How can I improve my side profile and front profile? (Photos)

Question

I think I need a chin augmentation as my chin is quite recessed and I hate how it looks but what else would help with my side profile? I'm only 20 so what are my non surgical or surgical options?

Rajat Gupta, MD, MS, DNB · Answer

Seeing your side profile, you need a chin augmentation. Chin augmentation can be non-surgically via fillers and surgically by using chin implants. I can’t assess you photo completely for the frontal profile, but I can see you can do something to make your nose little sharper.

Larry S. Nichter, MD, MS, FACS · Answer

Without an exam your question cannot be answered.  You will need to see an Oral/Maxillofacial surgeon to see if othognathic surgery, genioplasty or using an implant is best for your specific case. It should be noted that patients with severely weak jaws or abnormally functioning jaws may be better treated with other facial surgery (orthognathic surgery), although a chin augmentation may be an option at a later time. These patients should seek the advice of a plastic surgeon to determine which course is right for them. Here is some information to help you make this decision: Candidates for Chin Augmentation - Patients whose chin profiles are weak but have normally functioning jaws are candidates for Chin Augmentation. Many of these candidates have used injectable fillers in the past to strengthen the protrusion of their chins, but are looking for a permanent solution. If you are one of these patients, then you are a likely candidate for chin augmentation
#weakchin #chinimplant

Zoran Potparic, MD · Answer

It looks that chin augmentation would be a good procedure for you. It can be achieved with soft tissue fillers and will give you opportunity to see result of augmentation without committing to that permanently. If you like it, you may consider continuing with fillers, have chin implant or augmentation with fat grafts. In-person consultation with a board certified plastic surgeon with expertise in chin augmentation would help. Good luck.

Pedram Imani, FRACS, MS, MBBS (Hons) · Answer

A small chin can be augmented by either surgery or non surgical techniques.  The non surgical approach is a good first step to see if you like the result as surgery is permanent.  I use a Calcium hydroxylapatite filler which results in both soft tissue augmentation and collagen stimulation and the results last up to 12 months and increase with second and third injections.  Its very safe and effective.  Surgical options are a chin silicone implant or bony surgery.  I prefer the silicone implant as its far less invasive.  In summary try the non surgical option first to see if it is what you like.  Hope this is helpful.

Omar Fouda Neel, MD, FRCSC, FACS · Answer

Thank you for sharing your question and for providing photos. Chin implant would significantly improve your side and front profile.There are two different types of chin surgery; however, implantation (mentoplasty) is the most common and sought after procedure. Chin implants can be removed if need be and are made of synthetic materials that are not only completely safe, but they also feel like a real chin when touched.
On the other hand, genioplasty is a chin augmentation surgery that does not use an implant. Instead, this procedure involves moving your bone forward to increase the projection of your chin.Please see a board certified plastic surgeon familiar with this surgery.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  From the photos, your chin is quite weak.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 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 (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone).  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 (permanent enhancement) or using a dermal filler to provide a temporary augmentation.  Placement of a silastic chin implant is far more cost effective in the long run than repeated dermal filler treatments over the years. Permanent dermal fillers have too many side effects and fat transfer (fat injection) in my experience and despite its recent increase in popularity, offers "far" less of a reliable and predictable volume for facial shaping than an off the shelf dermal filler or facial implant.  For that reason, I do not use fat to shape the cheeks, chin, lips or jaw line.  Tissue physiology is quite simple.  Tissue requires a blood supply in and out as well as lymphatic connections to remain viable and alive.  Once fat is removed from the body all of these things have been disrupted.  Just because the removed fat is mixed with PRP or something else doesn't make the blood and lymphatics magically re-appear.  The fat at that point is not living tissue which means that it's prone to being dissolved by the body (most likely in an uneven and unpredictable manner).  Injecting fat back into the face does not create the required elements to make the fat living tissue once again.  So the argument that fat is alive and viable in the face once it's been removed and re-injected makes no sense to me as a physician and surgeon.
 The other issue that I have with fat transfer is the lack of precision.  Fat is thick by nature which means it's not the same consistency as an off the shelf dermal filler.  Fat injections use an increased volume injected in an attempt to compensate for the volume loss that "will" happen.  This means a lack of specific shape and volume that simply can not begin to compare with the specificity of using a silastic facial implant of a "known" shape and volume.  In that regard fat offers too much of an unknown to make it a reliable and predictable method for facial shaping.  There's a significant difference between a 3mm and 5mm thick cheek implant.  You can imagine the magnitude of difference there is between retaining 60% of 25cc's of fat versus 35%.  In my humble opinion, I just don’t see how fat could possibly be used to precisely shape facial features?
Hope this helps.

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