What Is The Best Method To Achieve More Chin Projection But No Increase In Facial Length Or Jaw Width?

Q: Dr. Eppley,Hello! I am primarily interested in modestly increasing the anterior projection of my chin, avoiding facial lengthening and jaw widening. I would like to explore which options are most suitable for my face, learn more Dr. Eppley’s custom implant process and pricing for each option that I would be a good candidate for.

I am also interested in assessing my candidacy for subnasal philtrum shortening, as well as associated procedural details and pricing.

A:To achieve the dimensional chin augmentation changes of increased horizontal projection and no width or length increases can be done by two approaches both based on the need to bring the augmentation upward as it comes forward. If you don’t make that compensation in the movement the chin will get longer.  This can be done by either a bony sliding genioplasty or a custom chin implant. When it comes to an implant augmentation it requires a unique design for which no standard implant can achieve. (see attached imaging

For the upper lip you can’t really have a subnasal lip lift alone as the sides of your upper lip have the vermilion disappearing as it goes to the sides. (greater on the right than the left) You would have to combine that with lateral vermilion advancements to avoid an A frame upper lip deformity. (see attached showing the subnasal lip lift without and with lateral vermilion advancements)

Dr. Barry Eppley

World-Renowned Plastic Surgeon