Long face and weak chin with weak cheeks, what can be done? (Photos)

Question

I have a long face. My forehead isn't very big, but the lower part of my face is much longer. I do not have a very nice profile and on days that I am a bit bloated my face appears to be much larger and longer. Due to stress, I have lost a lot of cheek fat which may add to my long face. I also have a small mouth and lips. What would be recommended to balance my face? Would I be able to have a stronger, shorter chin with just fillers? Or would it need to be invasive?

Michael P. Morrissette, DDS, FACS · Answer

Thank you for the photos. Based on the information that you provided, I would recommend a chin implant to increase the length of your chin (the height of your chin is good). In addition, I would recommend cheek implants to provide the ideal "triangle of beauty". Fillers can provide the same cheek fullness, but they need to be replaced often. Both procedures can be performed simultaneously and can be accomplished in the office with intravenous sedation. Good luck.

Manish H. Shah, MD, FACS · Answer

Hello LucilleA - Thanks for your question. As long as your teeth fit properly, you might benefit from a properly performed chin implant procedure. For an invasive procedure, it is quite easy to perform in the office under local anesthesia. Fillers can be used to refill and shape the cheeks. Filler for the chin tends to be disappointing when looking at before and afters, though I believe appropriate use of Radiesse has a better chance of creating a nice chin on profile long term than use of hyaluronic acid fillers. I recommend that you consult with a facial surgery specialist for more information. Good luck, Dr. Shah

William Portuese, MD · Answer

From the limited photographs, it appears that there is a weak and recessive chin profile for which a chin implant can improve significantly.  Chin implants are manufactured in a large array of sizes and shapes, and are usually placed through a small incision underneath the chin under local anesthesia as an outpatient surgical procedure. In our practice, we use Implantech silastic chin implants for over 25 years. The implants can even be custom carved when necessary. For more information, diagrams of the implants and many  before and after examples, please see the video and the link below

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

What you need is a chin implant that can be positioned to provide you a longer and wider chin region that will improve your proportions immensely. Please see link below for photos.

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

Thank you for the question and at a complimentary consultation with an expert in the field that uses digital photography you will be able to see how your face might look with surgery and become informed how it might be accomplished.  So see some experts in your area that use this techniqueDr Corbin

Long face and weak chin with weak cheeks, what can be done? (Photos)

Answers (9)