Pre-jowl sulcus - Would a small implant would reduce the shadowing of the pre jowls and help harmonize the face? (photos)

Question

I am 33 and have a pre jowl sulcus since I was a teenager. Based on my X-rays I was told I am barely a candidate for a genioplasty… (marginal improvement for 8K) — however, I am wondering if a small implant would reduce the shadowing of the pre jowls and help harmonise the face. I feel I look weird, like my upper and lower face dont match. I have attached photos (as well as an X-ray). Thank you very much.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. You may be a candidate for chin augmentation to harmonize your facial features. A chin implant can strengthen the chin and jawline to provide a natural-looking balance and may reduce the appearance of the pre-jowls you describe. 
In some cases, the jawbone may be moved forward to produce a more prominent contour and improved profile. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can make the best recommendation based on your aesthetic goals.

Michael P. Morrissette, DDS, FACS · Answer

Based on your photos it appears that your chin is narrow and a small pre-jowl implant would provide a nice jawline contour. This implant comes in two styles: with and without horizontal advancement. I have treated many cases like this and this implant is a nice option.

Gurkan Kayabasoglu, MD · Answer

Hello! You are really wonderful. You have noticed small details that many doctors would not be able to diagnose during examination and you have even planned your own treatment. You are right, you are not a suitable candidate for genioplasty. However, you will benefit a lot with a small chin implant. You can even increase this benefit even more with buccal fat removal. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. With all respect.

William Portuese, MD · Answer

The photographs demonstrate not only a pre-Jowl sulcus, but a recessive chin profile. Consider placement of a chin implant to augment the chin forward and improve pre-jowl sulcus. In our practice, we use  Implantech brand of solid silicone chin implant for over 25 years with an excellent success rate. We also place these implants through a submental approach under local anesthesia as an outpatient procedure.

Gerald Wittenberg, MSc, DMD (retired) · Answer

You have a narrow lower jaw and as such, the tissues 'drape' over the jawline in the 'jowl' zone. One can certainly define the lower jaw from the angle to chin; or just augment the 'side of the chin/prejowl'. Fillers can give you an idea of the look; but obviously need to be repeated.

Pre-jowl sulcus - Would a small implant would reduce the shadowing of the pre jowls and help harmonize the face? (photos)

Answers (5)

Answer: Pre-Jowl sulcus, will a small chin implant reduce the shadowing of the pre-jowls and harmonize the face

Answer: Pre-Jowl sulcus, will a small chin implant reduce the shadowing of the pre-jowls and harmonize the face

Answer: Chin contour

Answer: Chin contour

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Everything you need to know about Chin Implant

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Pre-jowl sulcus - Would a small implant would reduce the shadowing of the pre jowls and help harmonize the face? (photos)

Answers (5)

Answer: Pre-Jowl sulcus, will a small chin implant reduce the shadowing of the pre-jowls and harmonize the face

Answer: Pre-Jowl sulcus, will a small chin implant reduce the shadowing of the pre-jowls and harmonize the face

Answer: Chin contour

Answer: Chin contour

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Recommended reading

Everything you need to know about Chin Implant

Our mission is to create a world where every investment in modern beauty is Worth It.