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Plastic Surgery Washington DC

Philip S. Schoenfeld, M.D.

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As I’ve gotten older (I’m 50 and female)

September 8, 2010 by Dr. Schoenfeld

Question:
As I’ve gotten older (I’m 50 and female), my face has started sagging in all the usual places: cheeks, eyes, forehead, etc. The worst part of it, though, is my chin. The outer edges have sagged, leaving the middle looking large and square. I’d like to fill in the edges so the middle doesn’t look so bad. Would a chin implant be effective in pushing out the sides of my chin to reduce the sagging?

Answer:
There are many different chin implants that can be used to help shape the chin and jaw line. In your situation it sounds as if you are seeing your jowls drooping so that your jawline and lower face has become less well defined. A temporary yet effective solution to this problem is addition of dermal fillers such as Perlane, Juvederm, Restylane, or Radiesse to the grooves along the sides of your chin to augment those areas. A facelift is really designed to elevate your jowls but, clearly, this is more of a commitment. I often times use chin implants to enhance the chin and jaw line in conjunction with a facelift in those individuals with jowling and a weak chin.

The recovery for a chin implant is about a week to 10 days. Some swelling may remain for a few weeks but, this is not very noticeable. However, after reading your comments and concerns, I would absolutely elect to go with the rhinoplasty. Although the final results of a rhinoplasty may not be realized until a year after the surgery, 85% of the swelling will resolve in the first three weeks, and 90% of the swelling will dissipate within 6 weeks. Adding a chin implant to your face is only a good idea if your face needs chin augmentation and, perhaps, not such a great idea if you are trying to compensate for a very large nose.

Posted by Dr. Philip Schoenfeld

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Reviews

  • I met SEVERAL renowned plastic surgeons across multiples states before choosing the right one to perform my surgeries. After the first few minutes with Dr. Schoenfeld, it became very apparent to me that he was the person I'd entrust with my operations. He is the consummate approach, level of expertise, and experience provided me a tremendous amount of comfort, I knew that my expectations would surely be met. As it turns out, I not only made the right choice, but Dr. Schoenfeld was able to surpass my expectations, everything turned as he said it would and even better than I had hoped, Dr.…

    • 5 stars
  • I went to Dr. Schoendfeld to have a Septoplasty/Rhinoplasty and I couldn't be happier. He called to check up on me multiple times after my surgery to make sure I was doing good and I love the appearance of my new nose. He was able to make it fit my face and make it look as natural as possible while still fixing everything I wanted to be corrected, I am also able to sleep so much better at night since I can breathe out of my nose with ease.

    • 5 stars
  • Dr Schoenfeld is a fantastic doctor. He is respectful and makes an effort to get to know his patients. He is experienced and quite good at what he does. I had seen him for several years for Botox and fillers and was always happy with the results—very natural and never overdone. I had some jowls and neck rings developing, and these were beyond anything that injectables or good skin care could fix. I knew I could trust Dr. Schoenfeld to fix these problems and to deliver an aesthetically pleasing and natural looking result.

    I am a busy person with a career and many other obligations, and I…

    • 5 stars
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