Kybella – Patient 252
A woman in her late 30’s who is bothered by a weak chin as well as submental fullness. She is shown 7 ½ months after a chin implant and 3 months after the placement of 4 vials of Kybella to the submental area. She has had an additional 4 vials of Kybella 5 months before. She has gained 4 lbs since the Kybella treatment but the submental area is more refined and gives her the appearance of having lost weight. The Kybella treatment has been tailored in her case to include the jowls. A beautiful jawline is seen after her treatments.
Chin Implant/Kybella – Patient 248
A woman in her late 30’s who is bothered by a weak chin as well as submental fullness. She is shown 3 ½ months after a chin implant and 2 months after the placement of 4 vials of Kybella to the submental area. She has gained 4 lbs since the Kybella treatment but the submental area is more refined and gives her the appearance of having lost weight. We can typically expect the area of Kybella treatment to continue to improve over the next 2 months.
Chin Implant – Patient 111
A woman in her early 20’s who was interested in chin augmentation and rhinoplasty. She did not like the overall shape of her nose and the dorsal hump, and also feels that her chin is too small for her face. She also had a history of nasal obstruction and would snore at night and wake up with a dry mouth in the morning. She is shown before and again, 6 weeks after an open rhinoplasty with straightening of her septum and placement of spreader grafts to correct collapse of the internal nasal valve. She had a solid silicone anatomic chin implant placed through an incision under the chin at the same time. Her nasal obstruction is improved, and she is thrilled with her natural appearing improvement. The nose looks better already at the 6 week mark but will typically continue to improve in the tip area over the next 3 years as swelling gradually resolves.
Chin Implant – Patient 110
A woman in her late 40’s who is bothered by an aged appearance of the face. She has a weak chin which worsens the appearance of her neck and jowl laxity. She is shown before and again, 6 months after a Lateral SMAS facelift combined with fat grafting to the midface (to replace volume lost through the aging process) and placement of a solid silicone anatomic chin implant through a submental (below the chin) incision. The scars in front of her ears are beveled around the sideburns to prevent over elevation of the sideburns. The beveling allows the hairs to grow up through and hide the scar.
Chin Implant – Patient 109
A woman in her late 60’s who did not want a face lift but wished to have a simpler surgery that would still improve her chin balance. She is shown 3 months after the placement of a medium Flowers Mandibular glove implant through a submental incision. Even though she did not have a facelift, her neck is also improved by treating her weak chin. A quick test to see if a chin implant will be helpful is to draw a line connecting the upper and lower lips. The chin should come out close to this line (“Riedel’s line”). As in everything is plastic surgery it is always better to under correct it slightly so that it does not look too prominent.
Chin Implant – Patient 107
A woman in her mid 20’s who was bothered by the appearance of her nose as well as having difficulty breathing. On examination she was noted to have a weak chin as well. Whenever someone is considering rhinoplasty we are taught to always look at the chin. If it falls behind a line that connects the lips, it is usually”weak” or too small, and a chin implant or advancement of the chin can dramatically improve the results. She is shown before and again, just 6 weeks after an open rhinoplasty along with placement of a medium chin implant. It is better to under correct the chin slightly rather than having it appear too “strong” or masculine in appearance. She is already thrilled with her new look. The tip will typically continue to appear more refined over the next 3 years as the swelling diminishes. We also corrected deviation of the septum and vestibular stenosis at the same time- her breathing was obstructed by deviation of her septum but also collapsed inside at the “nasal valve”area when she inhaled- the area that is improved with BreathRite type strips. We corrected this with “spreader grafts”,a strip of her septal cartilage that sits up high on the inside along the top edge of the septum and prevents the collapse. Her breathing is corrected now, and she is very happy to have a beautiful and refined look to her nose and face.
Chin Implant – Patient 106
A professional in her mid 30’s who is bothered by a crooked nose, dorsal hump, difficulty breathing. On examination she was noted to have significant deviation of the septum as well as vestibular stenosis. Vestibular stenosis is the collapse of the nose when someone breathes in that takes place at the “nasal valve” area and is often temporarily improved with “Breath rite” strips. She was also noted on exam to have a “weak chin”. The chin falls behind an imaginary line that touches the upper and lower lips. She is shown before and again,4 months after an open rhinoplasty with correction of the vestibular stenosis by placing “spreader grafts”, a match stick shaped piece of the septal cartilage. She also had a medium chin implant placed. She is thrilled with her early improvement, and no longer has obstruction of her breathing. Her husband notes that she no longer snores at night. The nasal tip will continue to gain refinement over the next 2 1/2 years. The slight pinkness of her nose is a sunburn from the weekend.