Chin implant or sliding genioplasty? (Photo)

Question

As you can see from the pic I have a weak chin and neck fullness (mainly due to anatomy) and my goal is to have my chin augmented vertically and laterally (more vertically) to have a better neck angle (see simulation pic). Can this be achieved w/an anatomical implant or would I need to have a sliding genio? I’ve considered the vertical lengthening implant but am concerned about stability. I’d prefer to get an implant for financial reasons but don’t want to waste money if the SG is my only real option.

Jonathan Kulbersh, MD · Answer

Yes, a chin implant could improve the shape and projection of your chin. When well placed by an expert, a chin implant can last for decades or a lifetime. You can choose a chin with will give you a better projection and smooth the jawline. Neck liposuction could also define and contour the jawline. A consultation with a board-certified facial plastic surgeon is important; for the patient to be evaluated, their goals discussed, and a custom treatment plan decided upon. I hope this helps.

Randal Haworth, MD, FACS · Answer

There are a variety of techniques that can be used to augment the chin and improve your profile. A more temporary approach includes dermal fillers (e.g., Sculptra, Voluma, and Radiesse), while fat grafting, use of permanent fillers (Aquamid, Bellafill ) and facial implants would offer a more permanent solution. A sliding genioplasty is a procedure that I feel gives a rather blocky, unrefined look in a number of cases. However, in severe cases, this may be the best option. One also has to evaluate your actual bite through orthgnathic analysis and possible orthodontia. To address your concerns I would recommend having an in person consult with a board certified plastic surgeon who specializes in facial aesthetics.

Jeffrey Jumaily, MD · Answer

I don't think you need sliding genioplasty. I think chin augmentation would be a good option for you. The neck can be treated with liposuction to give it a little more shape and contour. Hope this helps. Let us know if you would like to schedule a consultation. Best wishes

William Portuese, MD · Answer

A sliding genio-plasty is performed by an oral surgeon under general anesthesia in a hospital setting with an overnight stay, and is usually performed when the  teeth are significantly out of alignment. When patients simply desire a cosmetic augmentation to the chin, a chin implant is inserted. The photograph also demonstrates significant fatty deposits in the neck and a short platysma. A neck lift procedure can accomplish removal of fatty deposits  located both above AND below the platysma muscle in addition to a platysma plasty. Liposuction will only accomplish removal of the fatty deposits above the muscle, and will only give a minimal result. The chin implant and the neck lift would be complementary to each other. For many examples of this combination, please see the link and the video below

Arian Mowlavi, MD, FACS (license on probation) · Answer

You never want to make a surgery more complicated than it needs to be. For you, a medium sized chin implant AND liposuction of your neck is all that is needed to get you an excellent result. Please consult a chin specialist to provide you morphing of what you need.

Frederic H. Corbin, MD (license restricted) · Answer

Than you for the photos but an examination is needed.  So go on some complimentary consultations with experts and be evaluated in person and compare recommendations and look at photos of similar patients and find your surgeon Dr Corbin

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek, chin, lips), liposuction and/or facelifts for over 30 years.  Following my beauty principles, men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles.  From the photos, your cheeks are flat anteriorly (in the front), there is excess fat and skin in front of the cheeks and under the chin, chin is weak as are the mandibular angles.  The following procedures would create a more ruggedly handsome face.
Cheek augmentation with cheek implants to add angularity to the cheeks and mid face.  Liposuction can be combined to reduce any excess fat to further shape the cheeks and face.
Chin augmentation, using a chin implant, to add projection to the chin creating harmony and balance to the lower face.  I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess fat and skin removal from under the chin) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut bone segments).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.  
Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line.
Hope this helps.

Gerald Wittenberg, MSc, DMD (retired) · Answer

The SG will extend the muscles under the neck so it is much preferred in your case. Also the implant will "sink' into the bone in your anatomy so it is not ideal.

Michael Elam, MD (retired) · Answer

Dear Bryan, You would be an excellent candidate for chin augmentation and sub-mental liposuction to provide a better balance to your profile and overall facial aesthetic. A sliding genioplasty is a more complex procedure that is usually performed if you have problems with your bite. I would suggest consultation with some experts in the field and have imaging performed to show you the proposed changes and then make an informed decision. See many examples in the link and video below. Best regards, Michael V. Elam, M.D.

Chin implant or sliding genioplasty? (Photo)

Answers (9)

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