I am a 34 year old female. I have a septorhinplasty scheduled to correct my deviated septum and deproject my nose, but also have concerns about the lower portion of my face. I am 5’6” and weigh 115 lbs, but I have jowls and an overall appearance of facial fullness/ being bottom heavy. I am not sure what would best to permanently correct this issue- chin implant, sliding genioplasty, injectables, buccal or some other fat removal from the area- or some combination? Thanks,
Answer: Jowls at a young age It would be difficult to answer you question precisely without having a chance to touch your face and to move the tissues around. However, you do have an over-projected nose that is deviated to your left with asymmetric nose bones, asymmetric tip with concave cartilage above the right side of the tip, higher right nostril and dorsal hump. Your chin is slightly underprojected which appears worse because of the over-projected nose. Augmentation of the chin needs to be done very conservatively, if at all, to avoid deepening of the groove between your chin and your lip and making your face too long.You could benefit from repositioning of volume in the jowl area upwards using some type of lifting. This migration of the tissue downwards is creating slight hollowing under the eyes and cheek area. Those of us who specialize in the face rejuvenation and rhinoplasty have multiple lifting techniques that we offer depending the patient's age, skin condition etc which ranges from very limited lift to a full face lift. Adding small amount your own fat on the chin and each side of the chin could be the simplest and most effective way to blend your chin with the rest of the face. It will reduce the pointy appearance and take away slight goofing on each side of the chin You seem to have minimal excess fat under the chin removal which may make your chin more defined without adding the to chin. Please avoid letting anyone to augment your chin too much. This will have adverse effect on your face.
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Answer: Jowls at a young age It would be difficult to answer you question precisely without having a chance to touch your face and to move the tissues around. However, you do have an over-projected nose that is deviated to your left with asymmetric nose bones, asymmetric tip with concave cartilage above the right side of the tip, higher right nostril and dorsal hump. Your chin is slightly underprojected which appears worse because of the over-projected nose. Augmentation of the chin needs to be done very conservatively, if at all, to avoid deepening of the groove between your chin and your lip and making your face too long.You could benefit from repositioning of volume in the jowl area upwards using some type of lifting. This migration of the tissue downwards is creating slight hollowing under the eyes and cheek area. Those of us who specialize in the face rejuvenation and rhinoplasty have multiple lifting techniques that we offer depending the patient's age, skin condition etc which ranges from very limited lift to a full face lift. Adding small amount your own fat on the chin and each side of the chin could be the simplest and most effective way to blend your chin with the rest of the face. It will reduce the pointy appearance and take away slight goofing on each side of the chin You seem to have minimal excess fat under the chin removal which may make your chin more defined without adding the to chin. Please avoid letting anyone to augment your chin too much. This will have adverse effect on your face.
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March 19, 2016
Answer: Small chin and jowls Thank you for your pictures. Here are my observations.You have a deep mental crease which leads me to believe that you have possibly a recessed lower jaw and/or a small chin.You have a short vertical lower third of your face The jowling that you have is due to observations #1 & 2. In my opinion you need an evaluation of your occlusion and lower jaw all for possible bilateral sagittal-split ramus osteotomy to move your jaw and chin downward and forward. Best wishes
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March 19, 2016
Answer: Small chin and jowls Thank you for your pictures. Here are my observations.You have a deep mental crease which leads me to believe that you have possibly a recessed lower jaw and/or a small chin.You have a short vertical lower third of your face The jowling that you have is due to observations #1 & 2. In my opinion you need an evaluation of your occlusion and lower jaw all for possible bilateral sagittal-split ramus osteotomy to move your jaw and chin downward and forward. Best wishes
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March 17, 2016
Answer: Chin and jowls corection Based on your photos a combination of procedures should be considered. Your pointed chin doesn't need augmentation in particular considering your pending rhinoplasty which will improve your chin/nose balance. However, placement of chin implant which will widen your chin and fill depressions on the side of the chin in front of jowls will help (Mittelman pre jowl implant). Conservative liposuction of jowls should be part of this procedure.You should discuss these options with your plastic surgeon before your scheduled septorhinoplasty surgery since these procedures can be done in the same time. Good luck.
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March 17, 2016
Answer: Chin and jowls corection Based on your photos a combination of procedures should be considered. Your pointed chin doesn't need augmentation in particular considering your pending rhinoplasty which will improve your chin/nose balance. However, placement of chin implant which will widen your chin and fill depressions on the side of the chin in front of jowls will help (Mittelman pre jowl implant). Conservative liposuction of jowls should be part of this procedure.You should discuss these options with your plastic surgeon before your scheduled septorhinoplasty surgery since these procedures can be done in the same time. Good luck.
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Answer: Sliding genioplasty + rhinoplasty = profileplasty You are an optimal candidate for the so called profileplasty, which
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Answer: Sliding genioplasty + rhinoplasty = profileplasty You are an optimal candidate for the so called profileplasty, which
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March 17, 2016
Answer: Chin implant and rhinoplasty candidate The photographs demonstrate an overly projecting nose, and an under projecting chin. Consider placement of a chin implant to bring the mandible forward to help with facial balance and proportions, especially with respect to the overly projecting nose. Chin implants are manufactured in a large variety of sizes and shapes, and are usually placed through an incision underneath the chin. A chin implant is very complimentary to a rhinoplasty procedure which will decrease the projection of the nose. Simple liposuction in the neck can also remove the fatty deposits in that location. For more information and many examples of this combination, please see the link and the video below
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March 17, 2016
Answer: Chin implant and rhinoplasty candidate The photographs demonstrate an overly projecting nose, and an under projecting chin. Consider placement of a chin implant to bring the mandible forward to help with facial balance and proportions, especially with respect to the overly projecting nose. Chin implants are manufactured in a large variety of sizes and shapes, and are usually placed through an incision underneath the chin. A chin implant is very complimentary to a rhinoplasty procedure which will decrease the projection of the nose. Simple liposuction in the neck can also remove the fatty deposits in that location. For more information and many examples of this combination, please see the link and the video below
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