I had a consultation quite a while ago, and honestly, just like the blog posts, I think what this director says about proportions is correct. But after reading reviews for almost two years.. I see posts saying it looks long, looks like a man's jaw, they took too much off, and I think that is unavoidable.
It ends up looking too long. This director aims for a 1:1:1 ratio among the upper face, middle face, and lower face, and honestly I think that is right. But I also think it is somewhat theoretical. The reason is:
First, the chin tip is generally the narrowest part of the face from the front. If you cut that area and move it forward, I think a slight narrowing of the chin tip from the front is unavoidable. When it is attached to a wider area, the change is not noticeable, but once you move that narrow area forward, the narrowness becomes more obvious. In fact, the facial outline can become narrower too. It becomes less narrow than with a typical silicone chin implant, and in practice, if only a small amount is moved forward at first, there seems to be an optical illusion that makes the chin tip look wider. But if you move the chin tip forward enough to match what surgeons call the Ricketts line, then the front chin tip seems to become narrower both visually and in reality. If there are two men who are 180 cm tall, one weighing 50 kg and the other 100 kg, who would look longer? The 50 kg person with the narrower width would look longer, relatively speaking. As mentioned above, because the front chin becomes narrower, it looks longer than it really is. And women even undergo T osteotomy, so it ends up looking like a Tutankhamun mask. That's because the width of the front chin gets even smaller.
Second, and this is only a guess.. at this hospital, in order to solve the shadow between the chin tip and the lips that appears when only the chin tip is advanced, it seems they advance the chin tip enough to eliminate that shadow.. but then it can only look narrower, and the chin tip seems to come out a lot. Because they move a narrow area forward a lot, the frontal contour inevitably becomes narrower. Moreover, in patients who are candidates for two-piece osteotomy, the chin tip that comes forward will emerge with an even narrower width, so it seems even more unnatural. And if they are actually advancing it a lot to resolve the shadow, you may feel that the chin tip has come out too much.. Also, the reason the chin tip width gets smaller is not that the director is bad at surgery, but that their aesthetic standards are high and our faces just cannot keep up. And I think the issue is with chin advancement surgery itself.
Celebrities have extremely small heads. In fact, the distance between the eyes and eyebrows is often short, so the middle-face proportion is not long. So even if you adjust to 1:1:1, the face does not look especially large, and it is not large in reality either. On top of that, the proportions are right, so it looks prettier. But ordinary people have large heads, and in many cases the distance between the eyes and eyebrows is wide, so the middle-face proportion is also large. But the length of the middle face is not something surgery can adjust, and if you force a 1:1:1 ratio to match that long middle-face proportion, the absolute length of the face becomes too long. The chin tip width also becomes narrower, so it will look even longer.
Especially when the middle face is long, one thing to be careful about is the claim that you need to increase the vertical length of the chin tip to make the face look smaller. This can be misleading. Even when the middle face appears long, proportions vary widely, but I think one of the really important things in 1:1:1 is the distance between the eyes and eyebrows and the length of the nose. With a typical head size, if someone has a relatively long distance between the eyes and eyebrows and a long nose compared with the vertical length of other areas, then matching a 1:1:1 ratio would make the face extremely long.
And while looking relatively small is important, we do not live through face photos, so absolute size and length also seem important.
What I felt from reading the reviews and review photos is that to succeed at this hospital, especially for chin surgery: 1. The face has to be fairly small. 2. The midface has to be short (eyes close together, or if they are far apart, the nose should be short). 3. The chin tip should be a little wide before surgery. 4. You should like a slimmer-looking chin tip. If you have those factors, I think the director's aesthetic standards and your features will synergize and it will work out well.