Is a chin implant + lipo a good call? (Photo)

Question

I am self conscious about my side profile because my chin appears recessed and the skin on my neck does not connect with my jaw until just before the end of my chin. The ideal jaw for men seems to have the neck and jaw skin connect much further back. Would a chin implant alone be sufficient to address both concerns, or might chin/neck lipo be helpful/necessary? I am fairly thin, so I am unsure if lipo is a possibility or not.

Michael P. Morrissette, DDS, FACS · Answer

In the photos, it appears that you have a deep mentolabial fold which usually indicates a chin that is short in the vertical dimension. A chin implant would make that fold appear deeper. You may be better off with a sliding genioplasty to lengthen the chin as well as bring it forward. Both these movements can be accomplished with the sliding genioplasty. It is not likely that you would need liposuction to improve your jaw and neckline.

Eric M. Joseph, MD · Answer

Based on your photos, we can see that you have a slightly under projected chin appearance. In general, combining chin implant surgery with neck liposuction can oftentimes lead to dramatic changes in somebody's profile appearance and draw a line appearance with minimal inconvenience and downtime. The only hesitation would be if you have no excessive neck fat in your neck to remove. That could increase the likelihood of skin irregularities and dimpling. I hope this helps! Sincerely, Dr Joseph

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs. As far as I can see in your images, there is no fatty tissue to perform liposuction under the chin, at least not in the layer just under the skin where liposuction takes place. 
The volume situated deeper to the platysma muscles is a hereditary feature and represents most commonly a mixture of deep-seated fatty tissue, digastric muscles volume, and the volume of the lower part of the submandibular glands. It is amenable to reduction through an anterior neck lift procedure and through the same incision under the chin it is possible to carry out a chin implant. 
You can also get a good sense of the impact of the changes from an anterior neck lift by using 3D imaging and computer simulation. You may find that if the volume under the chin is removed, you don't need to complement the changes with a chin implant.

Chet Mays, MD · Answer

Thank you for your inquiry! A chin implant and submental liposuction done together in one procedure would help give you a more prominent chin and defined jawline. We would love to help you reach your goals. Schedule a consultation with a Board-Certified Plastic Surgeon to make sure you're a great candidate for all these procedures and create a surgical plan for you!

Gary M. Horndeski, MD · Answer

You are a good candidate for a chin implant.  Liposuction will make an improvement but not as much as a chin implant.

Best Wishes,

Gary Horndeski, M.D.

Brian May, MD · Answer

This is a common question we encounter in plastic surgery. In your photos, it does appear that the relationship between your chin position and nose produces the appearance of retrusive chin. A chin implant is one option that can address this. Regarding your neck, it is difficult to give an accurate assessment based on your photos alone without performing a physical exam. However, submental liposuction can routinely be performed simultaneously with a chin implant and works synergistically to enhance the appearance of your side profile. I recommend you consult with a board-certified plastic surgeon who will perform a physical exam and talk with you with you in order to help you figure out the best way to meet your goals!

William Portuese, MD · Answer

A chin implant is placed for patients who have a recessive chin profile, while liposuction is performed for patients who have fat deposits above the platysma muscle. If the fat deposits are located both above and below the platysma muscle, then a surgical neck lift with a platysma-plasty is required. A chin implant can be performed in as a standalone procedure under local anesthesia, or in combination procedure under general anesthesia.

Mats Hagstrom, MD (license on probation) · Answer

Your chin has more than adequate forward, projection.
There may be some deficiency further back in the mandible in the body region of that bone.
Further forward, projection of your mandible will look excessive.
There may be room for some slight vertical augmentation, but overall The mental region of your mandible has more than sufficient projection.
You don’t have an abnormal fat distribution, and if anything you have fairly thin layers of subcutaneous fat under your skin and your neck area.
Facial aesthetics are primarily determined by bone structure.
Issues related to the lower 1/3 of the face are therefore related to issues of the mandible.
The size of the mandible is measured in different anatomic regions of the mandible not just the mental or chin region.
And your case the chin projects adequately, but the rest of your mandible may be slightly insufficient, though not by very much.
 we can usually get a basic mandibular assessment based on the dental occlusion of individuals.
I’m guessing that your dental occlusion is pretty normal.
The dental occlusion will also show in its relationship between the projection of the upper lip and lower lip.
In most people, the lower lip has slightly more projection than the upper lip.
Individuals who have a significant overbite will have the upper lip project more than the lower lip.In your case, the upper lip sits just slightly in front of the lower lip, but not by very much.
I find oral surgeons to be better at mandibular assessments than plastic surgeons, but the training is not as important as the individuals skill and experience.
I see no strong indication for surgical intervention.
Best,
Mats Hagstrom MD

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