How Can I Improve My Jawline After An Unsuccessful Chin Implant and Platysmalplasty?

Q: Dr. Eppley, My goals is to not have a bulbous chin and a more defined jaw line.I wanted a more squared off sharper chin and sharper jaw line and to remove the “divots” right past my chin and make it one linear plane to my jaw, instead it kind of concaves in. I just had the terino “square” style 1 implant put in with a platysmaplasty, and it is not at all what I wanted. Even with swelling I can tell it only will accentuate what I wanted to get rid of.

A:Your surgical results is a classic example of surgeons doing what they know rather than what the patient actually wants. This occurs simply because the surgeon does not really know how to get what you want which can only be achieved with a custom jawline implant. Adding a spot implant augmentation onto a short and high angled lower jaw is only going to accentuate what actually existed beforehand. Standard chin implants are most effective when the general augmentation needs are very modest and the jaw structure behind it has a good shape. It also illustrates the common problem that I’ve see that preoperative imaging to determine the patient objective was probably never done. I would be pretty certain that had these potential results been shown to you before surgery you would’ve said that is not what I want to accomplish.

Dr. Barry Eppley

World-Renowned Plastic Surgeon