Q: Dr. Eppley, I am interested in jawline reshaping. I had a chin implant two years ago but it did not help me with the desired look which is not my chin but a weak jawline. I have since tried Kybella but had minimal results. I think jawline implants would possibly address the issues I have with my jawline area. I attached some pictures I pointed to the areas that bug me the most. The fourth pic is how I would like my face to look more tight and defined. I would love to know your thoughts.
A: Thank you for sending your pictures to illustrate your concerns. You have several different jawline reshaping approaches to consider for an improved jawline.
1) Jowl Tuckup procedure. What you are illustrating with your finger is jowling, the development of a soft tissue sag in the middle of the jawline. A mini-lower facelift or jowl tuck is what really solves that soft tissue drape issue hanging off of the jawline by pulling tissues back along the jawline towards the ear.
2) A weak jawline is often perceived as a lack of defined jaw angles, which you are illustrating in one of your pictures. (technically you are illustrating both a jowl tuck and a jaw angle implant(
3) The combination of #1 and #2 is also a possibility.
Dr. Barry Eppley