Due To My Very Short Chin Am I A Good Candidate For A Custom Jawline Implant?

Q: Dr. Eppley, I have been reading about jaw recession and chin recession, which I now realise to be much of the same issue: if the chin is recessed, so usually is the jaw. 

I have read that when correcting a recessed chin via genioplasty, chin implant, or both, a problem known as the “crescent moon deformity” can occur, whereby there’s a point in which the advancement of the chin looks unnatural because the jaw is still recessed behind it. 

Apparently, the only way to correct this problem would be BSSO, as with a short distance from chin to throat, as is seen in recessed jaws, nothing can compensate other than physically extending the mandible body itself as well as the chin. 

I was wondering what your thoughts were in regards to how this problem pertains to wrap around jaw implants? I was considering one of these implants with you myself, but am concerned it would look unnatural if the mandible body is not long enough in the first place. I have attached an image (sorry for the quality. It’s the only one I have as I currently have a beard). 

From what I’ve read, it seems plausible to be able to correct a recessed chin, lengthen the ramus (jaw height) and add jaw width with a wrap around, but will it ever look natural if someone’s mandible length from the profile view is too short to begin with? 

Many thanks!

A: Thank you for your inquiry and sending your picture. You are not a good candidate for a wraparound jaw implant. Your chin is too short and is tilted downward with a high mandibular plane angle. Short of a BSSO what you need is a sliding genioplasty to bring the chin substantially forward (+10mms) and up. (vertically shorten) Jawline implants behind can be added for a total jaw augmentation effect if desired.

Dr. Barry Eppley

World-Renowned Plastic Surgeon