Do I have this chin ptosis? What can I do to correct it? (Photo)

Question

Is this Chin Ptosis? What are my options to correct it? I’m 37. I Have a deep crease under my bottom lip and I think my chin is weak so I’m not sure how to handle ptosis and a weak chin. Thanks!

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Bahman Guyuron, MD · Answer

Chin ptosis can be corrected in a variety of way as outlined in my book about chin surgery. You chin is asymmetric and droopy and can be improved with fat injection on the right, reduction from the underneath and perhaps,placement of small amount fat (based on examination in person) in the crease under the chin. You may benefit from contouring the fat behind the crease (the neck area). Consider consulting someone who understands theses nuances and has enough experience.

Robert M. Tornambe, MD · Answer

emchughI appreciate your concern, and it appears from your photographs that your best longer-term option would be MACS mini facelift to address your mid face and jowl region combined with chin implant to strengthen your chin and jaw line to achieve the best facial symmetry.Consult with a board-certified plastic surgeon in your area to confirm my advice. Good luck.Consult with a board-certified plastic surgeon in your area to explore the best options for you.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years. Yes, from the photos your chin is quite weak with ptosis.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.  The added volume provided by the silastic chin implant will cause the ptotic muscle to rotate upward thereby improving the appearance of the ptosis.  This is in contrast to augmenting a weak chin using dermal fillers that will correct the weak chin but not effect or improve the ptosis.  Despite myths to the contrary, dermal filler placed within tissue does not act like a silastic implant on top of facial bone.  
 When consulting with surgeons perhaps ask not only is your chin weak but do they have experience performing chin augmentation?  The attached video shows how I determine whether the chin is weak.  The second part of what that surgeon said is absolutely correct.  The selection of the proper size, shape and thickness as well as the proper placement of the silastic chin implant are all "key" elements in creating a naturally looking chin.  If too large of an implant is used in a woman, the chin can look relatively masculine.  That's where experience, performing chin implant surgery, comes into play.Hope this helps.

Do I have this chin ptosis? What can I do to correct it? (Photo)

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