Chin implant AND buccal fat removal?? Or would an implant correct lower portion of face? (photos)

You have a few options to achieve a stronger-looking chin and profile. If you’re not sure you’re ready for surgery, but still want to improve and strengthen your chin and profile, I’d suggest augmenting your chin with Sculptra and/or Voluma. If you like your new look, you can make it permanent with a chin implant. Buccal fat excision is an appropriate surgical procedure for patients that of overly full and wide cheek areas. In common terms, it is good for patients who have chipmunk cheeks. In reviewing your pictures, is difficult to tell if you're a good candidate because your cheek area is slightly full but not overly full. You are a patient that would need an in person consultation for a complete evaluation and explanation of the positives and negatives of these procedures in your situation. I hope this helps.

The best way to achieve your goals is a combination of chin augmentation and perioral liposuction. A buccal lipectomy treats fullness higher up in the cheeks right under the cheekbones. The fullness down by the sides of the mouth is a different fat area.

The side profile photographs demonstrate a weak and recessive chin profile for which a chin implant can improve. The mandible, the chin, and the implants are all three-dimensional structures, and the augmentation occurs in all three dimensions. Most of the augmentation occurs in the forward projection, but there's a small amount of additional width added as well. For more information about the implants themselves including diagrams, please see the link and the video below

Thank you for the question and photos and I would go on some complimentary consultations with experts who use digital photography to show you how you might look after surgery and educate you on how it might be performed Dr Corbin

  Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (for the cheeks, chin and/or lips), liposuction and/or facelifts for over 30 years.  From the photos, your cheeks are very flat (actually concave) in the front, there is excess fat in front of the cheeks and the chin is quite weak.  These combine to create an elongated, thin, rectangularly shaped face.  
 Following my beauty principles, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  When the cheeks are concave or flat in the front, cheek augmentation with a dermal filler or using silastic cheek implants (for a permanent enhancement) will create full, round cheeks that will feminize the entire face.  Liposuction can reduce the excess fat to further shape the cheeks and face.  In contrast, removing the buccal fat (which is actually below the cheek bone itself) alone by any method would not properly shape the cheek bone itself.  For this reason, removing buccal fat, is an outdated and ineffective method of shaping the cheeks in my humble opinion.
 There are many faces that have excess fat over the cheek area which hides the "true" shape of the cheeks below.  In addition to obstructing the cheek shape, this excess fat will sag prematurely as it is pulled by gravity at an accelerated rate versus a face without excess fat in the mid face.  Removal of the excess fat, with liposuction, is key when properly shaping the cheeks with cheek implants.  I have used this in combination with cheek implant surgery for 30 years.  In my experience these procedures when combined in a face with excess fat in the mid face are extremely safe, effective and reliable in the aesthetic results they produce.
 I have performed many Chin Augmentations using chin implants for over 30 years.  A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. 
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty.  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.
 The back portion of your jaw line is a bit weak and can be augmented, without making your face appear masculine, using precise placement of a dermal filler (I prefer using Restylane Lyft).  
Hope this helps.

Dear Jenniferlynn, I would suggest a chin augmentation and a incremental removal of the buccal fat pad to reduce the fullness in the lower cheek area and provide projection in the chin. This will provide a nice balance to your profile and overall facial aesthetics. This is a very common procedure in my practice and I would be happy to show you many before and after photographs that are in my office that are approved for in office showing but not for the website. This will give you a good idea of what this combined procedure can accomplish for you. See examples in the link and video below. Best regards, Michael V. Elam, M.D.

No, the chin procedure would be enough and be cautious about over doing it since your jawline contours may lose a 'soft' look and become harsh with too much definition. The frontal view is as important as the profile when considering chin procedures so talk to the Surgeon about that issue.