Chin implant or sliding genioplasty? (Photo)

Question

I feel like I got a triple whammy. Long skinny neck, round cheeks, and a small chin. I’ve become increasingly insecure about the chin. Based on what you see, would a genioplasty be better or an implant? I’d like a bit more definition in my jawline and a bit less of a double chin when I smile or turn my head down at all.

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

Earl Stephenson, Jr., MD, DDS, MBA · Answer

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.

Jacob Tower, MD · Answer

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

Zoran Potparic, MD · Answer

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.

Michael P. Morrissette, DDS, FACS · Answer

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 or sliding genioplasty? (Photo)

Answers (8)

Answer: Chin augmentation and neck contouring, neck lift

Answer: Chin augmentation and neck contouring, neck lift

Answer: Genioplasty versus chin implant

Answer: Genioplasty versus chin implant

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Everything you need to know about Chin Implant

Our mission is to create a world where every investment in modern beauty is Worth It.

Chin implant or sliding genioplasty? (Photo)

Answers (8)

Answer: Chin augmentation and neck contouring, neck lift

Answer: Chin augmentation and neck contouring, neck lift

Answer: Genioplasty versus chin implant

Answer: Genioplasty versus chin implant

Browse related questions

Recommended reading

Everything you need to know about Chin Implant

Our mission is to create a world where every investment in modern beauty is Worth It.