Young Male with narrow mandible; Facial fat grafting or surgical implants? (photos)

I recommend a combination approach for facial contouring: implants for chin in combination with facial contouring with fillers as needed. Thermitight, ultherapy, and Kybella can also be used to further contour the jawline. I recommend seeing an expert for a formal consultation. Best, Dr. Emer

Hello and thank you for your question. Based on your
photograph, you are a great candidate for mandibular implants.  I recommend medpor angle implants with screw fixation.  This can give a defined look, as opposed to fat grafting which can lead to an undefined and un-natural look.  The
most important aspect is to find a surgeon you are comfortable with. I
recommend that you seek consultation with a qualified board-certified plastic
surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

thank you for posting your question. A mandibular implant, for example like medpor, will give you more of a result that is defined and feels more "natural" like "bone" due to its firmness, compared to the softer lipofilling/ fat grafting. Lipofilling can be a good option correcting volume deficiencies or smaller contour irregularities. A combination of the 2 techniques is also a possibility. Often radiographic imaging like CT-Scan (3D reconstruciton) can be very helpful in the operative planning.  Discuss your goals with your surgeon, who is also considering your occlusion, facial bony structures as well as the facial soft tissue.best wishes