Would a chin implant be suitable for my neck-heavy appearance? (Photo)

Question

Hi, would a chin implant help with the neck-heavy appearance I have? Also, can they be positioned at an angle to bring more vertical height to the face?

Zachary Farhood, MD · Answer

Addressing your chin via an implant or genioplasty would help somewhat, but also addressing the neck with either liposuction or a neck lift would give you more contour to the area. Would need a formal consultation to determine which is right for you but all reasonable options to consider.

Jason Emer, MD · Answer

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct your chin.

We can place a chin implant, which is a quick surgical procedure. Many of my patients try to avoid surgery, however, so for those patients, we also offer non-surgical chin augmentation with injectable fillers. Fillers like Radiesse, Voluma, BellaFill, and Sculptra are injected into the area to improve the overall appearance of the lower face and balance the jaw and lip harmony. We use cannula injections to meticulously contour and project the chin, soften the chin along the jawline, and improve the chin crease.

For improved jawline definition and decreased neck fullness, you would likely want to consider a deep cervicoplasty or "necklift" (possibly with a facelift). This is a very complex surgical procedure since it involves dissection and manipulation of the deeper neck structures (the anterior digastric muscles, submandibular glands, etc) and the anatomy is extremely complex in this region. For this reason, if you consider something like this, I would only recommend going to an experienced facial plastic surgeon like Dr. Donald Groves, or another surgeon with significant experience in complex face and neck aesthetic procedures. Otherwise you will end up with serious issues, or inadequate results that you will not be happy with.

Implants are a great option once you are ready for permanent chin enhancement.​ I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Groves; we are both located right here in Los Angeles.

Best, 
Dr. Emer

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. It's likely that chin augmentation can reduce the heavy-neck appearance you describe while defining the chin and jawline contour. Inserting an implant customized to a size and shape that accentuates your other facial features can create a harmonious result. 
It’s also possible for the jawbone to be moved forward to create further definition, and possibly add more vertical height to the face. Chin augmentation is often combined with other procedures as well to optimize results. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your cosmetic goals and suggest the best approach for you.

Zoran Potparic, MD · Answer

based on this photo, it appears that combination of chin augmentation and rearrangement of anterior neck muscles, may be needed to achieve desired neck/chin contour. Both procedures should be done in the same time through a small incision underneath the chin. In person consultation with a board certified plastic surgeon, expert in face/neck lifts, is recommended. Good luck.

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Evening! Yes, a chin implant can help with improving the appearance of the jawline and the neck. It won’t be the same effect as a neck or facelift, but it can help to strengthen the jawline and draw attention away from the neck. In your case, on profile, you could stand to have more projection - or how far your chin sticks from your face. And yes, you can tailor the implant to create more vertical height. Genioplasty is another option as well. Hope this helps!

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