What Are The Best Cheek and Jaw Augmentation Procedures?

Q: Dr. Eppley, I am interested in a genioplasty, jaw angle implants, undereye fat grafting, midface lift.

A: Thank you for your inquiry and sending your pictures. Let us start with the premise of what is the ideal surgical procedure for your undereye/cheek and jawline augmentation needs. There is a little question that the best procedures for your needs are a custom jawline and custom infraorbital –malar implants.

From that perspective, I can make the following comments:

1) Isolated chin and jaw angle implants will provide improvement, but it will not make for a connected look, and you will not have precise preoperative control of the dimensional changes. There is nothing wrong with a combined sliding genioplasty and jaw angle implants as long as you recognize why one is  selecting over a custom jawline implant….cost. Lower cost is fine as long as one recognizes that the result is not the same as the higher cost surgery.

2) when it comes to your under eyes, this is a very different story. You have a significant negative orbit vector for which fat grafting is a poor treatment for it and never works. It will just end up being a wasted procedure. The only effective treatment for a negative orbital vector is a custom infraorbital-malar implant for your under eye problem as it is one of volume and you need significant added support to create a sustained and effective result.

3) You are young and do not have a sagging midface due to tissue laxity. You lack volume/bony support which is needed to create a lifting effect. You do not need a midface lift, you need the addition of structural augmentation.

Dr Barry Eppley

Plastic Surgeon