Best way to fix an unprojected short narrow chin?

[Deleted member 14392]

Is there a single surgery/implant/procedure that could address these 3 problems in a natural looking way? Does a three-way genio exist?

Tagging some enlightened users:
@WanderingBurro @Artemis @Chinlet Ascension

 

[Artemis]

Is there a single surgery/implant/procedure that could address these 3 problems in a natural looking way? Does a three-way genio exist?

Tagging some enlightened users:
@WanderingBurro @Artemis @Chinlet Ascension

Pretty much a custom implant. Or a combination of genio + implant, if you need a lot of vertical lengthening without forward projection.

 

[Deleted member 3828]

genioplasty + msdo

 

[AscendingHero]

Is there a single surgery/implant/procedure that could address these 3 problems in a natural looking way? Does a three-way genio exist?

Tagging some enlightened users:
@WanderingBurro @Artemis @Chinlet Ascension

Condylar growth and/or 3d genioplasty

 

[coolguy1]

genioplasty + msdo

Stop recommending shit like msdo as if it’s something like bimax, nobody is getting surgeries like msdo. Barely any surgeons do it and it’s giga painful.

 

[Deleted member 23017]

trimax

 

[Deleted member 13710]

Is there a single surgery/implant/procedure that could address these 3 problems in a natural looking way? Does a three-way genio exist?

Tagging some enlightened users:
@WanderingBurro @Artemis @Chinlet Ascension

Chin height and forward projection could be fixed by genioplasty. A wraparound implant could add width and forward projection.

The problem with an implant for increasing the chin's vertical height is that for a normal-looking augmentation, you want to move the mentolabial fold and the chin down proportionately. If you make the chin bigger without moving the mentolabial fold, you tend to get this bulbous, disproportionate, Buzz Lightyear-looking chin. The only exception to this is if you already have a low mentolabial fold, and it is truly the chin itself (not the whole front part of the mandible) which is small. In that case, a wraparound implant will fix all of your problems.

There is one doctor (forgot who) who does a variation called a "chin shield" genioplasty, which widens the chin at the same time. That's a very rare variation, though. The chin wing osteotomy doesn't actually make the chin wider (as far as I understand), but will make the middle of the mandible wider, which might give you the illusion of a wider chin.

Worst case scenario, you will probably have to prioritize either height + forward projection or width + forward projection.

 

[StuffedFrog]

Filler

 

[Tallooksmaxxer]

Chin height and forward projection could be fixed by genioplasty. A wraparound implant could add width and forward projection.

The problem with an implant for increasing the chin's vertical height is that for a normal-looking augmentation, you want to move the mentolabial fold and the chin down proportionately. If you make the chin bigger without moving the mentolabial fold, you tend to get this bulbous, disproportionate, Buzz Lightyear-looking chin. The only exception to this is if you already have a low mentolabial fold, and it is truly the chin itself (not the whole front part of the mandible) which is small. In that case, a wraparound implant will fix all of your problems.

There is one doctor (forgot who) who does a variation called a "chin shield" genioplasty, which widens the chin at the same time. That's a very rare variation, though. The chin wing osteotomy doesn't actually make the chin wider (as far as I understand), but will make the middle of the mandible wider, which might give you the illusion of a wider chin.

Worst case scenario, you will probably have to prioritize either height + forward projection or width + forward projection.

are implants best bet for to have that square shape and wideness?

 

[WanderingBurro]

It's Eppley but does this at all help? Usually the biggest problem with implants that widen the chin/jaw is that they sometimes leave the mouth looking a bit small/off in comparison. Ideally an osteotomy would be a better solution to counter this though I'm unaware if there is such a thing as a 3 way genio and as users have mentioned here certain jaw surgeries other than bimax are often a pipe dream

 

[Deleted member 13710]

View attachment 2001484
It's Eppley but does this at all help? Usually the biggest problem with implants that widen the chin/jaw is that they sometimes leave the mouth looking a bit small/off in comparison. Ideally an osteotomy would be a better solution to counter this though I'm unaware if there is such a thing as a 3 way genio and as users have mentioned here certain jaw surgeries other than bimax are often a pipe dream

This is kind of a typical response to pictures of implants, which I disagree with. That guy just has an ugly lower face: Ugly lips, ugly base of the nose, ugly skin. The implant does improve his looks, but not to the point where he's actually good looking. So people see this and think it's a shortcoming of implants, and it's really not, as far as I can tell.

Some plastic surgeons only display the best-looking people they work with. Others like a more "relatable" approach of feature people who don't look great, but do improve. Eppley seems to be the latter.

To address your concern specifically, if you have a weak chin/jawline, usually want the mouth to look smaller, because your mouth looks big compared to the rest of your lower face.

 

[Deleted member 14392]

Chin height and forward projection could be fixed by genioplasty. A wraparound implant could add width and forward projection.

The problem with an implant for increasing the chin's vertical height is that for a normal-looking augmentation, you want to move the mentolabial fold and the chin down proportionately. If you make the chin bigger without moving the mentolabial fold, you tend to get this bulbous, disproportionate, Buzz Lightyear-looking chin. The only exception to this is if you already have a low mentolabial fold, and it is truly the chin itself (not the whole front part of the mandible) which is small. In that case, a wraparound implant will fix all of your problems.

There is one doctor (forgot who) who does a variation called a "chin shield" genioplasty, which widens the chin at the same time. That's a very rare variation, though. The chin wing osteotomy doesn't actually make the chin wider (as far as I understand), but will make the middle of the mandible wider, which might give you the illusion of a wider chin.

Worst case scenario, you will probably have to prioritize either height + forward projection or width + forward projection.

So the best course of action would be having a genioplasty that only deals with the chin height and then adding a wraparound implant (assuming one wants to fix his whole lower third) that sorts the forward projection and width?

 

[Deleted member 14392]

Condylar growth and/or 3d genioplasty

I'm having trouble finding info about this procedure anywhere online. Do you mind sharing what you know (risks, price, quality of results, doctors who perform it, etc) and sources?

 

[Deleted member 13710]

So the best course of action would be having a genioplasty that only deals with the chin height and then adding a wraparound implant (assuming one wants to fix his whole lower third) that sorts the forward projection and width?

Yes, unless he is an example of the rare case I mentioned: Someone who has a low mentolabial fold and a small chin. In that case, a wraparound implant might solve all of his problems.

 

[Deleted member 14392]

Yes, unless he is an example of the rare case I mentioned: Someone who has a low mentolabial fold and a small chin. In that case, a wraparound implant might solve all of his problems.

Thank you man. Your posts really enlightened me and may do so to many others who might stumble on them in the future. Wish you good luck on your ascension

 

[Be_ConfidentBro]

This is kind of a typical response to pictures of implants, which I disagree with. That guy just has an ugly lower face: Ugly lips, ugly base of the nose, ugly skin. The implant does improve his looks, but not to the point where he's actually good looking. So people see this and think it's a shortcoming of implants, and it's really not, as far as I can tell.

Some plastic surgeons only display the best-looking people they work with. Others like a more "relatable" approach of feature people who don't look great, but do improve. Eppley seems to be the latter.

To address your concern specifically, if you have a weak chin/jawline, usually want the mouth to look smaller, because your mouth looks big compared to the rest of your lower face.

Insightful, thank you! In my case other than a small chin, I have actual big lips too so it would be a two birds with 1 stone scenario.