Should I get a chin implant or liposuction? (Photo)

The angles and lines of the profile indicate that the chin is too far back. Either a chin implant, fat injections or oral maxillofacial surgery (which is a much large procedure and down time than the chin augmentation) can provide a better forward displacement of your chin. this will help your angle of the neck appear sharper. The lipopsuction of the neck can help this result but the chin augmentation appears to offer the most efficient procedure to obtain your desired result.

Your presentation is a very common one.  Liposuction helps.  In addition, I prefer to remove some fat from below the muscle and tighten the muscle sling as well.  This gets the best possible improvement of the jawline.  Most nonsurgeons who treat this just use liposuction.  Many plastic surgeons have the capability to do more.

You also have a recessed chin.  It is common for me to insert a chin implant that wraps around the chin and further improves the jawline at the same time I perform the "submental lipectomy."  The incision does not need to be any longer to accommodate the implant and it just adds to the result.  Of course, it is important not to overdo it.  Usually, none of your friends would be able to tell and it feels very natural.  So it's like icing on the cake.

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

Limited liposuction to the chin and minimal fat grafting to the chin could provide a beautiful, natural looking result.

The question should be chin implant vs. lipo transfer not suction.
I used to do implant... today i exclusively do stem cell transfers.
(That is a grafting with stromal or adult stem cells and fat cells)
Transfer in chins like yours. Most of the time this is enough, but
Sometimes one needs a chin implant...but it is getting to be rare.
 

 

You have a moderately retruded chin and perhaps just a small amount of submental fat, although the fat issue may appear artificial due to the position of the chin. You appear young so that the apparent submental fat will 'disappear' as the chin comes forward. With your modest chin deficiency, I would recommend an implant over an osteotomy which will have less swelling, recovery and expense. Your biggest decision in regards to a chin implant is what style and size. You need to consider more than just how much horizontal movement forward you need.

You appear to have a retruded chin. Either a chin implant or sliding the chin bone forward and downward (sliding Genioplasty) would enhance the lower face and balance the face as a whole. This would also re-drape the redundant chin tissue and you may not need anything else. I would wait at least a few months after these procedures to see if a liposuction is really needed.

Dr. Peter A Aldea

Thanks for the photos, but it is hard to say with photos only because photos can look different with your facial expressions.  A chin implant certainly can add more length and help improve the neck angle.  So can liposuction if there is a fatty component.

Photo are always very helpful, thanks for posting. We all agree on a combination of surgery - implant, genioplasty, lipo. 

You have over bite and chin implant or slidding genioplasty will help. Liposuction may complement the result.