Would a chin implant correct the marionette lines that developed after osteotomy and V line chin surgery?

Hello,

Thank you for your question regarding the concern about marionette lines following your V-line chin surgery.

A chin implant can be a potential solution, but it may not be the first line of action. Here’s a suggested approach:

1. 3D Imaging and Computer Simulation: To evaluate the potential impact of a chin implant, 3D imaging and computer simulation can be incredibly helpful. These tools give an overview of the general appearance of the chin and jawline, not just the correction of the marionette lines. This way, you can see how the implant might affect your overall facial harmony.
2. Filler Injection as a Reversible Technique: Initially, I recommend considering a reversible technique like a filler injection on the lateral aspects of the chin. This approach allows us to evaluate both the impression of the marionette lines and the general shape of the chin without committing to a permanent solution. It provides a temporary but effective way to see how augmenting the chin affects the marionette lines.
3. Fat Transfer for a Long-Lasting Solution: If the filler injection produces satisfactory results, a fat transfer can replace the filler with a longer-lasting solution. This method uses your own body fat to provide more permanent contouring and can be a more natural alternative to synthetic implants.
4. Considering a Facelift: In the fullness of time, you might also consider a facelift intervention. A facelift can change the contour of the jawline, potentially addressing marionette lines more comprehensively. It’s important to note that a chin implant might affect the elegance of the jawline contours achieved with a facelift, so this should be considered in your long-term planning.

By starting with 3D imaging and simulation, followed by a filler, we can take a reversible step to see if it addresses your concerns and then consider more permanent options if necessary.

I hope this information helps

A chin implant will augment your chin.
I don’t think it will not address the marionette lines or jowls. A lot of soft tissue issues are based of issues related to skeletal structure. When facial skeleton structure is changed certain soft tissue changes can come with it.
Differentiating between what is skeletal related and soft tissue related can become fairly complex and difficult.In reality, they are both intermixed.
Consider posting with a complete set of proper before and after pictures.
If you don’t have a proper before, and after pictures, then ask your providers to forward the pictures they took.
Best,
Mats Hagstrom MD