Small, weak chin and jowl dips. Not interested in fillers, what procedure would be best for me? (photos)

Based on the photos you provided, you have a recessed chin, and you may be an ideal candidate for a chin implant. A chin implant is an excellent chin augmentation procedure that provides significant contour improvement and permanent results. It is also a good option for you since you don’t like fillers.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can do a proper evaluation of your facial features and tailor the best procedure plan that will achieve the best possible results.

I would recommend a genioplasty. This would give your chin more projection, add length and definition to your jawline and fix the slight asymmetry. With that, you may also benefit from buccal fat removal, which would reduce some of the fullness in your lower cheeks. You may also consider jawline lipo, but the genioplasty itself may get you the results you are looking for. Our office provides simulated morph photos of expected outcomes and we are happy to schedule a virtual or in-person consult to discuss things further!

​I find that VASER liposuction in combination with Renuvion or ThermiRF are best for contouring the chin in those who are candidates, but Kybella can be used as an alternative and gets better results when combined with Thermage/Ultherapy/Exilis, TruSculpt iD, or Coolsculpting. I recommend getting a formal evaluation with an expert. Best, Dr. Emer​

In an hour in the office you can get so much closer to what you're looking for. A chin implant done through your mouth along with some neck liposuction, or energy such as necktite, will be your best choice. I would not go with fat injections or threads. Watch our videos to learn more.

When thinking about chin augmentation, a chin implant or sliding genioplasty are the two main options. It is also worthwhile to have the surgeon look at your teeth to see if additional jaw surgery may be beneficial. In profile view, there is great upper lip support. Both chin asymmetry and protrusion can be addressed very well with sliding genioplasty.

Thank you for providing the pictures. I understand how important it is to address your previous experience with jawline and chin fillers and find a suitable solution for your current situation.
Based on the images you've provided, it is evident that you desire a more balanced and harmonious facial profile. A custom chin implant, tailored specifically to your unique facial anatomy, can be the ideal option to achieve the desired outcome.
Unlike fillers or threads, a custom chin implant is designed to fit your facial contours perfectly, providing a natural and symmetrical look. It allows for precise augmentation to address any irregularities and create the ideal balance between your chin and jawline.
While fillers may offer temporary improvements, a custom chin implant provides a permanent solution. It will maintain its shape and position over time, ensuring lasting results.
The procedure for a custom chin implant is relatively straightforward and minimally invasive. It involves a small incision made under the chin or inside the mouth, making a recovery faster and more comfortable.
The custom chin implant can not only improve the projection of your chin but also enhance your jawline definition. This will create a more defined and attractive facial profile.By addressing the unevenness in the front view of your chin and enhancing your jawline, a custom chin implant will help bring better overall facial balance and proportions.
Considering your previous negative experience with fillers, a custom chin implant can be a safe and effective alternative that ensures a predictable and positive outcome.
 

You look like you would be a good candidate for a chin, implant, or sliding genioplasty.
Both procedures have certain advantages and disadvantages. It seems like oral surgeons do more of the sliding genioplasty while plastic surgeons tend to do more implants, but both specialties contribute to this part of facial aesthetic surgery.
I suggest having a few in person, consultations and see what each provider has to say.
All people have facial asymmetry. The asymmetry may still be present after surgery.
Best,
Mats Hagstrom, MD

Depending on your goals one could combine a genioplasty with jawline augmentation to recontour improve the full jawline and improve some of any asymmetry