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What's the solution for chin muscles now under face after chin reduction? (Photos)

Jessicam724Jan 21, 2022
(V-line surgery). Causing dynamo chin Ptosis, what is the solution? Had T osteotomy last year. Originally the reduction was so overdone I was left with a pencil point chin and a waddle. Scar was from trachea shave, genioplasty was intraoral. Doctor added bone graft to widen chin but I know have a submental divot where graft was added and pulling when I smile chew speak etc. This has ruined my life and self esteem. Doctor plans on doing a lower face and neck lift and a chin pad resuspension. Is this correct since there is too much tissue? Would an implant work?

Answers (1)

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Zoran Potparic, MD profile photo
Dr. Zoran Potparic, MD
Board Certified Plastic Surgeon
4.6 | 145 Reviews
Answered on Jan 25, 2022
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Barry L. Eppley, MD, DMD

There are only two procedures that can visibly decrease the length of the face, vertical chin and forehead reduction. As least for the lower face you don't need V line surgery you need vertical wedge reduction bony genioplasty.

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Michael P. Morrissette, DDS, FACS

I think that V-line surgery is not indicated in your case. Your chin may be a bit long which may benefit from a reduction procedure. Profile photos would be helpful.

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Barry L. Eppley, MD, DMD

It is a common misconception that a LeFort I osteotomy (impaction) will shorten the midface. What it accomplishes is to create less visible tooth show but it can not change the amount of overlying midfacial soft tissue cover. ( lip/philtral length) This can change the total vertical facial...

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