Q: Dr. Eppley, I am seeking jawline enhancement. What really bothers me is the lack of definition in my jawline and the bulge under my chin. I feel like everything just blends together, I also have no cheek contour.
I had liposuction done twice in the under chin area (never along the jawline though). I had a chin implant and then another chin implant stacked on top of the first one by a different doctor two years later. (so I have 2 chin implants on top each other)That same doctor also did buccal fat removal in the same year.
As you can see from the pics there hasn’t been much progress, I would love to have a stronger/sharper more defined jawline. What do you recommend? I am 30, 5’3 and normal weight range for my height 125 pounds.
A: Thank you for sending your pictures. I can clearly see all of your stated facial concerns. Given that you have a double stacked chin implant and a persistent submental bulge, you need to remove your chin implants and have a replacement sliding genioplasty. Pulling the chin bone forward will stretch out the neck muscles which is clearly the source of the bulge. It will also create a greater horizontal chin projection and will make the chin look more defined and less round. With the sliding genioplasty vertical lengthening jaw angle implants can be done at the back of the jaw to give it more shape and angularity.(total jawline enhancement) For the cheeks you need a small malar shell implants to give them more projection. The triangulation effect of chin, cheek and jaw angle augmentation will have the biggest effect on changing the shape of your face to make it more defined.
Dr. Barry Eppley