Chin Reduction?/Too prominent? (photos)

   Chin reduction is probably reasonable, but a physical exam would help make this determination.  Bony and soft tissue management are probably both necessary.Kenneth Hughes, MDLos Angeles, CA

As you have stated, your chin is too prominent.  A double osteotomy (wedge excision) osteoplasty genioplasty will help.  This is nuanced issue, but your maxilla is slightly underprojected.  Instead of getting another large jaw surgery (lefort 1) you might consider some grafting around the pyriform aperature.

Yes, your chin is prominent both when smiling and in repose.  While an xray is necessary to define the bony contribution to your chin prominence, bone excess is likely the main culprit.  Accordingly, chin bone reduction likely combined with directed soft tissue reduction would likely be helpful.  Seek the opinion of a surgeon with experience in such chin reduction procedures as you need to be aware that soft tissue tends to bunch under the chin when it is reduced, so the surgeons should be prepared to compensate for this issue.

You do most probably have hard and soft tissue excess and you also appear to have a lower 1/3 facial vertical deficiency.  That would mean that you would benefit from chin reduction with slight elongation.  It is impossible to be exact without seeing some imaging (Ceph Xray or CT Scan) but may also involve soft tissue reduction.  Given your surgical history the case is complex and requires face to face consultation and comprehensive work up.Dr. Joe :)

Your chin does show a horizontal prominence and it is a combination of both a bony excess as well as a soft tissue redundancy. Both need to be reduced and the chin reshaped through a submental approach. The bony chin can be horizontally reduced and narrowed and the excess soft tissue removed and tucked.