Tag: jawline

How Custom Chin Implants Are Transforming Facial Harmony — Here’s What Top Surgeons Won’t Tell You

Posted on by Randal Haworth


The Art and Science of Chin Enhancement: Balancing Beauty, Restoring Proportion

As a plastic surgeon with a global clientele, I often say: chin enhancement may not be necessary—but in facial aesthetics, necessity and desire can merge beautifully. Let’s explore why.

Why the Chin Matters

From the front, the chin defines the proportions of the upper, middle, and lower facial thirds. A recessed chin can make the face appear wider, disrupt harmony, and cast vertical shadows from the mouth corners toward the jawline—subtle signs of “pseudo‑jowls” long before they appear.

Before-and-after comparison of an anatomic extended chin implant showing reduced vertical shadow wings between the lower lip and chin, improving lower face harmony.

Anatomic Extended Chin Implant — Before & After:
The “shadow wings” that extended from the corners of the lower lip toward the chin have been significantly reduced, restoring smoother, more harmonious lower facial contours.The patient also underwent an upper lip lift.

From the profile, a properly aligned chin should fall along a vertical plumb line with the nose. A weak chin can contribute to submental skin laxity and even a flaccid lower lip that exposes the lower teeth.

Before-and-after images of chin implant surgery correcting a recessed chin, lifting a forward-hanging lower lip, and tightening loose submental skin.

Recessed Chin Correction with Chin Implant — Before & After:
Marked improvement in chin projection, resolution of flaccid forward-hanging lower lip, and tightening of loose submental skin after chin augmentation.  

Enhanced Insights from Recent Trends

  • Rising demand for chin implants in 2025: Surgeons are seeing increasing popularity for chin implants due to their ability to refine face shape and define the jawline with minimal downtime .

  • Custom implants using CAD/3D‑printing: Personalized implants designed via CAD and 3D modeling offer unmatched precision and harmonious results  .

  • Preference for natural aesthetics: Patients increasingly favor subtle, authentic enhancements over overly dramatic looks—often referred to as the shift from Kardashian‑style to more natural facial harmony  .

  • Advantages of implants vs. fillers: Implants offer more dramatic and permanent results, especially for those ready for lasting change. Fillers remain a great trial option or for those seeking modest, temporary enhancement .

Refined Surgical Options

  1. Dermal and Fat Fillers

    • Temporary fillers (like hyaluronic acid or calcium hydroxyapatite) or permanent options (such as Bellafill or autologous fat) offer non‑surgical chin enhancement, ideal for previewing outcomes  or as a relatively simple, non-invasive methods for mild to moderate issues Jaw fillers .

  2. Sliding Genioplasty (Advancement Osteotomy)

    A versatile technique moving the chin bone itself for structural change. Though powerful, it carries risks like step‑offs, lower lip laxity, and disruption of the mentalis muscle—hence my caution toward this approach. Sliding genioplasty

  3. Chin Implants (My Preferred Method)

    • I favor solid silicone implants that I sculpt for personalized fit—whether a button style or an extended “boomerang” design to restore jawline flow. Their placement can even lengthen the lower face and improve posture of submental tissue. I personally customize the implant to both size and shape to not only account for underlying asymmetry of the bony mandible (on which it will sit) but also the asymmetrical overlying soft tissue (which will form the roof of the pocket). Pre-fabricated Chin implants only taken into account asymmetry of the bone and not of the soft tissue. Chin augmentation

    • Modern implants offer long-lasting, customizable results, minimal visible scarring, and enhanced facial proportions  

    • With proper case selection and surgical technique, complications are rare, and implants remain a go-to for enduring aesthetic refinement.

Custom chin implants in three styles—Button, Anatomic, and Extended Anatomic (Boomerang)—displayed side by side on a white background, used for tailored jawline contouring and improved facial proportions.

Comparison of three custom chin implant designs—Button, Anatomic, and Extended Anatomic (Boomerang)—crafted for personalized jawline contouring and enhanced facial harmony.

Beyond Aesthetics: Function and Form

A well-executed chin augmentation doesn’t just create a stronger jawline—it can smooth shadowing, lift a flaccid lower lip, and tighten loose submental skin. Done thoughtfully, it transforms the lower face into a more confident, balanced, and aesthetically cohesive whole. In the end, a well-proportioned chin plays an integral role geometry, balance, and how you carry yourself in the world. Whether you’re chasing a sharper jawline, banishing those telltale shadows, or simply giving your lower lip the nudge it’s been begging for, chin enhancement can be the quiet hero of facial aesthetics. 

Randal D. Haworth, MD, FACS / Board-Certified Plastic Surgeon | Beverly Hills

Plastic Surgery-The Male Factor

Posted on by Randal Haworth
Man running
Exercise is hard work

For the last eight years or so, I, as one of the foremost cosmetic injection experts in Beverly Hills, have noticed an increasing number of men seeking aesthetic improvement outside of diet and exercise. However, I see this growth as less a trend and more of a real shift in the industry.

This growth is spurred on by society’s reliance on visual rather than written communication and its unabashed obsession with youth and beauty over old-fashioned wisdom and experience. The eruption of social media, including Instagram and the like, has only heightened the problem. It has awakened our once dormant  narcissism into the self-perpetuating collective contagion that it is today. 

Consequently, there is less social stigma for men to seek out ways to better their appearance in this highly competitive world. In 2018, more aesthetic technologies are finally delivering on their promises to reduce wrinkles, firm faces, reverse atrophy and sculpt bodies without hair. The armamentarium used includes Botox, Jeuveau( or #Newtox), Juvederm, Vollure, Restylane, Radiesse,Voluma, Bellafill, IP, laser hair removal and other lasers to treat brown discoloration, and red patches. Men are not only seeking out ways to keep themselves looking young and competitive but also non-surgical ways to actually enhance their features; these include filler/liquid nosejobs (rhinoplasties), cheek and chin augmentations and jawline defining and even laser induced fat burning with SculpSure..

All done with the expert hands of a board certified plastic surgeon or his personally trained expert nurse injectors (such as Katherine Braun, R.N. helming The Haworth Institute’s own medispa, Self-Centered Aesthetics™), results which are both significant and, most importantly, natural.  This is ideal for men wanting their appearance to be on point in order to compliment their skill set at work.

No cutting, no stitches, less recovery, less expense- what’s there not to like for those men who simply want to look good with minimal expense and time? 

DailyMail – July 2018

Posted on by Randal Haworth
Dr. Randal Haworth, told Daily Mail Australia on Tuesday that he believes the rapper, could have made additional changes to her facial shape. Haworth, who has not treated Iggy himself, stated that the Australian musician appears to have invested in some ‘subtle‘ and ‘beautiful’ refinements. ‘Iggy is what I would describe as an excellent “canvas” on which a plastic surgeon can reveal his work,’ he says. Iggy Azalea’s striking appearance may be the result of further cosmetic procedures, according to Dr. Haworth. Iggy Azalea ‘When done right, results can be sublime and indiscernible to a layman’s eye. In the absence of rare complications, less surgical work is needed to create the beautiful, yet subtle, results as exemplified by Ms Azalea – while a less-than-average surgeon could draw unwanted attention to an anatomical “flaw” which only makes things worse.’ In addition to Iggy’s rhinoplasty, which ‘straightened and narrowed her nose’, Dr. Haworth believes she may have undergone ‘a chin augmentation as well as mandibular angle enhancement to give her a more refined, “modelesque” jawline’. Original Article

Kybella ® vs. liposuction for a double chin

Posted on by Randal Haworth
While we in the cosmetic industry are getting better and better at delivering the results that patients expect, I still hold fast that 60 to 70% of modern high-tech materials and devices in plastic surgery over promise and under deliver ! Considering that the future of plastic surgery will be less about actual surgery as more more and more technological advances are made in the lab (think genetic engineering, better fillers, better lasers, etc.), this 60-70% statistic is rather disappointing. What makes this all the more egregious is the fact that doctors are forced to pay an arm and a leg for such underperforming technologies (Ulthera ® Thermage®, etc.). In light of the fact you can get a state-of-the-art Tesla  with all the bells and whistles for around $100,000, paying $150,000 or more for a machine that just delivers fuddy-duddy ultrasound technology through a wand to aid in liposuction is frankly outrageous. However, the medical tech companies can’t be solely blamed for this-they are basically governed by the FDA’s policies which, in turn, are a response to precedents extrapolated to an absurd degree by  lawyers. Unfortunately, I have seen it all too many times – a new plastic surgery technology coming out amidst a flurry of media only to fade into relatively rapid obscurity. This is similar to a Billboard chart topper only to turn out to be a one-hit wonder! In my opinion the latest overhyped snakeoil is Kybella® from the big pharma conglomerate Allergan®, proud makers of Latisse®, Botox®, Voluma®, Juvéderm®, etc. I was glad to hear from some of my esteemed colleagues at the recent American Society of Plastic Surgery meeting in Los Angeles that their thoughts on Kybella ® echoed mine.   Taking into account Kybella’s negative points, which include: 1.  relative risk of damaging important facial nerves, 2.  cost (though one treatment is less expensive than liposuction, more often than not multiple treatments are necessary and these, of course, add up), 3.  associated pain, 4.  longer recovery (which, ironically, is worse than surgical liposuction since remarkable swelling can occur after every injection session) and 5.  inferior results to those obtained  with aesthetically and skillfully performed liposuction …there is little to no advantage in utilizing Kybella® for my patients except perhaps for its superior multi-million dollar marketing campaign! Indeed, micro liposuction can provide unprecedented control in removing  fat to treat a double chin while refining the jawline and addressing the jowls as well-all with less downtime and more economically so in the end. Case in point:
Dramatic perioral rejuvenation including improvement of the jowl and chin utilizing a combination micro liposculpture and fat transfer
Dramatic perioral rejuvenation including improvement of the jowl and chin utilizing a combination micro liposculpture and fat transfer. Note the smoother jawline and submental (chin) region all performed with delicate no scar facial surgery without a face or neck lift.
Dramatic perioral rejuvenation including improvement of the jowl and chin utilizing a combination micro liposculpture and fat transfer. Note the smoother jawline and submental (chin) region all performed with delicate no scar facial surgery without a face or neck lift.
After combination micro liposculpture and fat transfer. Note the smoother jawline and submental (chin) region all performed with delicate no scar facial surgery without a face or neck lift.
After combination micro liposculpture and fat transfer. Note the smoother jawline and submental (chin) region all performed with delicate no scar facial surgery without a face or neck lift.