Q: Dr. Eppley, I have a short lower jaw and feel that it needs improved from front to back. This includes the chin and jaw angles. I am uncertain as to the best way to do it. As a man, I do not lie walking around with a jawline that is not very masculine. My biggest concern about any type of jaw implants is that they might become loose or dislodged if I get hit or participate in any sports. What is your recommendation?
A: There are three different approaches to your type of jawline enhancement and include the following:
1) Standard chin and jaw angle implants (3 pieces)
2) Sliding genioplasty for chin and jaw angle implants (2 pieces)
3) Custom wraparound jaw implant (1 piece)
There are advantages and disadvantages to each jawline enhancement method. Your biggest concern about implant dislodgement would be completely avoided by a single one-piece jawline implant that has a custom fit by computer designing. This is because it is a single implant that with its wrap around effect has more surface area for implant fit and this becomes very difficult to ever move from its custom fit location.
Dr. Barry Eppley