Q: Dr. Eppley, I am interested in a custom jawline implant. I have wanting to gain some length and definition in my jawline, especially when in profile, to overcome a short lower face and jowl formation that seems lost in my neck. But so far have only been offered a small chin implant. I feel the jawline needs enhancing further around than this otherwise I shall end up with a pointed chin. Could a custom made implant create a better stronger, more defined appearance? I also have an X-ray of my profile and front if that would help you? I hope you can take a look and possible project a more satisfactory outcome.
A: Based on your pictures and your stated goals what you really need is vertical lengthening of your jawline mainly. Some chin projection and little jaw width would be beneficial as well but a vertical height increase in your lower face is the key to a stronger and more defined jawline. Such a custom jawline implant is a wraparound variety that is made from a 3D CT scan. That is the type of x-ray that is needed from which the implant is custom designed and made.
Dr. Barry Eppley