Will a chin implant improve my facial symmetry? (Photo)

Question

I don't like the lower half of my face and I'm not sure how to address the asymmetrical look of it. I am not sure which of the following would best improve my lower face asthetics: chin implant, massater botox, chin filler, buccal fat removal. Which procedure would help the most? And what exactly is wrong with my face (I can't pinpoint it exactly)

Jason Emer, MD · Answer

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment.

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. We use this and/or other injectable fillers like Voluma, BellaFill, and Sculptra- these are injected into the areas of concern to improve the overall appearance of the lower face, give better definition to the jawline, and provide overall balance and harmony to the jaw, and the rest of the face. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline (and rest of the face).

I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Donald Groves; we are both located right here in Los Angeles.

Best, 
Dr. Emer

Gary M. Horndeski, MD · Answer

One thing to consider would be a rhinoplasty. Your nose is slightly asymmetrical and this would refine the tip. Also, a lip lift would help pull up the asymmetry of the corner on the right side. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. You would probably benefit from a chin implant but I would need a lateral view to give you a more accurate answer.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Lexie Wang, MD · Answer

Without other angles of your face, it is hard to say what exactly is going on. I also don't really see what you mean by the asymmetrical look of it - it looks fairly typical to me in terms of symmetry. I would absolutely not recommend buccal fat removal for you because you already have hollowing there and this would only age you. I can't tell if you need chin buildup (filler or implant) from this view, although the main thing that I see is you seem to have a hyperactive mentalis muscle, possibly due to a weaker jaw and difficulty holding the mouth closed - again, can't tell without side photos - so that seems to suggest to me you may benefit from some chin aug.

Zoran Potparic, MD · Answer

Unfortunately, without a series of good photos and/or in person evaluation it would be difficult to give you any advice. It would be best to see a board certified plastic surgeon and address these issues in person or by teleconference. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

Facial aesthetics are primarily determined by bone structure.
This in tern is generally determined by genetics.
Soft tissues tend to be much more consistent from person person.
What differentiates those who have attractive features from those who don’t is primarily based on bone structure.
It is facial skeleton structure that gives each unique person. Their unique facial features.
Issues related to the lower 1/3 of the face are generally related to the mandible.
Midface issues are generally related to the maxilla.
 There’s nothing wrong with your face.
All people have facial asymmetry.
It is normal on everyone.
No one has a symmetrical face.
During embryological development, the two sides of the face develop independently from each other and eventually fuse in the midline.
Even classical artists throughout history have been incorporated, facial asymmetry into classical works of art.
 if you look at computer generated perfectly symmetrical faces, you may notice they have an odd unfamiliar, and to some peoples opinion unattractive appearance.
Facial attractiveness is not based on symmetry, but rather based on balance.
Your face is fairly symmetrical by most people standards. Most people have more asymmetry than you do.
The fact that you don’t recognize this means that the human brain is an accustomed to seeing a symmetry has been normal.
Most people have more asymmetry than you do.
The fact that you don’t recognize this means that the human brain is a accustomed to seeing a symmetry has been normal.
Some individuals once they see it in their own face begin to focus on it.
 We typically don’t focus on other peoples facial asymmetry because the brain sees it as being normal, which is what it is.
If you want an assessment for chin augmentation, then your picture needs to include your chin.
Perhaps this part of your picture got left out from how the website cropped your picture.
A chin assessment is much better done with a profile picture.
Personally, I don’t see a strong indication for any intervention at all.
I think your face is overall well balanced, and attractive.
As I mentioned earlier, the degree of asymmetry is actually less than average.
If you want to have treatments at improving your Aesthetic appearance, then Botox and fillers is probably your best option.
These treatments have fairly high patient satisfaction and are extremely forgiving. If people don’t like the result or outcome.
I recommend patient be careful when it comes to permanent and potentially reversible surgical intervention.
To get an idea of what facial enhancement with facial volume restoration Ketchie consider looking at some of the before, and after pictures on the website of Dr. David Mabie MD in San Francisco.
He is a facial plastic surgeon whose practice is focused exclusively on facial augmentation using fillers.
His work is some of the best I’ve ever seen.
His website has an impressive collection of before and after pictures of patients of many different persuasions, including Young, old, all different racial backgrounds.
I’m not suggesting everybody fly to San Francisco to get facial fillers, but understanding what these treatments can accomplish can be helpful and assessing other providers in your local community.
Once people understand what the gold standard is, they have something to compare to in regards to judging other providers outcomes.
His work is the best I’ve ever seen, and I personally refer patients to his practice for those who want the very best.
I should also point out that his work is quite expensive in comparison to what most people charge.
Sometimes we have to pay for quality work.
Best,
Mats Hagstrom, MD

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