Would an increased chin projection improve my profile?

Question

It has been recommended that I do a chin implant along the ridges of my jaw + lipo to improve my neck contours. I have the option of placing an additional implant to increase the projection of my chin slightly. Given my profile, would increased chin projection balance my features, or would opting out be preferable for my overall result? Overall, I wish to reduce the appearance of a double chin and balance my profile while maintaining a subtle and feminine chin (especially from the front).

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

Raymond E. Lee, MD · Answer

Thanks for sharing.  I believe you would have a very nice result with chin lipo.  Adding chin projection "enhances" ones chin lipo result as it creates more horizontal length. Even a few millimeters may be all that is needed.  In your case it would be personal preference.  I typically like to show patients their own side profile photos and assess what they would like to see.  Consult with a few facial plastic surgeon. My gut feeling is that you would look great with chin lipo alone.

William Portuese, MD · Answer

From the 1 limited side profile photograph, there appears to be a weak and  recessive chin profile along with fatty deposits in the neck. Placement of a chin implant can help augment the chin forward from the side profile and also give additional width to the front profile, since the implant is a 3-dimensional structure as well as the mandible itself.  The chin implant procedure is complementary  to any work done in the neck.  It is important to evaluate the neck in-person to determine whether or not most of the  fatty deposits are located either above or below the platysma muscle.  Simple liposuction of the fatty deposits of the neck can only remove fatty deposits above the muscle.  A surgical neck lift is required  to remove the fatty deposits below the  platysma muscle, and then a platysma-plasty is  also performed which also significantly enhances the jawline. Digital computer imaging also be helpful to understand what can be accomplished with one or both procedures upon your facial features.  For many before and after examples of both procedures performed in combination, please see the link and the video below

Warren J. Katz, MD (retired) · Answer

A chin implant along with possible liposuction of your neck should improve your facial harmony and give you a better neck line. I can't be more specific without more detailed photos. Consult an experienced facelift surgeon. Good 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 photo, your chin is quite weak, there is excess fat and skin below the chin (in the neck) and the back portions of the jaw line are weak.  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 experience and humble opinion, you can certainly have chin implant surgery, as described above, resulting in an improved chin projection and balanced lower face.  Selecting the proper implant size, shape and thickness is "key" to obtaining those "natural" results and avoiding masculinizing the chin and lower face.  When augmenting the face with facial implants select a surgeon with significant "experience" in silastic facial implant placement. While the back portion of your jaw line is weak, over correction with a jaw implant or too much filler volume can result in a masculine jaw line.  The cheeks are not shown in the profile photo, so this is a generalization.  If the cheeks are flat or concave in the front portion of the cheeks, this creates an elongated oval or rectangular shaped face.  I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek, chin and lip implants), liposuction and/or facelifts for over 30 years.  Following my beauty principles, women look the most feminine, youthful and attractive with heart shaped faces.  Heart shaped faces have cheeks that are full and round in the front.  Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.
 Having full round cheeks in the front and a heart shaped face is essential in women who have prominent jaw lines to prevent the face from appearing relatively masculine.  In your case, if you decided to have precise placement of a dermal filler to enhance the back portion of the jaw line, it would be important to make sure that your cheeks were also ideally full and round in the front.Hope this helps.

Would an increased chin projection improve my profile?

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