Can I Get A Custom Jawline Implant After A Facelift?

Q: Dr. Eppley, I had a Male Deep Plane Face and Neck Lift earlier thus year. I am pleased with the facelift, but not with the chin and jawline.

I am wanting to redo the following:

– Custom chin jawline Implant (Chin Augmentation), I want a longer masculine face (about 3/4 inch down) with a strong jawline (As per before and after pictures included). .

– Upper Eyelids – Eyelid Surgery (blepharoplasty).

I’ve included the following my marked photographs with the dates before and 60 days after surgery, as well as the day of the procedure. I’ve also included before and after photos of third-party custom customised jawline implants to demonstrate my intended outcomes.

A: Thank you for your inquiry and sending all of your pictures to which I can make the following comments:

1) As you have learned, although it was not your primary intent, you can’t lift or defat one’s face into a more defined or stronger jawline. It will merely reveal whatever shape/size jawline that already exists.

2) Your face has thick heavy soft issues, unlike the examples you have provided, so we have to be aware that this is a ‘problem’ in terms of showing jawline shape/definition. Like putting a covering over a ball there is a big difference in how it will look with a thin sheet vs a quilt. In the former you will know it is a ball, it is the latter you would have no idea as to its shape.

3) The method to partially overcome the negative side effects of thick tissues is to expand them or stretch them out. The more you do so the more the underlying shape of the jawline can be seen. But there is a delicate balance between the positive effect of a lot of jawline augmentation and looking too big. Thus more is better to a point. But size tolerance is one of aesthetic preference so in that regard I have attached some potential imaged changes to try and determine your change tolerance.

Dr. Barry Eppley

World-Renowned Plastic Surgeon