How can I get a more defined Jaw line? Can TMJ effect the appearance of my jaw line? (photos)

Question

I absolutely hate catching a glimpse of my side profile or someone taking a random pic of me and seeing how chunky my face is! My weight has been up and down I know Weight gain is partially to blame but my face shape is changing and so is the amount of pain I'm in from TMJ. I workout I watch my diet the majority of the time. I got a BBL/ Lipo done 4 months ago and I have no fat left on my arms stomach and back I'd really hate to lose my butt. What's the best way to go about improving my jawline?

Jonathan Kulbersh, MD · Answer

You have two issues with your profile: One is the double chin you mentioned. The other is that your chin is a little weak. Generally, chins look most balanced when they are in line with your lips; yours is recessive.
To give you a better profile, I'd recommend facial liposuction or Kybella to remove your double chin, plus a chin implant. Chin implants are easy to insert under local anesthesia in the office. They can last for years or a lifetime.
As for the TMJ, Botox injections could relax your masseter muscles and give you some relief. The TMJ shouldn't affect the look of your profile. However, once you get Botox in the masseters, it will slim down the look of your face a bit. I hope this helps.

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

Barry L. Eppley, MD, DMD · Answer

There is no correlation between your TMJ issues and the soft tissue fullness along your jawline. Liposuction contouring of your jawline would be the best approach to try and get some better definition.

William Portuese, MD · Answer

TMJ will not affect the shape of the jowls, jawline and mandible. The photographs demonstrate a weak  and recessive  chin profile and fatty deposits in the neck. Consider placement of a chin implant and liposuction in the neck to give more profile definition to the jaw line. Both procedures are complementary to each other. For more information  and many before-and-after examples of both procedures, please see the link and the video below

Gerald Wittenberg, MSc, DMD (retired) · Answer

The jawline can be 'narrow' and ill defined so that the 'soft tissue' appears to 'hang' over the jawline. This leads to the impression of a 'full face'. The focus needs to be on the underlying bone structure; so augmentation not just of the chin but the entire jawline from the chin to the angle/ear zone will give the result. Common issue

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

Hi, I have performed many Chin Augmentations using chin implants for over 30 years.  Looking at your photos, your chin is weak. and there is excess fat and skin in the neck.   A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a silastic chin implant will add forward projection to the chin creating harmony and balance to the lower face. 
 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 combined with liposuction and removal of skin from below the chin.
Hope this helps.

How can I get a more defined Jaw line? Can TMJ effect the appearance of my jaw line? (photos)

Answers (6)

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