Q: Dr. Eppley, I am interested in total jawline augmentation. I can show you the change that I am looking for when I jut my jaw down and forward as shown in the attached picture. Do you think this type of jawline change is possible?
A: In looking at your own prediction imaging by moving your jaw down and forward, it creates two artifacts that will not happen from a surgical procedure like a custom jawline implant for total jawline augmentation.
First, the depth of the labiomental fold will not be pushed forward or become more shallow. The depth of the labiomental fold can only be changed by bring the teeth forward (lower jaw advancement) not by any jawline implant augmentation. It sits above the level of the bony chin so any form of chin augmentation will not change it and may make it a bit deeper.
Second, the jaw angle area will be come more obvious or angular with implant augmentation. Jurtung the jaw forward actually blunts the jaw angles as they come down and forward. An implant will actually make the jaw angle more pronounced or stronger as your ideal pictures demonstrate.
I have attached an adjusted imaging picture which I think is more realistic of the actual result in profile view.
Dr. Barry Eppley