Is there any chin implant that can create a pointier looking chin (photo #5) and add projection without looking too round/wide?

Chin implants come in many shapes and sizes and can be customized using a CT of the face. I think that the look that you desire can be best achieved with a sliding genioplasty. This surgery moves the tip of your own chin forward and provides the most natural results. 

Your goal for a pointed chin is achievable, but it would require a customized chin implant. Most implants are designed to achieve overall fullness and projection to recessed chins. Your "pointed chin" look can actually be achieved with Filler injections. I suggest using a more structural filler such as Restylane Lyft. If you consider filler injections, I strongly suggest seeking an experienced injector, preferably from a Facial Plastics office. 

What you are seeking is a central based chin with no wings that has a V-shape to it. This would require either modifying an existing style of chin implant or having a custom one made.

ReportThank you for your question. You will get the best answer to your question by scheduling an in person consultation with a Board Certified Plastic Surgeon who will discuss with you your unique situation and concerns. The surgeon would meet with you and examine you, take a full medical history, and discuss the pros and cons of each operative procedure in person and what to realistically expect. Then you can make an informed decision on which procedure(s) to start with according to your desires, recovery time necessary, your history and current health. Your desire for a pointed chin is achievable, and you could start with an injectable filler that isn't permanent to fill in and define the areas you wish to change and see if you like the look before you decide to have a surgical procedure with a more permanent result. The pointed chin implant is possible but would require a customized chin implant. Most implants are designed to achieve overall fullness and projection to recessed chins. 

Chin implants are not designed to create a more pointed chin. The chin, the mandible, and the implants are all three-dimensional structures, and the augmentation occurs in all three dimensions.   The augmentation occurs mostly in the forward direction, some lateral width, and a small amount of vertical height. Trying to create a pointy chin will look very odd. Best to have realistic expectations. For many examples of chin implants, please see the link and the video below

 Hi, yes the proper shape/size and placement (by an expert chin implant surgeon) of a silastic chin implant will provide what you are seeking.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 very weak.  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.

Dear kphamm, Each surgery is designed for what the patients desired results are.  Most patients with recessed chins desire the fullness and projection that is commonly provided with chin augmentation surgery. With that said, chin implants come in many shapes and sizes and custom implants can be made as well. Seek some consultations with experts in the field and they can provide imaging for you to show you some various proposed results of different styles and then you can determine what would be your desired result. Best regards, Michael V. Elam, M.D.