Masculinity of the male face is associated with projection of the chin and jawline. A stronger chin and jawline conveys a strong image, smaller chins and ill-defined jawlines suggest the opposite. While first impressions are not always true, one's facial appearance makes a statement anyway. Today, men can improve their facial appearance and image through newer generation implants to help masculinize their face.

Chin implants have really evolved over the past decade with many new styles and sizes. The most important change has been that they have been extended in their shape rather than small 'buttons'. Having an enhanced chin that flows better into the surrounding jawline is a newer implant concept. This requires an implant that 'extends' back from the chin to create a smooth transition from the augmented chin to the back of the jaw. These newer implants are longer and more tapered at the ends, although they can still be placed through a small incision right under the chin. Because they extend back further they give an enhanced but natural appearance to the chin. Slightly widening the anterior jawline by filling in this area between the chin and the back of the jaw creates a more balanced look. In addition to jawline width, chin and jawline height can also be lengthened by having a 'wrap-around' implant that extends lower than the existing edge of the bone. Prior to these type of implants, only cutting the bone or bone grafting could have achieved this look. This increases the height of the lower third of the face, a very male-enhancing effect.

New implant options also exist for bolder cheekbones and more square jaw angles. Small cheekbones generally are not as obvious as a smaller chin but the effect on the appearance of the face is just as real. Underdeveloped cheek bones create a more flat facial appearance or even a face that looks thinner. Several styles of cheek implants exist to fill out different areas of the midface, from creating higher cheekbones to improving that sunken cheek look. Cheek implants are placed through an incision in the mouth so there is no scarring. A more square and well-defined jaw angle is a very masculinizing look and can only be created with implants. Jaw angle implants can eitehr widen the back of the jaw, make it more longer and more square, or both. Like cheek implants they are placed inside the mouth so scarring is never any issue.

It would not be uncommon to perform several areas of facial enhancement in the male to get the overall look that they want. Computer-imaging must be done in each and everyone of these cases to get an appreciation of facial shape and how the different implants can effect that shape. I find it usually takes at least two consultations to thoroughly cover all the options and make sure the patient has complete understanding of the facial look that they desire.