Would a chin implant improve my profile? What procedure would help with large submandibular glands? (Photos)

Question

I have lumps under my chin on each side which I believe are large submandibulr glands (I've had ultrasounds on them before and they at least are not tumors but didn't get a definitive answer). They stick out when I chew and talk and I am very insecure of them. I can't tell if my chin is recessed and I need an implant - or if the swollen lumps/angled slope under my chin causes my chin to look weak. I have a large forehead/long face so I'm a bit weary on adding length to my face.

Randy Wong, MD · Answer

Mahalo for your photos.  First, your chin point is slightly recessed.  A chin implant or filler injection would help the profile here.  Next, an off label neurotoxin injection to the unwanted salivary glands may help to reduce those bulges.  Seek consultation with board certified plastic surgeons to understand all risks before deciding.

Gary M. Horndeski, MD · Answer

Yes, a chin implant improve your profile and would not make your face look longer.  However, it will not necessarily conceal the submandibular glands either.

Best Wishes,

Gary Horndeski, M.D.

Lexie Wang, MD · Answer

The "lump" to me actually looks more like a normal structure, which is the triangle formed by the digastric muscles. This is something normal to have, and I guess you are so thin that you can see it through the skin! It also makes sense that they are more or less visible based on jaw/throat position, such as when eating/talking.

Zoran Potparic, MD · Answer

Your glands are enlarged and visible but I am not sure that they should be reduced now; this can be done in a few years when you may have stronger case for neck lift. Your chin seem to be proportional to your face; 3 D simulation may help to decide whether there is a benefit of implant augmentation. Hope this helps.

Jennifer Goodrich, MD · Answer

Good morning. If the swelling is indeed a result of the submandibular glands, which tend to descend as we age, you can start with simple Botox injections to shrink the glands. I would definitely follow up with the results of the US, as based on the photos, the swelling is a little more posterior than where the SMG generally lie and usually the SMG should not be very visible until much later in life. The swelling could also be enlargement or hypertrophy of your digastric muscle, so following up with the imaging results would be important to tailor your treatment.

Mats Hagstrom, MD (license on probation) · Answer

Do you have a very well defined jaw line and this is the primary reason your submandibular glands are visible.
There’s nothing abnormal about your submandibular glands and we all have them. Your neck happens to have such good definition that they are more visible on you.
In regards to your mandible, I think the body of your mandible is slightly short, and I’m guessing you have a mild to moderate overbite occlusion. I’m profile pictures Your upper lip has more forward projection than the lower lip, which is consistent with an overbite occlusion. at the same time your chin has fairly good forward projection with a slightly acute labiomental angle.
I would be careful with forward, augmentation of your chin, whether done with implants or sliding genioplasty, because it will worsen the labiomental angle and push your chin towards a witches chin appearance. If you really want to try this, then start with temporary fillers and see how you like the look.
Personally, I think you should be happy with your appearance, and not seek intervention.
Best,
Mats Hagstrom, MD

Would a chin implant improve my profile? What procedure would help with large submandibular glands? (Photos)

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