Chin implant or sliding genioplasty? (photos)

Chin augmentation with an extended anatomic implant should make a significant improvement in your chin. The asymmetry will be less and, if needed, there are ways to add more augmentation to the more depressed left side.

Hi, I have performed many facial shaping procedures for over 30 years using dermal fillers, facial implants (cheek, chin) and facelift procedures as needed.  I
tell potential facial shaping patients to think of creating a more beautiful or
handsome face by working on three tissue levels.  The bony structure
should be appropriate to make a woman’s face heart shaped and a man’s face
chiseled and angular which is described below.  Next the fatty layer
should be reduced or shaped allowing the shape to be seen and finally excess
SMAS and skin evidenced by the presence of jowls) should be removed from the
face and neck.  From the attached photos, the cheeks
are flat anteriorly (in the front), the chin is weak, there is excess facial and neck fat along
with excess facial skin evidenced by jowls and nasolabial folds.  These
combine to create an elongated to rectangular shaped face which is a relatively masculine shape.   Following the beauty principles
outlined in my book on face and body beauty, 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.  Cheek augmentation using a dermal filler
(I prefer Restylane Lyft) or with cheek implants for a permanent enhancement
will create full, round cheeks anteriorly that will feminize the entire face.  When the chin is weak, this creates an imbalance making the nose appear
larger, the mid face top heavy and the lower face appear shorter which
de-emphasizes the shape and fullness of the lips.  Chin augmentation,
using a chin implant, will add projection to the chin creating harmony and
balance to the lower face.  I have found placing a silastic chin implant through
a small, curved, incisions under the chin to be very safe, quick, highly
effective and far less invasive than a sliding genioplasty that requires bone
cuts with placement of screws and metal plates.  Jowls are sagging facial
tissues and an indication for some form of a SMAS facelift.  The
underlying SMAS layer, of the face, must be dissected, lifted, trimmed and
re-sutured.  The excess skin is then removed and the facelift incisions closed.  My most popular facelift is the
minimally invasive, short incision facelift that has all the benefits of more
invasive facelifts (traditional, mid-face, deep plane and subperiosteal
facelifts) but with these added benefits:

•very small incisions

•minimal tissue dissection = less
bruising and swelling = rapid recovery

•can be performed in 90 minutes or
less, with or without anesthesia

•no incisions within the hair = no
hair loss

•excess fat can be removed

•excess skin removed

•cheeks, chin and jaw line can be
augmented with dermal fillers (I prefer Restylane Lyft) or facial implants

•most patients fly back home to parts
all over the world in as little as 3 days post-opHope this helps.