Answer

On side profile, the "appropriate" chin projection in a man is measured in the following manner.  First, your head must be placed in a perfectly horizontal plane.  This is done by making Frankfort's Horizontal Line (an imaginary line drawn from the upper part of the ear canal to the bony rim below your eye socket aka infraorbital rim) perfectly horizontal.  Then, a line is drawn perpendicularly down from Frankfort's Horizontal Line from the top of the nose aka radix.  In men, the most anterior projection of the chin should be just slightly in front of the perpendicular line.  In women, the chin should be just slightly behind the perpendicular line.  I do like a more "square" look for men.  This is only appreciated on straight on view.  I generally use an implant called the Terino, made by Implantec, for men as it has a more square look or shape to the straight on appearance.  From your picture, you would achieve an amazing result with this simple procedure.  You would love it!

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

Based on your photo you would benefit from a silicone chin implant to provide more balance and projection. Men typically have a more square chin form and therefore I use an implant that has that masculine quality. For simplicity, if you draw a line from the tip of your nose to the tip of your chin, your lips should be behind that line. If you have a chin implant placed and are dissatisfied with the results, it can easily be removed.

William Portuese, MD · Answer

It is important to know that both the chin and the chin implants are three-dimensional structures, therefore an in-person examination is usually are required to choose the appropriate size and shape of the chin implant itself. Some patients even require custom carving the implant to match some pre-existing asymmetries as well. Chin implants are composed of solid silicone, and are usually placed through a small incision underneath the chin under local anesthesia as an outpatient surgical procedure. In our practice, we have used Implantech brand of chin implants for over 26 years with an excellent success rate. For more information and many before-and-after examples of chin implants, please see the link and the video below

Amiya Prasad, MD - Account Suspended · Answer

Thank you for your question. You submitted photos of a model and side views of yourself, asking about the ideal proportion of chin enhancement in men. You’ve done your research and learned a lot about relative projection of the chin up to the lip, behind the lip, or in front, and you want to see what doctors use as guidelines deciding about a chin implant’s size. You have concerns about getting the ideal look, and not to look “too mannish” with a stronger projection.
I can share with you how I discuss this with patients in my practice. A little background: I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I have been in practice in Manhattan and Long Island for over 20 years. Chin implants and facial implants have been a big part of my surgical practice for many years. In the last few years, the use of long lasting thicker fillers for comparable augmentations have also really opened up the opportunity to help my patients of all ages non-surgically. Thinking about balance and proportion is something I do all day long in my practice. 
Doctors for decades have been analyzing faces, look at what is ideal, and there are general guidelines. We use lines and that have many names like Steiner’s lines, Ricketts’ lines, Frankfurt plane, and vertical lines. We look at relationships between the nasal base, the lips, and chin projection from a side view. We look at a person from the front at the width of the chin and the relative balance. 
We also take into consideration ethnicity, but even with that factor, there are almost universally appreciated ratios that are very attractive across ethnicities. You’ve probably heard of Phi or the Golden Ratio of 1.6 to 1. These are relationships within the attractive face plays a role in what people look at in others’ faces. We obviously don’t make calculations, but we make an impression and a perception based on what is balanced and attractive. In men, a strong chin, is seen as something that’s desirable. 
In my practice, for 20 plus years, when I’m doing a chin implant, for most women up to a certain height, I will use a small chin implant. I’m describing a specific implant called an anatomical chin implant that is shaped in a tapered way so it fits just right on the mandible, or the chin, in a way that looks very natural. 
Generally with men, I end up using a medium sized chin implant. 
During surgery, we use something called sizers that are basically implants that are not meant to stay in, but are used by the surgeon like myself, and my staff to look at what the projection and shape looks like before settling what implant to place permanently. That may be a challenge for you to commit to, especially if you are not sure. 
Often in my practice, I will tell patients like yourself we can do something called Structural Volumizing. Structural Volumizing means placement of thicker fillers such as Juvederm Ultra Plus or Juvederm Voluma at the bone level using special technique that allows me to create augmentation comparable to surgical implantation. Since we are using fillers, and if we want to achieve a certain shape, we also have the option not only of placing the material at the bone level, but we can also place it at the deep and superficial soft tissue level, and we can use different fillers. It gives us almost infinite options on the number of ways we can sculpt the chin.
Often, when someone is not quite ready for surgery, I think this is the better choice because a surgical procedure is much more involved, you need to wait for swelling to resolve, then decide whether or not you want something different. When somebody is still not quite sure and wants to see some variation, injectable fillers can be not only an option as a trial, but also a solution that can be applied with some regularity. Thanks to the placement of these fillers and the type of fillers they are, these results can almost last for a year, even up to two years. That can allow for some flexibility, and there are many people who aren’t interested in having surgical correction, so injectable fillers opens up the chance for many people who wouldn’t do surgery to get this result, or at least a comparable result.
I think you can over analyze anything, and doing what we do, we see this all the time. Patients often miss the forest for the trees. Dealing with a zone we can refer to simply as an art, and seeing what is ideal and proportional for you. As long as we have a shared understanding, we can start with injectable fillers. Otherwise, I would say you’re certainly in the zone if you allow for a certain range of projection you would be fine with. From that respect, a chin implant procedure is pretty straightforward, and can be a long lasting solution for you. 
Meet with qualified, experienced cosmetic surgeons who offer both injectables and implants, and see what you’re comfortable with. My impression is injectable fillers might be a good way to get your sense of what you would look like without committing to surgery.  I hope that was helpful, I wish you the best of luck, and thank you for your question.This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.

Ronald V. DeMars, MD (Retired) · Answer

We generally want a "stronger" look in the male chin as opposed to the female chin, but in the end it is all about creating a look that you find appropriate. Show photos to the surgeon that have the proportions you like and the doctor should be able to get a close match to that.

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

Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  From the photos, your chin is quite weak.  The accompanying video shares and describes the proper way to evaluate weakness of the chin.  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 segments of bone).  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.  
Hope this helps.

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