What can be done for botched chin reduction? (Photo)

It would be helpful to see frontal-view photos to better assess your overall facial balance. From what I understand, your main concerns are the excess submental (under-chin) tissue and an indentation at the genioplasty site.The indentation may be related to a bony step-off if the edges created during the genioplasty were not completely smoothed. You can check for this by gently palpating the area with your finger to feel if there’s any irregularity. If that’s the case, it can be addressed surgically by revising and smoothing the bony contour.Regarding the excess submental skin, in my opinion, a neck lift would best address your concerns. From the limited photo, it appears that you may have a scar in front of the ear but not behind it, suggesting that your prior lift targeted the lower face but not the neck. If so, a dedicated neck lift could provide the improvement you’re looking for.In summary, I recommend seeing an experienced FFS surgeon who can perform a proper evaluation and determine the most appropriate approach. Based on the limited information and photos, your concerns might be addressed with a bony contour refinement at the genioplasty site and a neck lift.You may also consider non-surgical skin-tightening treatments — while they are not as effective as surgery, they may provide modest improvement in mild skin laxity.