What Is The Best Way To Change My Poor Chin to Neck Relationship?
Q: Dr. Eppley, I’ve attached a few photos. Looking to advance the chin a bit, remove some of the fat surrounding the neck and perhaps have implants or filler to give the lower mandible some form. My under eyes are also quite hollow so I would be interested in looking at solutions for that.
A:Thank you for your inquiry and sending your pictures. I did some initial imaging on the side view one which is the best place to start with an initial assessment from which I can make the following comments:
1) With your thicker facial and neck tissue, and naturally shorter lower jaw, what I would recommend is that you first work on the chin-neck relationship and gets some positive changes there. With your shorter neck and thicker tissues a sliding genioplasty is a better chin procedure for you as moving the chin bone forward pulls the neck muscle out which is a big help in the thicker neck patient with an obtuse cervicomental angle. This can be combined with a submentoplasty procedure to remove neck fat and tighten the platysma muscle to really help your cervicomental angle. These two combined procedures will do the most for your chin projection and neck reshaping and then you can see about any further work on the rest of the jawline later.
2) Your undereye hollowing could be done with the chin-neck work and is going to require a custom infraorbital-malar implant to give the undereye area the added volume that it needs.
Dr. Barry Eppley