Would a chin implant fix my stout, round face? (Photo)

Question

I have a very small, round face and would prefer an elongated face shape (preferably oval or heart shaped) with a sharper chin. Would a chin implant be able to do both or would buccal fat removal in addition to an implant be more effective in achieving a thinner, larger face? Is there an alternate procedure that’d be better than either of these?

Michael P. Morrissette, DDS, FACS · Answer

Thank you for the question and photos. Augmentation to your chin would create a more heart-shaped and oval appearance to your face. A silicone chin implant would provide some improvement but I prefer  a genioplasty procedure (moving your own natural chin forward) for younger patients. With this procedure, the height of the chin can be increased as well. As far as the buccal fat reduction, it may not be necessary once the balance is improved with chin advancement. The genioplasty procedure is performed in the office under intravenous sedation and you can expect a 5-7 day recovery with some swelling. Good luck

Jonathan Kulbersh, MD · Answer

Your chin could be made to have better projection. If you’re not sure you’re ready for surgery, but still want to improve and strengthen your chin and profile, I’d suggest augmenting your chin with Sculptra and/or Voluma. If you like your new look, you can make it permanent with a chin implant. Hope this helps.

Ryan Chastant, MD · Answer

Thank you for your question. From the appearance of your profile, a chin implant would help contour your face and jawline a bit, and would certainly change the shape of your face. However, there are other options to try before committing to a chin implant. I would recommend using facial fillers to augment your chin, and while it requires consistent injections, the advantage is that you can experiment with different volumes before undergoing surgery with an implant. That being said, keep two things in mind: one, you are SO YOUNG, and beautiful as is. Most of us hated our nose or chin or eyes when we were 18, and as we got older, realized that our unique features gave us character and reflected our heritage - all good things. Secondly, if you do decide to explore surgery or fillers, make sure that you consult a board certified facial plastic surgeon to ensure the best possible results. Good luck!
- Ryan Chastant, MD

Barry L. Eppley, MD, DMD · Answer

Your assumption is correct in that a longer chin will help deround your face. This can be done through a specially designed vertical lengthening chin implant or an opening wedge bony genioplasty.

William Portuese, MD · Answer

A chin implant is not designed to fix around face. A chin implant is placed for patients who have weak and recessive chin profile in order to augment the chin  forward for  better facial balance, especially from the side profile. Chin implants augmentation in three  dimensions, which is mostly forward projection, some frontal width and a small amount of vertical height. For many examples of chin implants, please see the link and the video below

Bao L. Phan, MD · Answer

Yes, it would most definitely.   It would bring your face into more harmony and balance, elongating it and making it more oval and less round/ square.  It would make your face look thinner so I don’t think you need any buccal fat pad removal.  Best wishes.

Rachel A. Ruotolo, MD, FACS · Answer

There are multiple options available to improve one's profile. From chin implant, genioplasty (cutting chin bone), injectables, fat grafting, and liposuction. All of these options alone or in combination can help improve the appearance of one's profile. You should be examined by an experienced surgeon to discuss all the options available to you in order to achieve your ideal goals. There are certainly great options available to you. Seek consultation with a board certified plastic surgeon experienced maxillofacial surgery and facial plastic surgery. Good luck!

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

Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek implants, chin implants and/or lip implants), liposuction and/or facelifts for over 30 years.  From the photos, your cheeks are very flat in the front and the chin is quite weak.  These combine to create a square shaped face.
 Following my beauty principles, 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.  When the cheeks are concave or flat in the front, they can be augmented with precise placement of a dermal filler to the front of the cheeks (augmenting the outer portion of the cheek will broaden and masculinize the face) or using silastic cheek implants for a permanent enhancement can create full, round cheeks that will feminize the entire face.  Removal of the buccal fat, which i fat deep within the cheek tissues below the cheek bone, is an older technique that can create hollows below the cheek and with no real ability to augment the cheek bone itself.  For those reasons, I do not see the aesthetic value in removing buccal fat for cheek augmentation.
 I have performed many Chin Augmentations using chin implants for over 30 years.  From the photos, your chin is weak.  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 chin implant will add 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.
Hope this helps.

Would a chin implant fix my stout, round face? (Photo)

Answers (8)

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