What procedure would best suit my following issue? (Photo)

You would benefit from a chin implant. This is done intra-orally under general anesthesia, takes about 1 hour to perform and costs $4,000. At the same time, a rhinoplasty can be done to improve the appearance of the nose, takes about 2 hours to perform and costs $7,000.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your inquiry! You would be a great candidate for a Chin Augmentation to add projection and Submental Liposuction to sculpt your jawline. Both procedures can safely be done in one surgery. We would love to meet with you in person or virtually for a consultation to help you reach your goals and create a surgical plan for you!

Based on your profile photos, you appear to have a somewhat recessive chin appearance. Sometimes this can be associated with exercise resistant fat in the neck. The combination of the chin implant and neck liposuction can lead to dramatic changes in somebody's jawline appearance and facial balance. Please consider meeting with several reputable specialist who offer computer imaging so you can see what to expect after surgery. I hope this helps. Sincerely, Dr. Joseph

Hi Emily. Your retrusive mandible can be corrected by facial injections. The retrusiveness of your mandible does not allow you to close your mouth naturally, and this causes the closure of the lower lip to have a forced look which makes you look unhappy.

The reason for the problem is that the two muscles on either side of your anterior jaw called mentalis muscles have the job of closing your mouth by pushing up your lower lip. This normal closing process is inhibited when the profile of the mentalis muscles are not in line with your lower lip.

This anatomic mumbo jumbo, in short means, when the lower lip and the chin are not in the same vertical plane, the lip won't close naturally.

If you were my patient, I would do an injection of Volux, an Allergan product that lasts in my experience over a year, and sometimes up to two years. It usually takes 2-3 ccs to correct the retrusive chin. This can be done in an office setting with minimal discomfort. Since your bone structure has not fully matured, I would use an injectable rather than a surgery, and injectables such as Volux are completely reversible. The process should take less than 15 minutes, including topical numbing with BLT. To decrease bruising, I recommend both ice and DMSO.

A formal evaluation would be needed to determine the best treatment. There are surgical and non-surgical options to correct this.

We can place a chin implant, which is a quick surgical procedure. Many of my patients try to avoid surgery, however, so for those patients, we also offer non-surgical chin augmentation with injectable fillers. Fillers like Radiesse, Voluma, BellaFill, and Sculptra are injected into the area to improve the overall appearance of the lower face and balance the jaw and lip harmony. We use cannula injections to meticulously contour and project the chin, soften the chin along the jawline, and improve the chin crease.

Implants are a great option once you are 100% positive that you are ready for permanent chin enhancement.​ I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or aesthetic facial plastic surgeon; we have both at our practice, which is located right here in Los Angeles.

Best, Dr. Emer

Dear Miss Blumel,

Thank you for your pictures. They are very helpful. In a perfect scenario since you are in orthodontic treatment, this may be the best time if your orthodontist thinks that the surgery is important not only to your bite, but to your facial profile then this would give you the profile that you desire. If you are not to have jaw surgery, but complete orthodontic treatment, the most reasonable treatment would be to have a sliding genioplasty to balance your facial profile. Seek consultation from Plastic Surgeon or oral and maxillofacial surgeons to render the best opinion concerning your issues.

Best wishes!

Earl Stephenson Jr, MD, DDS, MBA
ESJ Aesthetics
#TruthAndTransformation,

I agree with your assessment. The recessed chin would benefit from a chin implant or sliding genioplasty and the mandibular angles can be more defined with mandibular angle implants. Both procedures together would give you greater definition of your jawline and chin. The surgery is performed in the office with intravenous anesthesia. Custom implants are another option.

Based on these photos it is very likely that chin augmentation (implant or genioplasty) combined with liposuction of jawline and anterior neck would create desired improvement. If jaw surgery to correct your bite is planned this can be done in the same time. Good luck.

The biggest issue you have is an under projection of your chin, so consider placement of a chin implant to augment your chin forward for better facial balance and proportions. That will also help slightly stretch your skin forward in the neck. If your neck bothers you, and there's excess fat deposits in the neck, then consider liposuction. Both procedures can be performed under either general or local anesthesia, depending upon patient's comfort level.

Facial aesthetics are primarily determined by underlying bone structure.
It is facial skeletal structure that gives each unique person and their facial appearance.
This is an especially true for young people.
Facial aesthetics are primarily determined by underlying bone structure.
It is facial skeletal structure that gives each unique person and their facial appearance.
This is a especially true for young people.
Issues related to the lower 1/3 of the face are therefore usually related to Issues related to the shape and size of the mandible.
This is not a soft tissue problem.
Soft tissue solutions are unlikely to give you quality outcomes.
To get an assessment regarding facial, skeletal structure, I suggest consulting with oral surgeons in your community.
Plastic surgeons tend to have more of a soft tissue approach and I believe in your case, a facial skeletal approach would be more appropriate.
Some plastic surgeons who have craniofacial fellowship training, and that may be an ideal provider as well.
Best,
Mats Hagstrom MD