Candidate for Mittelman prejowl chin implant? (photo)

Question

About 5 years ago I had a platismaplasty (sp?) at the recommendation of a plastic surgeon after a consult about my weak jawline. At my first post op, I told him it was not the result I had expected and that I was not satisfied. He told me to give it until the 6 mo. Appt which he canceled. He also “stood me up” at a rescheduled appointment. (Feeling defeated) I gave up. I have never been satisfied with the results and I think this procedure was the one I should have had instead. Thoughts?

Greg Chernoff, MD · Answer

Thank you for your question. You have many options. While a pre-jowl implant is one of them, I think it would make your jaw look too large. Your Buccal Fat Pads are easily reduced from the inside of your mouth. That would give a more concave sweep to your jawline compared to the convex overhang in your photos.See a surgeon who can computer image you. That way you can see what is realistic based upon your anatomy.

James Shire, MD · Answer

From the photo you sent, you are a very good candidate for a Prejowl implant (I use Mittleman).  This will fill in the prejowl notch creating a smoother straighter jaw-line. It doesn't make it bigger, only smoother. Find a facial plastic surgeon who is experienced with these techniques.

William Portuese, MD · Answer

There are many different styles, shapes and thicknesses of chin implants.  Specifically there is also a Mittleman pre-jowl implant, and a Mittleman pre-jowl chin implant.  The Mittleman pre-jowl implant is used to build out the depression in the pre-jowl sulcus just in front of the jowls.

Barry L. Eppley, MD, DMD · Answer

Certainly you have a component of a weaker chin and prejowl deficiencies on both sides. You are correct in that is what a prejowl-chin implant addresses. As long as the implant is not too big, which can make your chin look too wide from the front view, this would appear to be a good lower facial treatment for you.

Candidate for Mittelman prejowl chin implant? (photo)

Answers (4)

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