Custom Jawline Implant
Q: Dr. Eppley, I was looking into this procedure to create a more masculine jawline and prominent chin as I feel currently my face has the more oval shape as opposed to a squarer shape that I would prefer due to high jaw insertions and a slightly recessive chin. As you can see in the photos there is some degree of jawline asymmetry present as the left side is significantly more developed than the right, would this asymmetry necessitate the use of a custom implant as opposed to the off the shelf chin and jaw implants. Thanks very much.
A: You would need a custom jawline implant (one piece wrap around type) for the following two reasons. First, the lower facial augmentation effect you are trying to create requires a smooth augmentation from one jaw angle to the angle across the chin. A separate three piece approach (chin and two jaw angle implants) would not have this smooth widening jawline effect. Secondly with the degree of jawline asymmetry that you have, only a custom jawline implant made from your 3D CT scan can be designed to take that into account to get the best jaw symmetry as possible.
Dr. Barry Eppley