I am very self conscious about my profile. Any suggestions would be greatly appreciated!
I Have No Jaw, my Neck Runs Straight to my Chin. What Can I Do?
Doctor Answers 11
The lower jaw can be underdeveloped such that the 'width' of the jaw is too narrow; leading to the appearance you mention. The plan would be to increase the width with jawline augmentation materials like Gortex; and a genioplasty to further ensure the entire jawline is continuous and natural looking. This is quite a common circumstance and is well managed by some of us who do these procedures.
It is difficult to say without seeing you in person, but there are a few options that may benefit you.
Chin implant with neck surgery will help
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Indication for chin implant
chin implant will be indicated for weak chin feature
if we have fatty neck with good chin contour, lipossuction with neck lift can be the best option.
adding chin implant will help only if on top of it we have chin contour deficiency.
Options for a weak chin and jawline
If there is a retrusive chin present a chin implant is the best option for this deficiency. A neck lift can be performed, which removes fat above and below the platysmal muscle as well as a platysmaplasty to create a 90-degree angle to the neck. Typically, for patients under the age of 50, a neck lift alone sufficient, while a face/neck lift is required for patients over the age of 50 due to skin laxity. For many examples of the combination of neck lift and chin implant, please see the link below to our neck lift photo gallery
You can expand the frame, tighten the canvas, or both...
....I liken this situation to positioining a canvas on a frame. If the frame is too small, the canvas sags. If the frame is OK but the canvas sags anyway, the canvas should be firmed and the excess trimmed.
In practical terms, I lengthen the frame by placing a chin implant. If there are problems with the temperomandibular joints (the hinge joints of the jaw) or the way the teeth come together (malocclusion) I have the patient see an oral surgeon for consideration of jaw surgery.
As far as the soft tissue (canvas) goes, if it sags I perform some type of lift - lower face and neck lift, neck tuck-up, or the MicroMini Lift TM I have developed. This depends on the patient's age and the amount of work to be done.
Liposuction of the area under the chin may need to be performed as well, either with a lift or by itself. Hope this helps.
Neck liposuction and chin implant work well together to lengthen the appearance of the jaw and sculpt the neckline
Neck liposuction and chin implant work well together to lengthen the appearance of the jaw and sculpt the neckline. In general, this is very effective. Without photos, I cannot speak to your concerns, specifically. I would recommend a consultation with a board-certified Facial Plastic Surgeon or Plastic Surgeon to assess the suitability of these procedures for you.
Thank you for your question.
Stephen Weber MD, FACS
Projection of Neck and Chin
Without pictures that show your profile you basically have 2 choices to improve the relationship between your chin and anterior neck. You can either increase the projection of your chin with a chin implant or jaw advancement and/or reduce the projection of your neck with liposuction. An older patient may also benefit with repositioning and lifting of the platysma muscle under the chin.
No jaw treatment options
A few options that may be beneficial in your case include chin augmentation, neck lift and/or neck liposuction. More could be said after seeing your neck and assessing your anatomy.
Neck and Jawline Reshaping
Your problem description is a classic one and most likely could be improved by a chin implant and neck liposuction. If you are older, you may also benefit by some type of a jowl or necklift if there is loose skin. It would be very helpful to see a profile picture of you to give a more specific answer.