Jaw surgery? Sliding genioplasty? Or fat transfer? Unsymmetrical face.

There are a variety of techniques that can be used to correct facial asymmetry and also give the appearance of a more defined jaw line. 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. To address your concerns I would recommend having an in person consult with a board certified plastic surgeon who specializes in facial aesthetics and contouring.

I recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results. Well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra can improve facial symmetry and provide volume where needed. Implants or fat would be permanent solutions. Best, Dr. Emer

While you can not reduce/reshape your jawline to look like your ideal goals, you can make significant improvements. You can only be effectively treated byV Line jaw reshaping surgery consisting of a t-shaped chin osteotomy to narrow, vertically shorten and bring it forward. This would need to be combined with small vertical lengthening jaw angle implants. Together this would make for a more v-shaped and feminine jawline. 

Thank you for posting your questions. Everyone's face is a little bit asymmetrical by nature, but implants may help giving you the definition and augmentation you desire. Implants are made out of a variety of FDA approved materials which have been safely used for many years. These materials are well tolerated, are permanent and do not elicit a reaction from the body. I would recommend meeting with an experienced physician in-person to determine what treatment option may be the best for you. Best of luck.

This is a very good question.  There are many solutions for this, however I believe that fat transfer is the best solution for hits problem.  I have been using fat transfer to the jaw rather than implants for a very long time.  Fat transfer can give an excellent result and permanent result.  By utilizing fat transfer, the shape can be tailored to your jawline and chin.  If a patient has a chin implant already in place, the shape can be altered leaving the implant in place.  Fat placement can create a 3 dimensional shape to the chin and jawline with giving projection in every direction needed.  This includes anterior, forward, and inferior.  Also, if a chin implant is mal positioned and the shape is off, this can be re-shaped and camouflaged with precise placement of fat to augment the chin shape.  I feel this is a far better procedure for chin augmentation than an implant.  Good Luck with your search.