Chin Implant/Jaw Implant, Realistic Expectations? (photo)

Your chin is both horizontally and VERTICALLY short due to an overall smaller jaw. This is to be differentiated from the more common chin problem of horizontal shortness. This is confirmed by the fact that when you slide and hold your jaw forward (down and out), it creates the look you want. While standard chin and jaw angle implants will be beneficial, they will not create your ideal result. This is because standard preformed chin and jaw angle implants do not provide the vertical lengthening that you need. In addition, they can not provide a smooth and continuous jawline between the chin and the jaw angles because they do not create any augmentation in the intervening body of the mandible area. For an ideal result, you will need custom chin and jaw angle implants made from a model that lengthens the lower jaw as well as make for a greater chin prominence. 

Hi there. A “strong” and well-defined jaw and chin have traditionally been attractive physical traits. As such, some patients present with concerns about a weak or recessed chin.A more aesthetic chin may be achieved by placement of a chin implant. Interestingly, a balanced chin improves overall facial appearance and may actually influence nasal projection.For example, a weak chin may increase the severity of an overprojected nose.Good overall medical health, as well as realistic expectations, are necessary. It is also key to understand all aspects of the surgery and aftercare. A pleasing, balanced profile can be achieved by inserting an implant to augment a weak chin, resulting in improved facial harmony.Hope this is helpful. Best wishes.

The pictures that you have included seem realistic. I would really talk to your doctor so that you are both on the same page. I spend a lot of time talking with patients to get an idea of what they want. This avoids a lot of problems after surgery.
 

Chin and jaw implants come in multiple different sizes and shapes.  The right implant for you should be determined at your consultation appointment with the surgeon.  The chin implant is placed through a submental incision, onto the bone to give the illusion of a longer chin and jaw line.  The jaw implant is placed through an intraoral approach over the angle of the mandible and gives a more squared jaw appearance.  Both the procedures can be done at the same time under brief general anesthesia.

Form often follows function.

If you find that biting down causes your face to look deficient, there is a good possibility that the alignment of your occlusion, or bite, is off.  By working with an orthodontist and a jaw surgeon (oral and maxillofacial surgeon, or plastic/craniofacial surgeon) improvements to an abnormal bite can markedly improve the facial form.  Additional chin projection can even be achieved with a sliding genioplasty where your own bone is used instead of any implants.

There are pros and cons to either approach.  Take your time and visit several surgeons to gain a better understanding of what works best for you.

Good luck.