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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.
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.
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 !