Will A Sliding Genioplasty And Custom Jaw Implant Give Me A Jaw Like Brad Pitt?

Q: Dr. Eppley, I am really interested in getting a custom jaw implant and sliding genioplasty (don’t know if I am a right candidate for genioplasty or chin implant, please see my pics). I want to get a shape like Brad Pitt. I know I won’t look exactly like him after this procedure but I wanted to give you an idea of what kind of shape I’m looking for. Also, in my picture you can clearly see my forehead is gone in a little bit. So please advice me on that, if I should get a implant for that. Lastly, do I need cheekbone implant?

A: Thanks for sending your pictures in this additional email. I have done some imaging for you looking at jawline augmentation alone as well as with infraornital-malar and forehead augmentations from which I can make the following comments:

1) I believe you are correct in that a bony genioplasty with custom jawline implants is best for you because you have a vertically short chin which needs an 8 to 10mm lengthening. This is best done with an opening wedge intraoral bony genioplasty to which the jawline behind is matched with custom implants. When you get into vertical chin lengthening at 8mms and above the soft tissue chin pad will not stretch over an implant. When you drop down the bone, however, the soft tissue chin pad comes with it. That will also help the depth of your labiomental fold as the soft tissue is stretched/lengthened down as well.

2) I added on infraorbital-forehead augmentations in a second set of imaging with the jaw augmentation predictions. As would be expected these help your overall face as they continue the reshaping effect to the next two levels above the jawline. (jaw-cheek-forehead facial architecture) Whether you do one, two for all three levels in a single surgery is a personal choice.

3) Imaging is provided and it is important to understand its role in facial reshaping surgery. These are examples of one degree of change for any facial structure altered, this does not mean it is the only type of change possible. Imaging creates a dialogue to help better determine what degree of facial change a patient is seeking.

Dr. Barry Eppley

Indianapolis, Indiana