What could be done about my chin? (Photo)

Hello.


Based on your photograph, it seems that the bony chin and your overlying soft tissue contribute to the problems you describe. Specifically, the bone is giving you excess length as well as pointy projection to your chin while your soft tissue including your mentalis muscle is giving you the dynamic « witch’s chin ».

A board certified surgeon experienced with the structure and dynamics of the chin and how it influences the lower lip is your best choice to address your problem. They would need to do a bony chin reduction and resuspend the overlying soft tissue in order to minimize the dynamic contraction deformity when you smile.

In my opinion, it is important to perform the surgery from the outside below the chin and not through the mouth in order to minimize weakening the lower lip support which I have seen to often from other surgeons.

Best of luck !

Thank you for your question regarding what to do about your chin. Since analyzing your photos in repose, when you are not smiling, the chin doe not stick out, which means the bone is within normal limits. You obtain a pointy chin when the muscles are retracted. Therefore, to minimize muscle contraction, I would suggest Botox. Botox can be injected into this area to minimize muscle activity. You may need to inject Botox every 4-6 months for optimal results. I hope this helps to answer your question regarding what can be done about your chin. Good luck.
Siincrely,
Dr. Katzen

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Hello. Thank you for your question. We need to diminish the volume of the chin bone and soft tissues at the same time, this is kind of witch jaw surgery. ou can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. With all respect.

Great question, assuming this is our normal anatomy, the only thing that could be done is a genioplasty. This is done through an intra-oral incision. The excess bone of the chin is then cut off and re-positioned to provide a less projected, smoother appearance. This procedure is performed a lot in asian culture as well as for facial feminizations surgery.

It appears that you have a skeletal bony problem with a protrusive chin. The Surgery to reduce the chin can be performed from inside the mouth. A wedge of bone is removed then the bone is positioned slightly superior to support the soft tissue. It is important to maintain the mentolabial fold.

Based on your post, it sounds like you may be a candidate for a chin reduction. This procedure is often performed by either oral surgeons or plastic surgeons. There’s both skeletal and soft tissue components involved and it is important that you choose a provider has sufficient experience has done the procedure numerous times in the past. My best guess is that oral surgeons will have the upper hand in regards to experience with this procedure, but there may be plastic surgeons were also sufficiently qualified and I have experience. Consider consultation with both plastic surgeons and oral surgeons in your community. You may want to reach out in advance and ask if the provider specifically has experience doing chin reduction surgery.
During each consultation, ask you to provide her to open up your portfolio and show you their entire collection of before and after pictures to get a good understanding of an average results look like, and how many of these procedures they’ve actually performed.
The procedure can be complex and you definitely want to choose a provider who has experience with this exact procedure before committing to having surgery.
I don’t think there’s a significant difference whether someone is training, oral surgery or plastic surgery as long as they have the skill and experience.
Best,
Mats Hagstrom, MD