What Do I Need To Make A Better Jawline Now That I Am Older?
Q: Dr. Eppley, I would like to improve my profile. I am 53 years old and have always had a round face. But as I have gotten older and gained weight, it has gotten more so. About 20 years ago I had a chin implant placed. It helped a little but the result was not what I was looking for but I have lived with it. Now I would like to rejuvenate myself a little bit and get my jawline looking better. I have attached front and side pictures for your recommendations.
A: Thank you for your inquiry and sending your photos. In looking at them, you have chosen the correct procedures, neck recontouring and chin augmentation. The chin augmentation is straight forward. A forward projecting chin implant of 8mm to 9mms would give much improved augmentation. This is in addition to the chin implant you already have. I suspect it is a very small inplant that is likely placed too high on the bone. So I would remove it and replace it with one that is bigger, more square-shaped and positioned lower on the bone. Your very full neck (bullfrog neck deformity) is the challenging procedure. This can be approached from three different approaches; liposuction only, liposuction with submentoplasty or a full necklift. I think with your size neck and excess skin that only a full necklift will give you the maximal improvement. Males with thick necks never get as much tightening and cervicomental angle creation as females so the most aggressive approach needs to be done. I have attached a side imaging profile to show what I consider to be a conservative result, meaning the least amount of improvement that I would expect.
Dr. Barry Eppley
A detailed description and pictures of your concerns allows for the most informed response.