Am I a good candidate for a chin implant? Any other suggestions to make my profile stronger?

Question

Very afraid of the shelf-chin look. I've seen some great post-op photos, but those seem to be for patients with originally flatter chins. I just think my overall side profile is too weak, and would love some suggestions.

Timothy Osborn, MD · Answer

I would highly recommend a genioplasty over an implant. A genioplasty is more versatile and allows for larger movements than an implant. Your chin would be considered 'short' compared to the rest of your face, and slightly recessed (meaning it falls back behind your lips). By bringing your chin forward and down, we would create more projection and help to balance out your profile. With that, it will also elongate your jawline, add more definition and tighten some of the skin under and around your chin. The entire procedure is done through your mouth so there are no external incisions (no outside scarring). Although the recovery for this procedure is a little longer than with an implant, the benefits and longevity are worth it. Our office provides simulated morph photos of expected outcomes and we are happy to schedule a virtual or in-person consult to discuss things further!

Randal Haworth, MD, FACS · Answer

It looks like you would be a great candidate for a sliding Genioplasty. With sophisticated placement techniques, the chin may not only be advanced forward, but also elongated and widened. In contrast, it is possible to occasionally modify the actual jawbone to reduce an elongated and/or wide chin.

Of course, an « in person » exam is necessary.

I hope this helps;
best of luck !

Of course, an « in person » exam is necessary.

I hope this helps;
best of luck !

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Michael P. Morrissette, DDS, FACS · Answer

In the limited photos it appears that you have a deep mentolabial fold and a chin implant would make that look unnatural. It would be better to have a sliding genioplasty surgery to both lengthen and advance your chin. This will provide better lower facial balance.

Mats Hagstrom, MD (license on probation) · Answer

Your chin already has adequate projection. The deficiency is further back in your mandible in the area called the body of the mandible.
Adding a chin implant will deepen your labiomental sulcus( the hollow below your lower lip) 
I suggest having a few in person consultations with local oral surgeons. They tend to be a little better at seeing things from a skeletal perspective.
A sliding genioplasty with more horizontal emphasis could be an option. Jaw advancement is perhaps the correct definitive option but is a more involved procedure that alters dental occlusion. 
Getting a quality assessment is really important. There are many variable that need to be balanced. No simple perfect solution.
Best,
Mats Hagstrom, MD

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