Am I A Good Candidate For A Chin Implant?

Q: Dr. Eppley, I’d like to get your thoughts on whether I’d benefit more from a genioplasty or chin implant with scar release and fat transfer. I’ve spoken to another surgeon because I want a revision rhino but he said he thinks the biggest improvement would come from the chin/fat transfer combo. The other surgeon I spoke to doesn’t do genios and more concerningly doesn’t have examples of chin implants on his website. I am concerned that the implant might look great in profile but make my face too long straight on and masculinize it. I want to look super feminine and soft.

A: My first comment would be that you should be cautious…the more refined the aesthetic goal is the harder it is to achieve. (in other words smaller aesthetic changes have to be perfect in outcome or there will be revisional surgery)

My second comment is before you determine what procedure is needed you first have to determine the aesthetic goal. While I think your case is pretty clear to me (horizonal augmentation while keeping the chin narrow/tapered in the front view) it still is essential to see what that looks like. (see attached imaging)

A final general facial augmentation comment is that when no standard augmentation approach is ideal for the goal the ore likely a custom implant design is needed.

Dr. Barry Eppley

World-Renowned Plastic Surgeon