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Chin augmentation - either sliding genioplasty or chin implants. I personally prefer sliding genioplasty, where the chin bone is cut through an intraoral incision, advanced, and secured with titanium plates. It is approximately a 45-minute procedure. Chin implant is also a good option; however, they carry a higher risk of infection, in which case the implant may need to be removed.
In order to provide an improved definition of your jawline, I would recommend a sliding genioplasty to advance your chin and mandibular angle implants to enhance lateral definition. Another consideration would be a custom "wraparound" mandibular implant.
Seek the adice of honest friends and relatives, probably they all told you getting surgery on your face was pointless since you are pretty and well made.
I think a reduction genioplasty will help balance your face. I would not recommend cheekbone reduction—you have very nice cheekbones. If anything, a small amount of fat grafting under the eyes could help address the hollowness. You may also consider a fine rhinoplasty to remove the dorsal...
V-line jaw contouring can achieve the desired result by shaving and reducing the jawline. It is performed through intraoral incisions, so there are no visible scars on the face.
Yes, there are several options to consider for achieving this. Genioplasty, if done correctly and designed specifically to your case, or simply shaving the chin (at the right place), can do that.
The amount of sagging depends on how much reduction is done. However, the approach you show here is really not very good. You end up with irregular bone edges and require a substantial amount of metal to be used. We have been doing this kind of surgery for 20+ years without those problems.
If you are looking for a significant slimming of the mandibular angles, then complete removal of the angles of the mandible is best. Cortical osteotomies will provide much less cosmetic changes. Having performed multiple gender affirmation surgeries, I have not seen sagging or Masseter muscle...
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