How Much Horizontal Chin Projection Can Be Achieved With A Custom Jawline Implant?

Q: Dr. Eppley, I contacted you a few months ago regarding a custom wraparound jaw implant. You produced a very impressive morph of a predicted final outcome.

I do have an additional question: How much horizontal chin movement is possible with such a custom implant? If my chin is 10-12mm recessed, can I achieve the results in the morph with a custom implant alone? Or, will the custom implant need to be combined with a genioplasty? 

In case like mine, is a superior aesthetic usually achieved via a custom implant or a genioplasty combined with custom jaw implants?

A: If one has had no prior chin implant in place (which helps stretch the soft tissue chin pad) then a custom implant that adds 10 to 12mms of horizontal projection is right at the edge of what the soft tissue chin pad can stretch to accommodate it. I like to avoid severely stretching the soft tissue chin pad with a large implant load when possible as this is done with a combined sliding genioplasty to lessen the implant volume right over the chin bone prominence. But in looking at your pictures I suspect you would be alright with the custom jawline implant alone.

Dr. Barry Eppley

Indianapolis, Indiana