There is no single aspect of a patient's anatomy that will determine whether chin augmentation is appropriate, according to Dr. Wilson.
“Our clinical experience [and] aesthetic literature have taught us that the relative proportions of the entire face need to be considered in any patient to achieve the optimal aesthetic result,” Dr. Wilson says. “As chin retrusion is often unnoticed by patients and untreated by aesthetic providers, we recommend careful routine evaluation of the horizontal projection and vertical height of the chin in patients seeking facial rejuvenation.”
It’s helpful to assess the chin not only in anteroposterior, oblique and lateral photographs, but also with animation, according to Dr. Wilson.
“It is often instructive to review these photos and videos with patients, as many are not aware of their chin retrusion or how it impacts their appearance,” she says.
For example, the authors report that it’s common for patients seeking rhinoplasty not to realize that chin retrusion can give the impression that a nose is larger than it is.