Chin implant or other procedures for defining jawline? (Photo)

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

Thank you for your pictures. Especially the different postures. As I was reading your post, I saw that you mentioned that you were a candidate for jaw surgery, but the option chosen was non-surgical approach. The standard answer is that you will receive the most benefit from jaw surgery. If that is not something that's appealing to you then I believe a sliding genioplasty offer you the best options to improve your profile. Sliding genioplasty is versatile and it can address many issues from projection, to height, to width and beyond, chin implant cannot.

In my opinion, it's best to see several for certified oral & maxillofacial surgeons or plastic surgeons to get the best treatment options from an in person evaluation.

Best wishes!

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

It is difficult to give you definitive advice based on the three photos alone. It appears that you have a shallow mentolabial fold and therefore that may be an indication that your chin is somewhat recessive. The treatment options are as you stated, chin implant, sliding genioplasty or fillers. Each has its advantages and disadvantages. A FaceTime consultation or in-office visit is necessary give you final advice.

Yes, you would benefit from a chin implant. This is done intra-orally under general anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.

There is no doubt that chin augmentation will improve your profile. It would be in your best interest to discuss this issue with a board certified plastic or maxillofacial surgeon in-person. Good luck.

This response was dictated.
I appreciate you including pictures.
That said for this type of assessment, we need really high-quality pictures.
The pictures need to be taken at correct angles.
I’m not sure if you’re holding your phone while taking the picture.
Try having someone else take the picture or use the timer on your camera.
Hold the camera at midface level and have the picture taken at perfect right angles.
From the pictures you’ve included your chin has fairly good forward projection, and I think the main problem is lack of projection in the body of the mandible rather than in the mentalis region.
In other words, your mandible is lacking projection, but the problem is behind your molars.
This would be consistent with your description of occlusion issues previously assessed.
Individuals who have a projecting chin will have a crease below their lower lip.
If the chin slopes backwards, then the patient is an ideal candidate for chin augmentation.
Your chin already points forward and over projecting the chin isn’t going to compensate for having a small mandible.
Excessive projection of the chin will cause deepening of the labiomental sulcus.
There may be room for slight forward advancement.
This can be done using implants or sliding genioplasty.
It can also be done with fillers.
Each of the three treatment options has advantages and disadvantages.
There is not one best procedure.
Some providers prefer to do implants and other providers prefer to do a sliding genioplasty.
fillers are temporary, but are also very forgiving.
As with all plastic surgery procedures, finding the right provider is probably in the end, the most important variable.
I find oral surgeons, generally lean towards sliding genioplasty, while plastic surgeons, more frequently use implants.
Providers from both specialties overlap for this kind of treatment.
You may want to consider consulting with both oral surgeons and plastic surgeons in your community to see what they have to say.
you may get different opinions from different providers.
That is often the case when there is no one single ideal solution.
Best,
Mats Hagstrom MD