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!
March 21, 2019
Answer: Do I have this chin ptosis? What can I do to correct it? 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.
Helpful
March 21, 2019
Answer: Do I have this chin ptosis? What can I do to correct it? 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.
Helpful