Implants for flat midface/ long vertical chin growth? (photos)

Consider trying a facial filler like Voluma or fat grafting to the mid-face - you have a long and narrow face with some nice features. Adding some volume to your cheeks and cheek bone (malar) are will add some facial width and balance your appearance.

Cheek implants are required to augment the midface on a permanent basis. Fillers can be used temporarily to augment the midface. A rhinoplasty is required to shave down the dorsal hump, and decrease the overall projection of the nose. Osteotomies  will be required. For more information and many examples of both rhinoplasty and cheek implants results, please see the link and the video below.

Your long chin can only be reduced by an intraoral wedge reduction genioplasty. Your midface augmentation requires an extended heek style implant which adds volume high in the cheeks and back along the zygomatic arch. Your lower midface projection is adequate. A rhinoplasty may be helpful but not as important as the cheek and chin procedures for achieving your improved facial shape. 

Thank you for the question and photos. There is a couple of things you can consider to create a profile that you like. The first is cheek augmentation with fillers or with implants. Implants work well and are permanent and will emphasize the midface and frame your eyes. Another option is fat grafting to augment the cheeks and midface. Also, rhinoplasty may be one way to refine the midface, but you have to be careful to avoid making your nose too small or too short because it will look disproportionate. Jaw surgery is an option you explored and are trying to avoid which is ok. Good luck

Thanks for your question.  I would have you initially try filler injections to the cheek bone area as well as to the angle of your jaw.  If you liked the results you could then consider fat grafting on one or more occasions to build up these regions longer term.  I avoid cheek implants since I have seen a few patients who complained that they exaggerated the natural asymmetry that most people have in the position of their cheek bone prominences.  Get a few opinions from Bd Certified plastic surgeons or facial plastic surgeons and proceed slowly.  Good luck and best wishes.

Jon A Perlman MD FACS 



Certified, American Board of Plastic Surgery 



Extreme Makeover Surgeon ABC TV



Best of Los Angeles Award 2015, 2016 



Beverly Hills, Ca