Would I benefit from a chin implant or sliding genioplasty? (Photos)

Question

I have a rather small receding chin, which I try to conceal with a beard. It has been pointed out to me numerous times, including by a doctor. Would surgery potentially benefit my facial aesthetics? Sorry if it is hard to evaluate with the beard in the way.

Randal Haworth, MD, FACS · Answer

There are a variety of techniques that can be used to augmented the chin and improve your profile. A more temporary approach includes dermal fillers (e.g., Sculptra, Voluma, and Radiesse), while fat grafting, use of permanent fillers (Aquamid, Bellafill ) and facial implants would offer a more permanent solution. A sliding genioplasty is a procedure that I feel gives a rather blocky, unrefined look in a number of cases. However, in severe cases, this may be the best option. One also has to evaluate your actual bite through orthgnathic analysis and possible orthodontia.  Additionally, liposuction of your submental region all the way back to your ears can be performed to highlight your jaw line and give you a more elegant shadow. To address your concerns I would recommend having an in person consult with a board certified plastic surgeon who specializes in facial aesthetics.

Jonathan Kulbersh, MD · Answer

A chin implant can create a stronger profile and improve facial symmetry. When well placed by an expert, a chin implant can last for decades or a lifetime. You can choose a chin with will give you a better projection and smooth the jawline. Liposuction can further define the jawline. A consultation with a board-certified facial plastic surgeon is important; for the patient to be evaluated, their goals discussed, and a custom treatment plan decided upon. I hope this helps.

Barry L. Eppley, MD, DMD · Answer

The choice between a chin implant, chin-jawline implant and a siding geniplasty depends on more than assessment in the profile view. There are other chin dimensional changes to consider (e.g., front view) and how much augmentation is needed. Your beard admittedly makes it impossible to get any take on what your chin augmentation needs are or to do any computer imaging to help answer these questions.

Benjamin C. Paul, MD · Answer

Thanks for posting your question. Though some may favor a sliding genioplasty for microgenia (small chin), in my hands, I often choose a chin implant. Implant surgery is fast, reliable, reversible, and so well tolerated. If you are self conscious, then get a chin implant. You love it. Best of luck!

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 quite weak when viewed through the existing beard.   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.  
Hope this helps.

Would I benefit from a chin implant or sliding genioplasty? (Photos)

Answers (5)

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