How can I create more jawline definition - Chin implant, lift or filler? (Photos)

Question

What do you recommend I get to define my jaw? I don’t have much fat. I’m a 31 year old (120 pounds), who would like to avoid surgery but is also desperate for some definition. Thank you!

Michael P. Morrissette, DDS, FACS · Answer

Non-surgical treatment options are limited to injectable fillers, which have to be repeated each year. A permanent yet reversible solution would be a silicone chin implant. Another option is a sliding genioplasty. When the chin is in a normal position, it improves the overall facial balance.

Daniel Barrett, MD · Answer

Dear janetteaq,

it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Carl Truesdale, MD · Answer

The right intervention depends on what's actually limiting your jawline, and the three options work in different ways.
Chin implant adds bony projection at the front of the jaw. If your chin is recessed or weak relative to your upper jaw and nose, the implant gives the foundational length and projection that makes the jawline read sharper. It's permanent (or at least very durable) and the change is dramatic in the right candidate.
Sliding genioplasty is the surgical alternative to a chin implant. Instead of placing foreign material, the chin bone is cut and repositioned forward (and sometimes vertically). More dimensional control, longer procedure, slightly longer recovery. Better choice if there's a vertical or asymmetry component to your chin.
Facelift or neck lift addresses skin laxity and jowling that obscure the jawline. If your underlying bone is fine but you have soft tissue draping or jowls hiding the jaw, surgical lifting is the answer.
Filler is the trial run. Hyaluronic acid filler in the chin and jawline angle previews what implant or lift would do, lasts 12 to 18 months, and reverses. Great for patients who want to test the look before committing to surgery.
How to choose:
If your jawline angle and chin position look weak in profile, chin implant or genioplasty.
If your jawline is obscured by loose skin or jowls but the bone is fine, facelift or neck lift.
If you have both (common in the 50+ age range), the combined approach gives the strongest result.
A consultation with a surgeon who does all three lets you compare options without bias toward what they specifically perform. Ask to see before/after photos for each procedure in patients with anatomy similar to yours.

Timothy Osborn, MD · Answer

We don't have a frontal view so see the width of your chin, but based on the side profile it looks like you would be a great candidate for a genioplasty. It is a quick (1 hr) procedure under IV sedation we perform very frequently at our office. Let us know if you'd like to discuss things further during a virtual consultation. We use photos and fairly accurate simulations to help you achieve the definition and projection you look for.

Gary M. Horndeski, MD · Answer

You would benefit from a chin implant.  This is done through an intra-oral approach so there are no external scars.  This takes 1 hour to perform under general anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.

How can I create more jawline definition - Chin implant, lift or filler? (Photos)

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