What do you recommend to make my face more masculine? Chin implant, Jaw implant, Buccal Fat removal? (Photos)

Question

I am a 23 year old male with a "baby" face. I constantly get mistaken for someone much younger and I think it is because I do not have sharp features. I am not overweight. What could I have done to make my face more masculine and better?

Larry S. Nichter, MD, MS, FACS · Answer

Without an exam your question cannot be answered.  You will need to see an Oral/Maxillofacial surgeon to see if othognathic surgery, genioplasty or using an implant is best for your specific case. It should be noted that patients with severely weak jaws or abnormally functioning jaws may be better treated with other facial surgery (orthognathic surgery), although a chin augmentation may be an option at a later time. These patients should seek the advice of a plastic surgeon to determine which course is right for them. Here is some information to help you make this decision: Candidates for Chin Augmentation - Patients whose chin profiles are weak but have normally functioning jaws are candidates for Chin Augmentation. Many of these candidates have used injectable fillers in the past to strengthen the protrusion of their chins, but are looking for a permanent solution. If you are one of these patients, then you are a likely candidate for chin augmentation
#weakchin #chinimplant

Ariel N. Rad, MD, PhD, FACS · Answer

Hello,I agree that your lower face shape is round and that a combination of fat removal and implants will help define our facial contours. A small under-chin incision gives access to place a medium chin implant and also to perform neck contouring with direct fat excision. Removal of buccal fat and also placement of mandible (jaw) angle implants can give your lower face a more chiseled look with invisible incisions within the mouth. Seek the expertise of a plastic surgeon who is Board certified and has expertise in cosmetic facial implants and contouring. All the best in your search,Dr. Rad

Zoran Potparic, MD · Answer

From your photos one could conclude that chin implant and neck contouring by means of liposuction would create desired look. Possibly reduction of buccal (cheek) fat pads would further contribuite to desired shape. You should seek in person consultation with an experienced board certified plastic surgeon with good reputations in these procedures. Good luck.

Barry L. Eppley, MD, DMD · Answer

Your observations are correct in that your face is naturally rounder and fuller without well defined features. While you can never have a very angular face there are improvements to be made. Chin augmentation, submental/neck liposuction, buccal lipectomies and perioral liposuction are the most basic procedures you need. Whether cheek and jaw angle implants would also be beneficial requires computer imaging analysis.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures using dermal fillers, facial implants (cheek, chin), liposuction and/or facelifts for over 30 years.  Following my beauty principles, men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles.  From the photos, your cheeks are flat anteriorly (in the front), the chin is weak as are the mandibular angles and there is excess facial fat in front and below the cheeks.  This combines to create an elongated oval shaped face.  The following procedures would create a more ruggedly handsome face.
Cheek augmentation with cheek implants to add angularity to the cheeks and mid face.  Liposuction can be combined to reduce any excess fat to further shape the cheeks and face.
Chin augmentation, using a chin implant, to add projection to the chin creating harmony and balance to the lower face.  I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  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 bone segments).  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.  
Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line.
Hope this helps.

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