Which procedure would help target my lower face area and deliver a more aesthetic structure?

Question

Im just wondering how to help the aesthetics of my lower face. Starting from my Philtrum, seems to be very flat and protruding, and my chin/neck. I feel like it’s all very under developed and I’m not sure what surgeries to take to get more of an aesthetic structure!

Jason Emer, MD · Answer

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment.

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. We use this and/or other injectable fillers like Voluma, BellaFill, and Sculptra- these are injected into the areas of concern to improve the overall appearance of the lower face, give better definition to the jawline, and provide overall balance and harmony to the jaw, and the rest of the face. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline (and rest of the face).

I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Donald Groves; we are both located right here in Los Angeles.

Best, 
Dr. Emer

Selcuk Inanli, MD · Answer

Hello! Thank you for your question if I have to be honest, you have a really beautiful face, but your chin is left behind, so he recommends you a chin implant. We need to choose the implant volume appropriately for your face, depending on the result, you will have a more aesthetic appearance.
Thank you! regards

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. Chin augmentation is an excellent option for improving the appearance of a weak or recessed chin and adding more definition to the lower portion of the face. With a custom-fit chin implant, the side profile can be improved, the facial proportions brought into balance, and the jawline defined to create a strong, natural-looking contour. This procedure may also be combined with a subnasal lip lift to shorten the philtrum. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to discuss your concerns and aesthetic goals with you to determine the combination of treatments that may be best for you.

Mats Hagstrom, MD (license on probation) · Answer

Facial characteristics especially in young people who are within normal weight limits is almost purely based on facial bone structure. In your case your mandible is small in relationship to your maxilla. The mandible can be subdivided into different anatomic regions. The chin or mentalis region of the mandible has a good projection in your case and that can be determined because you have a sulcus or a somewhat sharp labio mental angle. The problem is in the body of your man develop. This causes you to have a dental overbite occlusion and this presents with your upper lip having significantly more forward projection than your lower lip. Your chin has good projection so augmenting that it’s just going to make it stick out further giving you a deeper labiomental fold. The correct procedure would be jaw advancement. You do not have an abnormal fat distribution and you don’t have an issue with excessive buccal fat pads. Removing buccal fat will set you up for premature fascial aging. Quality results come from first to making an accurate assessment and then treating the primary problem. Your problem is based on skeletal structure not soft tissue. Attempts to treat this with soft tissue manipulation will give you partial improvements at best. I suggest consulting with a few oral surgeons in your community. They tend to be better at making facial assessments when the primary issue is related to mandibular structure. Some plastic surgeons do cranial facial surgery. Those are typically surgeons who done the fellowship training after the residency. There is some crossover between the two fields of oral surgery and plastic surgery. You can consult with both specialties but you’ll find plastic surgeons tend to generally be more soft tissue oriented. That’s fine when the problem is based on soft tissue problems. In your case soft tissues are not the problem but instead are based on bone structure. Getting an accurate assessment and understanding all your treatment options is the best place to start before having any procedure regardless of what you choose to do. I understand clearly why people would be apprehensive to have jaw advancements. That said it’s important to have a clear diagnosis before prescribing permanent and irreversible operations. Best, Mats Hagstrom MD

Which procedure would help target my lower face area and deliver a more aesthetic structure?

Answers (4)

More Chin Implant Questions

Advice for short chin? From the side view it projects forward but not down (Photos)

Do you prefer silicone or ePTFE for facial implants?

Which type of chin implant would help me achieve my desired look? (photos)

Would I benefit from a sliding genioplasty or chin implant? Would like a better profile with more chin (photos)

Can a chin implant give me a more feminine chin? (Photo)

Would a chin implant or jaw contouring help me achieve a more heart shaped face? (photos)

WE SEND PRETTY
EMAILS