Do people notice when a male gets chin implant and jaw angle implant?

 Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek implants, chin implants, lip implants), 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.  Non smiling, resting photos of your face from the front and side would help in the evaluation. If there is excess fat in the face and neck, liposuction can reduce the excess fat.  Buccal fat removal is an outdated procedure, in my humble opinion, that removes fat from below the cheek and as such will not improve the shape of the cheeks themselves but can create hollows in the mid face.  If your cheeks are already angular in shape, liposuction of the mid and lower face should bring out the angularity in the cheeks.  The following procedures would create a more ruggedly handsome face.
Cheek augmentation with cheek implants to add angularity to the cheeks and mid face.  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.  There are many chin implants styles, shapes and sizes however some like the "square" chin implants produce an "obvious" change and for that reason I do not use them.
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.  Once again, jaw implants are quite obvious and that combined with the unwanted side effects make them a less desirable method of creating a more flared or angular jaw line in my opinion.Subtle yet meaningful augmentation I believe is the "key" when shaping the face with silastic implants or  dermal fillers.  Be sure to see a surgeon who is a facial shaping expert. Finally, in my experience and despite its recent increase in popularity, fat transfer (fat injection) offers "far" less of a reliable and predictable volume for facial shaping than an off the shelf dermal filler or silastic facial implant.  For that reason, I do not use fat to shape the cheeks, chin, lips or jaw line.  Tissue physiology is quite simple.  Tissue requires a blood supply in and out as well as lymphatic connections to remain viable and alive.  Once fat is removed from the body all of these things have been disrupted.  Just because the removed fat is mixed with PRP or something else doesn't make the blood and lymphatics magically re-appear.  The fat at that point is not living tissue which means that it's prone to being dissolved by the body (most likely in an uneven and unpredictable manner).  Injecting fat back into the face does not create the required elements to make the fat living tissue once again.  So the argument that fat is alive and viable in the face once it's been removed and re-injected makes no sense to me as a physician and surgeon.
 The other issue that I have with fat transfer is the lack of precision.  Fat is thick by nature which means it's not the same consistency as an off the shelf dermal filler.  Fat injections use an increased volume injected in an attempt to compensate for the volume loss that "will" happen.  This means a lack of specific shape and volume that simply can not begin to compare with the specificity of using a silastic facial implant of a "known" shape and volume.  In that regard fat offers too much of an unknown to make it a reliable and predictable method for facial shaping.  There's a significant difference between a 3mm and 5mm thick cheek implant.  You can imagine the magnitude of difference there is between retaining 60% of 25cc's of fat versus 35%.  In my humble opinion, I just don’t see how fat could possibly be used to precisely shape facial features?
Hope this helps.

Dear Backdoorman, You would be surprised to know that many people can not quite put their finger on changes that people have undergone with plastic surgery. I have female patients who change hairstyle or hair color after a facelift and this is enough for people to think thats why they look younger. Male patients will also change color or style or undergo some weight loss and people again believe this is why they have a more sculpted appearance or defined jawline. We have patients who undergo cervical/neck liposuction and buccal fat pad removal often and never tell their significant other or parents. Someone should never say "oh wow great facelift", "nice chin augmentation", "great nose job", these procedures should provide natural looking results that simply enhance the patients appearance or provide them with a more youthful look. See many before and and afters in the link below and an example of the combined procedures you are discussing the the video attached. Best regards, Michael V. Elam, M.D.