Q: Dr. Eppley, I am interested in chin augmentation. I have attached a few photos band a facial analysis report from another surgeon. My goal is to define my jaw, neck, and balance my chin for a chiseled appearance. I am also interested in eradicating the horizontal neck lines. I plan on losing 20lbs before booking a online consultation, but would love to hear your opinion.Thank you.
A:Thank you for sending your pictures. Your chin deficiency is completely of a vertical dimension, you have adequate horizontal projection. Your lower facial third is vertically short. Thus what you need is a vertical lengthening bony genioplasty combined with a submentoplasty neck procedure. Essentially drop the chin and bring up the neck angle. That is what your ‘chin augmentation should consist of and it has nothing to do with a chin implant unless you want to custom design a vertical lengthening chin implant but I advise against since it may not carry the soft tissue chin pad down with it whereas moving the chin bone down will. How much you would like to vertically lengthen your chin is a matter of aesthetic taste and the attached imaging is just one version of it.
Your facial analysis report is non-sensical to me as bimaxillary osteotomies are not an appropriate solution for your facial concerns nor do they address the neck component.
No surgical procedure exists that can improve horizontal neck lines, that is not an achievable goal.
Dr. Barry Eppley