How Can My Chin Be Reshaped?

Q: Dr. Eppley,I’m attaching photos of what I’m looking for.

I don’t like the projection of the chin which in my opinion is too much (profile), I would prefer it to be wider and a little more squared like in the photos (not excessively)(frontal/ 3/4).

Also I would like a consistent cheek augmentation.

My main concern is to reduce the triangular and elongated (fox-like) shape of my current face by improving frontal and 3/4 views.

A:If I interpret your request/goals accurately you would like a chin that has less projection but is also wider and more square. Those type of chin dimensional changes are very hard to achieve as reduction involves bone removal well within squareness generally requires implant augmentation. So to some degree these desired dimensional changes are conflicting. The only possible autologous option to try to achieve these changes is a setback genioplasty with a midline expansion/bone graft. The other option is a chin projection shave and adding implants onto the side. But in either case you need to be aware of that anytime chin projection is reduced it can cause other issues such as redundant tissues in the submental area (fullness) as well as fasciculations of the mentalis muscle of the soft tissue chin pad.

As for the cheek augmentation I am not certain what consistent means. I would need some more specific clarification as to the cheek augmentation goals.

Dr. Barry Eppley

World-Renowned Plastic Surgeon