Many patients seeking facial enhancement have deficiencies that extend beyond a weak jawline. While a custom jawline implant can create a stronger, more defined lower face, optimal facial balance often requires addressing the midface and perioral region as well. Combining a custom jawline implant with paranasal implants and corner of mouth lifts provides a comprehensive approach that enhances facial structure while creating a more youthful and approachable appearance.
The Three-Procedure Concept
Each procedure addresses a different aesthetic zone of the face, but together they produce a harmonious improvement that cannot be achieved by any single procedure alone.
Custom Jawline Implant
A custom jawline implant strengthens the entire lower facial framework by augmenting the chin, prejowl area, mandibular body, and jaw angles as a single continuous implant. Because it is designed from the patient’s CT scan, the implant precisely follows the individual’s anatomy while providing the desired amount of projection and width.
Benefits include:
- Stronger chin projection
- Better jawline definition
- Increased jaw angle width and prominence
- Improved lower facial symmetry
- Enhanced masculine or youthful facial contours
The result is a permanent improvement in skeletal definition that cannot be duplicated with fillers or fat grafting.
Paranasal Implants
The paranasal region lies immediately beside the base of the nose. Skeletal deficiency in this area creates a flatter central face, deep nasolabial folds, and reduced support for the upper lip.
Custom or standard paranasal implants provide:
- Increased midface projection
- Better transition between the nose and cheeks
- Softening of nasolabial folds
- Improved upper lip support
- Better overall facial balance
Paranasal augmentation is particularly valuable in patients with congenital midface retrusion or a flatter facial profile.
Corner of Mouth Lifts
Even in younger patients, downward-turning corners of the mouth can produce a tired, sad, or unhappy appearance. While implants improve skeletal support, they do not directly elevate the oral commissures.
A corner of mouth lift accomplishes this by:
- Elevating the corners of the mouth
- Creating a more pleasant resting facial expression
- Reducing the appearance of a permanent frown
- Improving smile aesthetics
- Complementing structural facial enhancement
Although subtle, this procedure can significantly improve perceived facial expression.
Why These Procedures Work Well Together
The face is evaluated as a whole rather than as isolated features. A stronger jawline without adequate midface support may leave the profile unbalanced. Likewise, correcting skeletal deficiencies without improving the resting expression may limit the overall aesthetic improvement.
Together these procedures enhance all three facial thirds:
- Lower Face: stronger mandibular definition and chin projection
- Midface: improved central facial projection and support
- Perioral Region: a more youthful and positive resting expression
The result is improved facial harmony rather than isolated enhancement.
Ideal Candidates
This combination is particularly effective for patients who have:
- Weak or underdeveloped jawlines
- Flat paranasal or central midface anatomy
- Deep nasolabial folds related to skeletal deficiency
- Downturned corners of the mouth
- Congenital facial skeletal underdevelopment
- Previous orthodontic or orthognathic treatment with residual soft tissue imbalance
- A desire for comprehensive facial structural enhancement
Surgical Considerations
All three procedures can typically be performed during a single operation.
The custom jawline implant and paranasal implants are usually inserted through intraoral incisions, avoiding visible external scars. The corner of mouth lift requires a small skin excision at each oral commissure, leaving fine scars that generally become inconspicuous over time when properly designed and healed.
Because each procedure addresses a separate anatomical region, combining them adds relatively little complexity while producing a substantially greater overall aesthetic improvement.
The Overall Aesthetic Effect
The combined result is not simply a stronger jaw or fuller midface. Instead, patients often achieve:
- Better facial balance
- Improved profile projection
- Enhanced lower facial definition
- Greater midface support
- Softer nasolabial folds
- A more youthful, relaxed facial expression
- A stronger yet natural-looking appearance
Rather than changing individual features in isolation, this combination reshapes the facial framework into a more proportionate and harmonious whole, making it one of the most effective comprehensive facial implant strategies for appropriately selected patients.
Dr. Barry Eppley
Plastic Surgeon