Thank you for your question and sharing your photographs. The reason that the problem shows more when smiling is the pattern of shape change when your chin muscles contract.
In some people it leads to the chin appear more elongated, in some people it looks like the chin is lifting up more...
When the combination of the need for chin augmentation exists in a chin that is asymmetric, there are two fundamental approaches. A sliding genioplasty can be done and it can be tilted when it is advanced to try and correct the asymmetry...but this is fraught with creating an incomplete...
Thank you for your question. It does appear you have some chin recession, which could be improved with chin augmentation. While fillers are also an option for increasing chin projection, an implant will provide you with the most long-lasting results. I perform chin implant surgery with local...