What will help my chin? (Photo)

Question

I’ve always hated my smile and even when I talk my chin becomes double and indents. I am skinny so weight is not an issue. What will help me?

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Kitty 12360,

Thanks for your pictures. This is an interesting question. It appears that you do not like your chin when you have muscle activit,y particularly smiling. I think the concept gets missed by both patients and plastic surgeons like that we can improve areas aesthetically due to "dynamic activity" (i.e., movement). Plastic surgeons really take care of what I call us "static"  (i.e., non-movement) concerns.  Whether that's their face, breasts or tummys, we can make these areas look better at rest. I say all of this to make you aware that , I don't know if there is a tried and true method to improve the way your chin looks during activity. Certainly seek the opinions and in person consultations of various board-certified plastic surgeons.

Best wishes,

ESJ,

#TruthAndTransformation.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photo and being so detailed about your concerns—it really helps to understand what’s happening. From what you’re describing, the double chin and indentation when you talk or smile are likely related to the underlying structure of your chin and jawline, including the chin bone, soft tissue, and how your muscles move when you speak or smile.

Even in people who are very lean, the chin can appear “indented” or create a double chin look if the chin is slightly recessed, the muscles in the area are active, or there’s looser connective tissue in that region. This isn’t about weight, but more about anatomy and movement.

There are a few ways this can be addressed subtly:

Dermal fillers can help enhance the chin and jawline, filling in indentations and giving the area more projection, which can reduce the appearance of a double chin.

Muscle modulation (like Botox) can sometimes help if overactive muscles are contributing to dimpling or movement-related folds.

Combination approaches can provide a smoother, more balanced profile while still looking natural.

The key is subtle, precise enhancement—too much filler or volume can actually exaggerate the problem. With the right approach, you can soften the indents and improve the chin’s overall shape, which often improves both the appearance at rest and while talking or smiling.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Mats Hagstrom, MD (license on probation) · Answer

We don’t make an assessments of the face in a dynamic state.
We don’t make a assessments of the face in a dynamic state.
We make assessments when the facial expressions are neutral without contracting muscles of facial expression.
The purpose of muscles of facial expression is to express emotional states.
S surgeons we can’t really change or should not change the implications that come with contracting muscles of facial expression.
The exception to this is weakening muscles around the eyes to prevent wrinkles using paralyzing drugs like Botox.
If you want an assessment, then repost using standard facial pictures.
To get an understanding of how plastic surgeons make assessments with pictures look at how we take it before and after pictures.
If you want an accurate assessment, then schedule in person consultations with plastic surgeons or oral surgeons in your community.
Issues related to the shape and size of the mandible is treated by both specialties.
Best,
Mats Hagstrom, MD

What will help my chin? (Photo)

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