How Much Can My Jawline Be Reshaped/Narrowed?

Q: Dr. Eppley, I’m interested in essentially reducing my mandible to a more “V” shape, and the only place I could find that does this procedure is in Thailand (which, is alright, I have the resources to get there. But I’d feel more comfortable with surgery in America). I wanted to know if you knew anything about this surgery and if it would be possible for you to do? My second question would be how far you can go with a chin reduction. I have a really prominent chin and it’s completely destroyed my self-confidence, it’s hard not to be when you’re called Jay Leno as a young teenager and being told you have look like a man. I’d love to get a more feminine, small chin that is in proportion with the rest of my features. I do have example pictures of chins I love and I have to wonder if it’s even possible for me to get that type.

A: These are procedures that I do all the time so I am quite familiar with what can be done and can’t be done with them. You can not achieve your desired chin reduction based on where you are right now. You may be able to get about halfway there between what you have now and those images. The fundamental problem is the soft tissue excess, that is the major limited factor. I can reduce the bone all I want but the overlying soft tissues have to adapt to it to be seen. Too much reduction and the soft tissues will just hang or sag, a worse problem than where you are now. There are two fundamental approaches, intraoral osteotomy reduction with muscle tightening or submental extraoral ostectomies with a soft tissue tuck-up. Each has their own advantages and disadvantages. I would recommend a phone or Skype consultation to discuss further.

Dr. Barry Eppley

Indianapolis, Indiana