Q: Dr. Eppley, I am much concerned about my underdeveloped jaw and need your expert opinion on it. I am in a phase in my life in which I suffered from muscle wasting. With these pictures, I have few questions that if this is really a serious aesthetic problem? If it can be converted into a square jaw and how?
A: Thank you for sending your pictures. More square jaws are created by a combination of chin and jaw angle implants that create a stronger and more angular jawline through their size and shape. For more standard cases where one does want an extreme change, stock or off-the-shelf implants are used. In cases where the patients want a more extreme change or want to do the jawline in a wrap-around fashion so it is completely smooth from one jaw angle to the other, then custom jawline implants are used.
I would love to show you these examples on your face but your beard would camouflage most of the effects or at least obscure many of the most significant changes. I suspect in looking at your pictures that stock chin and angle implants would work just fine…although the strength and magnitude of anyone's jawline goal is a personal one.
Dr. Barry Eppley