Undersized cheeks and chin or oversized jaws? (Photo)

Question

I am underweight at 5'7" and 110lb. 1. Are my cheeks (especially left cheek), cheekbones, and chin underdeveloped or are my jaws just oversized instead? 2. Is weight gaining a solution to change my cheeks and chin into how I depicted in the edited photos or is a combination both weight gaining and surgery required? 3. If required, which procedures would be the most reliable in the long term to enhance my cheeks and/or cheekbones and my chin? Thank you for your advices.

Jason Emer, MD · Answer

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Barry L. Eppley, MD, DMD · Answer

Your ethnicity accounts for your flatter midface and cheek bones. The combination of cheek and paranasal-maxillary implants would help bring your cheeks and midface further forward to put it into better balance with the chin augmentation you are demonstrating. Your chin can be advanced with either an implant or a sliding genioplasty.

R. Stephen Mulholland, MD (retired) · Answer

Dear sl765,

Thank you very much for your clinical post and
photographs.  From review of the photos
submitted, you have very pronounced malar eminence and cheekbone on the left
side.  There’s a lack of volume in the
hypomalar under the cheekbone region. 
There also appears to be a degree of Microgenia or small chin.  To improve your craniofacial aesthetics you
didn’t mention your age, but you should wait until the age of facial skeletal
maturity, which is approximately 18. There are some relatively simple techniques that can be performed such
as soft tissue fillers with Juvederm Voluma or other long-lasting facial
injectables that can create the type of symmetry you have shown in your edited
photo.  Longer term options might include
facial fat grafting or facial implantation with artificial cheek and chin
implants or structural bone repositioning and bone grafting.

Once you reach the age of facial skeletal maturity, I would
seek out the advice of craniofacial specialists if you seek bony restructuring
and surgery and one of the best in Toronto would be Dr. Oleh Antonyshyn at
Sunnybrook Hospital.

I hope this information has been of some assistance and best
of luck.

For more information, please review the link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

Richard W. Fleming, MD (retired) · Answer

The best way to achieve improved projection and contour of your cheeks and chin is with the use of implants. Your jaw is not too big. This will give you better facial balance

Undersized cheeks and chin or oversized jaws? (Photo)

Answers (4)

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