Uneven chin when smiling - is there anything I can do about this? (Photo)

Question

How is it possible that it looks like there is a lump in the left side of my chin when I smile? Is there anything I can do about this?

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. While perfect symmetry is impossible to obtain, Botox can improve balance by relaxing the muscle activity associated with the uneven appearance. Hyaluronic acid dermal filler can also be administered to add volume where necessary and improve facial balance. I recommend scheduling an in-person consultation with an experienced expert injector. They will be able to review your concern and determine the best treatment, or combination thereof, to help you achieve your aesthetic goals.

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Camille Cash, MD · Answer

If the reaction occurring with your chin is muscle related then it can be improved with a Botox treatment.  Visit with an experienced injector for an evaluation.  If it is determined you are a good candidate for Botox you will see results in 7-14 days.  They will fade gradually over approximately 3 to 4 months.

Oakville Plastic Surgery &amp; Medspa · Answer

Thanks for your question! In a perfect world it would be helpful to assess what is happening if we could see a picture of you without animation vs a picture smiling, to compare. Or perhaps a video to see what is happening. However, based on the one picture we have to see, the easiest solution would be to try to some botox and see if this settles. You will know within a week or two, and if the result is not the solution you are looking for, then the second step would be to add some filler. Good luck!

Rita Rakus, MBBS - Account Suspended · Answer

Hello and thank you for your question. A face to face consult and examination is always best however in this scenario you could consider some botox to the mentalis muscle which can help soften the appearance and tone of the chin on expression. Please always seek treatment from a trained medical professional for any cosmetic treatment. Best wishes

Uneven chin when smiling - is there anything I can do about this? (Photo)

Answers (6)

Answer: Uneven Chin When Smiling

Answer: Uneven Chin When Smiling

Answer: Chin asymmetry

Answer: Chin asymmetry

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Uneven chin when smiling - is there anything I can do about this? (Photo)

Answers (6)

Answer: Uneven Chin When Smiling

Answer: Uneven Chin When Smiling

Answer: Chin asymmetry

Answer: Chin asymmetry

Browse related questions

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.