Lack of jawline definition and enlargement of area under chin? (Photo)

Question

Lately I've noticed on my side profile that my jaw has very little definition and does not protrude forward as much as in other people. Also the area directly under the chin where some people have a double shin appears to be larger than normal. However, when I feel the area, I don't notice much extra skin or fat.

Michael P. Morrissette, DDS, FACS · Answer

It appears in the photo that you have a recessive chin and excess neck skin. The degree of excess skin is difficult to assess in a single photo. It is very clear that you have a recessive chin. The treatment for this is a chin implant or sliding genioplasty. If, indeed you have excess skin then a simultaneous necklift would improve the contour and definition of your jawline.

Eric M. Joseph, MD · Answer

I agree that you have a bit of a recessive chin appearance on profile. Even though you may not have a lot of excess fat under your chin, depending on your examination, the combination of chin augmentation and subcutaneous liposuction may have an additive effect that improves both your jawline and chin projection.
An examination would be necessary to determine your candidacy. I hope this helps. Sincerely, Dr. Joseph.

Jason Emer, MD · Answer

A formal evaluation would be needed to determine the best treatment. There are surgical and non-surgical options to correct this.

We can place a chin implant, which is a quick surgical procedure. Many of my patients try to avoid surgery, however, so for those patients, we also offer non-surgical chin augmentation with injectable fillers. Fillers like Radiesse, Voluma, BellaFill, and Sculptra are injected into the area to improve the overall appearance of the lower face and balance the jaw and lip harmony. We use cannula injections to meticulously contour and project the chin, soften the chin along the jawline, and improve the chin crease.

Implants are a great option once you are 100% positive that you are ready for permanent chin enhancement.​ I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or aesthetic facial plastic surgeon; we have both at our practice, which is located right here in Los Angeles.

Best, Dr. Emer

Gary M. Horndeski, MD · Answer

You would benefit from a chin implant. This is done intra-orally under general anesthesia, takes about 1 hour to perform and costs $4,000. You would also benefit from liposuction of the neck. You may also benefit from a facelift but I would need more photographs to give an accurate answer.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Jeffrey H. Spiegel, MD · Answer

You have almost no neck definition likely due to an anterior (forward) hyoid bone and recessed chin.  A chin implant and neck contouring should give you a very nice improvement.

William Portuese, MD · Answer

More information is needed, such as your age, and a full set of facial photographs from all angles. From the one very limited photograph, you appear to have a recessive chin profile and fat deposits in your neck, located both above and below the plasma muscle in your neck itself. Consider placement of a chin implant to augment your chin forward for better structural support for soft tissues in the neck. In addition, a neck lift procedure can accomplish removal of the fat deposits both above and below your plasma muscle which also includes a plasma plasty to significantly improve your jawline. Liposuction alone will be in effective due to the fact that you have significant fat deposits located below the plasma muscle. Both of these procedures can be performed together under one general anesthetic with one recovery.

Mats Hagstrom, MD (license on probation) · Answer

Facial aesthetics are primarily determined by facial bone structure.
This is an especially true for young people.
It is facial skeletal structure that gives each person their unique facial appearance, whether desirable or not so much.
Issues related to the lower third of the face are therefore related to the shape and slice of the mandible.
 The more the issue is seen early in life the more it’s related to bone structure.
If the issues develop later in life, then it’s more likely that they are soft tissue related.
Individuals who have well-defined jawlines tend to have large well-developed mandibles.
For a male example look at George Clooney.
For a female example look to Carmen DelOrsfice. 
For most people growing a bigger mandible isn’t really an option.
Successful surgical procedures are generally aimed at treating the primary underlying problem.
A chin augmentation or sliding genioplasty may be helpful, but would not give the foundation for soft tissue support that having a well developed mandible would. 
These assessments are complex, difficult and to some degree subjective.
If you talk to an oral surgeon, you’ll get a different approach then if you talk to a plastic surgeon.
Oral surgeon tend to be more skeletal oriented in how they see facial aesthetics, including treatment options, plastic surgeons tend to be more Soft tissue oriented.
There is overlap from both specialties in this kind of work.
Consider consulting with both oral surgeons and plastic surgeons in your community.
Best,
Mats Hagström MD

Lack of jawline definition and enlargement of area under chin? (Photo)

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