Chin augmentation - implant or fat? (Photos)
Doctor Answers 6
Chin augmentation - implant or fat?
I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty. I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone. In my opinion, you are a good candidate for chin implant surgery.
Dermal fillers can augment the posterior jaw line creating a balance while still maintaining a feminine facial shape overall. I do want to mention that your cheeks are quire flat anteriorly (in the front). 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 with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.
Fat transfer, despite it's current popularity, is far less reliable at creating the desired contour than an off the shelf dermal filler or cheek implants and for that reason, I do not use fat for Chin or Cheek Augmentation.
Hope this helps.
Chin Implant and Neck Fat Removal (Liposuction, Lipectomy)
You are a very good candidate for chin implant. A weakly projected chin is a bony deficiency, not a soft tissue deficiency, so you would want to use an implant (which "pretends" to be bone) not fat. Ideally, you would bring your chin forward about as far forward as you lower lip is, but this is not realistic in your case. It is important when doing a chin implant to consider the sub-labial sulcus (the dip between your chin and lower lip). At present, you don't have much of one, which is a good thing because a chin implant will create one. A sulcus is not a bad thing unless it is too deep. Part of selecting an implant size and shape is to make certain that the sulcus is not too deep..
As far as removing fat from your neck. Certainly this will probably help. Without an exam, I can't say for sure how much fat is available for removal. I would speculate that you can lift the angle of your neck about 1/4 inch which would be a real change and very much add to the chin implant result.
Both a chin implant and neck fat can be removed through a small incision under you chin. A chin implant only can be done either through your mouth or from under the chin. As I perform the surgery, my "under the chin" incision is about 1/4 inch long and in a left-right orientation. It hides very well. I prefer silastic implants as they have many decades of proven safety and can be placed through a very small incision.