Chin implant or sliding genioplasty? (Photo)

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

Greetings!
In my opinion, I think you would benefit from a sliding genioplasty for the following reasons:
(1) The genioplasty can be designed to give your more length to your jawline,
(2) Chin is advanced and the accompanying tissue moves forward naturally
(3) The muscles that are attached to the portion the chin that's advanced, will help improve the contour of your neck as well.

Whether you have a chin implant or sliding genioplasty, keep in mind that the deep groove beneath your lower lip may be accentuated.

Best wishes!

ESJ

#TruthAndTransformation.

Hello, hope you are well. Thank you for your photos and questions! I would recommend a chin implant. Either way allows you to achieve good projection of the chin by augmenting a deficient profile (microgenia). However, there are a few significant advantages of implants over sliding genioplasty: it can be performed in the office under local anesthesia, the recovery is easier, and there is less inherent risk in my opinion. The neck contour can also be improved with NeckTite/liposuction and/or a surgical neck lift. Hope this helps!
Best,Dr. Tower

Regardless what type of chin augmentation you select, shaping of the neck by means of anterior neck lift would be necessary for good result. My suggestion would be neck lift and chin implant. This can be achieved through a small incision underneath the chin. In person or teleconference consultation with a plastic surgeon familiar with these procedures is recommended. Good luck.

It appears that your chin is both recessive and short in the vertical plane. A chin implant will help with the horizontal recessiveness but will make your mentolabial fold appear deeper. A genioplasty can correct both the horizontal and vertical problem simultaneously. In addition, I would recommend jawline and submental liposuction.

Chin implant is an easier procedure and is also wider than the sliding genioplasty. It will give better projection and is done intra-orally. Your neck would benefit from liposuction. Depending on your age and skin elasticity you may need surgical tightening of the skin.

Best Wishes,

Gary Horndeski, M.D.

The photographs demonstrate a recessive chin, and extensive fat deposits in your neck, located both above and below the platysma muscle in your neck. Placement of a chin implant can accomplish giving you more chin projection. A surgical neck lift with liposuction is going to be required to remove both compartments fat in the neck, which also includes a platysma plasty to significantly improve your jawline.

Facial aesthetics are primarily determined by bone structure.
Soft tissue coverage tends to be far more consistent from person to person.
It is the bone structure that gives each unique person their identify of all facial features. Period.
Issues related to the lower third of the face are generally related to the shape and size of the mandible, especially the relationship between the mandible and the maxilla.
Quality mandibular assessment needs to consider the entire mandible not just the tip, mentalis or chin.
Implants and the sliding genioplasty both have advantage and disadvantages.
One procedure is not better than the other.
It seems to me that oral surgeons tend to prefer the sliding genioplasty. Well plastic surgeons tend to prefer implants.
Both backgrounds can do both procedures, and in the end, skill and experience is probably far more important than where someone went to school.
That said, I do find oral surgeons seem to see things more from a facial, skeletal perspective while plastic surgeons training is more focused on soft tissue variables.
My recommendation is to consult with both oral surgeons and plastic surgeons in your community.
See what each provider has to say.
If nothing else, I always recommend patients have multiple consultations before selecting a provider.
During each consultation asked each provider to give you an assessment and explanation of what surgery they recommend and why.
Ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who had similar facial characteristics to your own for whatever procedure they recommend.
an experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Being shown a handful of pre-selected images, representing only the best results of a providers career may be insufficient to get a clear understanding of what average results look like in the hands of each provider, what your results are likely to look like, or how many of these procedures they’ve actually done.
Sometimes a combined procedure, addressing both skeletal and soft tissue structures can give better results than one based on a single variable alone.
Sometimes soft tissue solutions may seem more acceptable than skeleton solutions that may seem overly invasive or undesirable.
Recognize that soft tissue solutions used to treat problems based on skeletal structure are at best Going to give you partial results.
There’s no correct number of consultations needed to find the right provider.
The more consultations you have the more likely are to find the better provider for your needs.
Often the problem is not simply advancing the mentalis.
Most people who have issues related to their mandible have issues issues related to their entire face, and this is more extensive than simply augmenting the chin.
That doesn’t mean that an implant or sliding genioplasty aren’t going to give improvements.
The key is to get the best understanding you can of your own candidacy for various procedures and this includes a quality comprehensive assessment regarding facial aesthetics, which it turns out is inherently complex, and some people do this better than others.
Schedule a few consultations and see what they have to say.
It’s not a bad idea to bring a complete set of facial pictures with you during consultations to use as reference.
We often don’t remember what we look like.
Best,
Mats Hagstrom, MD