Is my mid face or lower third more elongated than ideal? What could I do to improve my appearance? (Photo)

Question

20 year old male. I think I have a receded and narrow chin that could see improvement by means of an implant or genioplasty (I'm not sure which one would be best). I feel as though there is marked asymmetry of my jaw, even though my occlusion is normal. I am concerned that widening my face or jaw would make my eyes appear more close set than they already somewhat are. Also vertical lengthening angle implants may make my face too long. I see opportunity for improvement in my jawline.

Jonathan Kulbersh, MD · Answer

Your face from the frontal view looks proportionate. In profile, your chin is recessed. It can be brought into line with your lips with a chin implant. This can be easily inserted in the office under local anesthesia. When well placed by an expert, a chin implant can last for decades or a lifetime. You can choose a chin with will give you a better projection from the side without widening your face from the front. I hope this helps.

Sam Rizk, MD · Answer

Though you have provided quite a few photos, it is impossible to say for certain what procedures would give you the results you seek. As you’ve pointed out, the lower portion of your face could be improved. A chin implant could be the solution for this and they are relatively low risk and not very invasive. A chin filler could also be an option; results will be apparent right away and are temporary. This way you can see what your face would look like with an implant and then decide if you’d like to go forward with a permanent option. My suggestion is to see a board-certified facial plastic surgeon for a consultation and discuss with them you what your expectations are for your face.

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

Daniel Barrett, MD · Answer

Dear thesatishard,it is hard to tell without an examination. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Chase Lay, MD · Answer

You can look a bit more alert and energized so to speak with an anteriorly planned chin implant.  Sculptra or fat transfer may do well to put some volume in the face.  You don't have clinical ptosis but a Putterman procedure may be of use in the future to give the eyes a more alert energetic look.Chase Lay MD

William Portuese, MD · Answer

The photographs demonstrate a weak and recessive  chin profile for which a chin implant can improve. Placement of a chin implant can augment the chin forward to help  with facial balance and proportions, specially from the side profile with respect to the nose.  The side profile photographs also demonstrate  a flat maxilla and a flat cheek profile for which a cheek implant can improve and augment the volume in the mid face area. Both cheek and chin implants are composed of solid silicone and can be placed under either local or general anesthesia. In our practice, we  have used Implantech brand  of cheek and chin implants for over 25 years with an excellent success rate. The implants can be custom carved when necessary to match patient's unique anatomy. For diagrams of the implants and many before-and-after examples of  both cheek and chin implants, please see the link and the video below

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, lip implants), liposuction and/or facelifts for over 30 years.  Following my beauty principles, men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles.  From the photos, your cheeks are very flat in the front (more so on one side), the chin is weak as are the mandibular angles.  This combines to create an elongated oval shaped face.  The following procedures would create a more ruggedly handsome face.
Cheek augmentation with cheek implants to add angularity to the cheeks and mid face.  
Chin augmentation, using a chin implant, to add projection to the chin creating harmony and balance to the lower face.  I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  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 bone segments).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.    
Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line.
 In my experience the face can be divided into the following segments: vertical, horizontal and forward which can also be thought of as "projected" or "front facing".  Looking at your photo, the face has equal vertical thirds which means vertical lengthening is not only "not" required but doing so to any of the three vertical segments would throw the face out of balance.   The horizontal segments are a bit asymmetric between the left and right side with one side more narrow than the other side.  This is very common and symmetric horizontal  segments will not significantly make the face more attractive despite "rumors" to the contrary.  You can find photo software to duplicate the one horizontal side of your face so both sides are very symmetric to prove that this act does not improve the overall appearance of your face.  In other words, this act will make your face more symmetric but not chiseled, angular and handsome as discussed above. Finally, the most aesthetically important segment of the face is the "forward" segment.  This defines the shape of the various facial features that in turn dictate whether the face is seen as male, female, attractive or less so.  This then, in my humble opinion, is the segment of the face that deserves the most of our attention as we strive to make the face more naturally attractive as discussed above. Adjusting your bite (how your teeth come together) is best done with an Orthodontist.Hope this helps.

Is my mid face or lower third more elongated than ideal? What could I do to improve my appearance? (Photo)

Answers (7)

More Chin Implant Questions

WE SEND PRETTY
EMAILS

Answers (7)

More Chin Implant Questions

Will a chin implant change where my bottom lip is in comparison to the top lip? (Photo)

Do I have chin deficiency? (Photos)

Which chin implant suits women?

Weak chin, affordable solutions? I would like the skin under my chin pulled up somehow. (Photos)

Chin implant after Sliding Genioplasty, possible or not?

What is wrong with my chin implant? I really dislike the downward projection. (photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS