Been told by plastic surgeon my chin crease between jaw and lower lip is too deep for chin implant? (Photos)

Question

I would like to get a chin implant but was told crease between lower lip and chin too deep and was advised to get jaw surgery to move my jaw forward instead. However, I have TMJ and damage to my jaw so it's complicated for me to go that route. Any suggestions?

Zoran Potparic, MD · Answer

It doesn't look that you have anything unusual about your chin crease? You should not expect any difficulties with chin augmentation. You may consider small neck liposuction in order to get even better result. Seek a second opinion by a board certified plastic surgeon with good reputation in facial implant surgery. Good luck.

Larry S. Nichter, MD, MS, FACS · Answer

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
#weakchin #chinimplant

Barry L. Eppley, MD, DMD · Answer

Having a deeper labiomental fold does not perceived you from having chin augmentation, neither does having TMJ dysfunction/symptoms. What is relevant to know is that the labiodental fold may become a little deeper depending upon the increase in the horizontal chin augmentation. In your case the degree of chin augmentation would be small so the labiodental fold would not change in any appreciable way. The real benefit to your chin would come in management of your neck where liposuction or a submentoplasty would create an effect that would either be complementary to your chin augmentation or would eliminate the need for it. Computer imaging would help make that determination.

Frank Scaccia, MD, FACS · Answer

I don't think your chin is recessed enough for a chin implant.  Liposuction and or a submental tuck if there is deep fat would be more helpful

William Portuese, MD · Answer

A small chin implant can accomplish augmenting the chin forward, but the mental labial fold will still be the same. The fatty deposits in the neck can be removed with liposuction, which would also give more definition to the jawline. For many examples of both procedures, please see the link and the video below

Harrison C. Putman III, MD (retired) · Answer

I disagree that you cannot have a chin implant. The mentolabial sulcus will be unchanged, but with a medium sized anatomic style implant and some liposuction of the submentum and neck, you can achieve a very nice profile correction, in my professional opinion. Se a facial plastic specialist in your area.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  From the photos, your chin is weak and I disagree that the mental groove depth precludes proper placement of a silastic chin implant as described below.  This 15-30 minute procedure, that I now perform under local anesthetic, is far less invasive than any type of jaw surgery or sliding genioplasty.  The mental groove should be about 5 mm's in depth and when more shallow typically indicates a weak chin that lacks the proper forward projection. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.  There is excess fat and skin in the neck that can be reduced using the same incision.
Hope this helps.

Gerald Wittenberg, MSc, DMD (retired) · Answer

The other alternative is to combine a genioplasty to advance and increase the height (reason for the crease) AND support/reduce the crease with an implant material under the fold. Not an uncommon approach when 'jaw surgery' is not elected.

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