What is the best way to restore a chin and jawline that has thinned with age?

 Fat grafting is definitely an option. There are some benefits and downfalls to that. Honestly, some fillers do a good job for exactly this. Radiesse for instance does have some permanent qualities.    Implants are becoming less and less common because of the infection risks and the incision required to place them.  

 Hope this helps,

Best of luck,
DrC

Implants are generally better to augment chin and jaw bone, as compared to soft augmentation with fat or fillers. Some patients have a small or thin chin from an early age, while everyone loose facial volume with age. However, each patient is unique and your plastic surgeon can help guide appropriate options after examination. Read more in the blog link below.Best, Dr. Chaboki

Estuht.  Fat transfer from the tummy or thighs to the face is an excellent option for people of all ages. Younger patients can enhance their cheekbones or lips with fat that is natural and long lasting. As we age, our face deflates, losing fat, causing sagging skin to look more obvious. Fat grafting to the face rejuvenates the face with biological filler, your own fat! I frequently use fat transfer to my facelift patients to enhance and prolong the result. Depending on the individual, one treatment does the trick, but sometimes secondary touch ups are needed.  Be sure to consult with a board certified plastic surgeon. Good luck!

I am unclear as to exactly what you mean by thinning. I suggest you get an in person consulation to determine exactly what is bothering you. If you feel there is excess skin on the jawline and chin area, then tightening procedures are available- they vary from non-surgical to minimally invasive to surgery. So the consultation will determine exactly what you need and what your expectations are. 

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Fat grafting or medpor implants are the two best options in my experience.  It would be very helpful to also evaluate a true lateral profile picture of your chin.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thank you for your photo. A chin implant would be a longer lasting option in comparison to fillers. Please make sure you seek treatment from a board-certified dermatologist. 

I prefer to use fat grafting to improve areas of deflation.  You are best seen in person to determine if you need fat or more than just fat.

The best method in my experience to improve an aging jawline is by placing a specially designed chin-jawline implant. (it looks a very much like an extended chin implant) It has long wings that go back along the jawline to add some modest definition of a lost jawline. It does not have to be big, it just has to provide some enhanced definition of the jawline.