Help! Weird chin! What's the best way to fix this hanging tissue? (Photos)

Question

Saw a photo of my side profile and got scared. ( i know its fixable so not worried )whats the best way to fix this hanging tissue on my chin? I dont want a BIGGER chin so i dont want an implant. Fillers in my chin always migrate so thats not an option ( i tried putting it by everyone from celeb surgeons to the most talented doctors all over the country from bev hills to nyc , fillers ALWAYS migrate on my chin) . I am am about to wear aligners to fix my bite btw

Raffy Karamanoukian, MD, FACS · Answer

Ultherapy is a non-invasive procedure that lifts the neck, chin and brow, and improves lines and wrinkles on the upper chest. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. For tissue tightening, Ultherapy is ideal for the lower face and neck and we often combine it with CO2 laser or Morpheus8 to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Michael P. Morrissette, DDS, FACS · Answer

The soft tissue pad that droops below the bony chin is a difficult problem to correct. The treatment can involve the placement of an endotine to elevate the chin pad and a chin tuck below the chin in the submental crease. In addition, I have been using Kybella to reduce the overall size of the chin pad. A chin implant or genioplasty will not help in this case.

Jeffrey H. Spiegel, MD · Answer

This is a routine thing for me to address. There are two basic ways to do it. 1. We can lift the chin tissue up and project your chin more. 2. We can remove the hanging part through a small incision under the chin. Of course, we can also do both.

Anna Chacon, MD, FAAD · Answer

Based on your concerns, there are a few potential solutions to address the hanging tissue on your chin without implants or fillers. However, please remember that any decision should be made in consultation with a qualified healthcare professional who can evaluate your specific case.

1. Submental Liposuction: This is a minimally invasive procedure that removes excess fat under the chin, which could help tighten the skin and reduce the appearance of hanging tissue.

2. Neck Lift: In some cases, a neck lift could improve the contour of the chin and neck. This procedure involves removing excess skin and fat from the neck and tightening the underlying muscles.

3. Chin Liposuction: This procedure involves removing excess fat from the chin area. It can result in a more defined chin without increasing its size.

4. Ultherapy or Thermage: These are non-surgical procedures that use ultrasound or radiofrequency technology to tighten and lift the skin.

5. Kybella: This is an injectable treatment that destroys fat cells under the chin. However, it may not be as effective if the issue is more related to loose skin rather than excess fat.

6. Thread Lift: This is a minimally invasive procedure where temporary sutures are used to produce a subtle but visible "lift" in the skin.

Remember, any procedure has potential risks and should only be performed by a qualified healthcare professional. It's also crucial to discuss your upcoming dental work with your provider, as it could potentially impact your chin's appearance.

Mats Hagstrom, MD (license on probation) · Answer

I think the biggest problem is further back on your mandible in the body of the mandible, not projecting enough.
Most likely, you have a significant overbite.
Look at your profile pictures and look at the relationship between the upper and lower lips.
For most people, the lower lip is bigger and usually projects slightly more than the upper lip.
 When the body of the mandible to have adequate projection, it creates an overbite dental occlusion, and the upper lip will have more forward projection than the lower lip.
People have issues at various an atomic regions of demandable. It’s not just the mentalist that needs to be assessed during a consultation to understand the problem.
You may want to consult with some oral surgeons.
Personally, I don’t believe fillers migrate.
I think it’s an excuse covering for what is in reality simply badly done fillers.
I’ve been doing fillers since the time we only had collagen back in the 1990s. Personally, I’ve never seen fillers migrate ever and I’ve been doing this for a long time.
Migration also doesn’t make sense.
How could the fillers possibly move through the tissues?
It is, however, a very convenient concept for those who are not so talented with these treatments to explain why the results don’t look great.
Patients also seem to buy into the concept of filler migration.
Perhaps patients are not willing to acknowledge that they did not select the best provider regardless of reputation.
My personal experience has been that famous providers tend to never bethe best. 
Providers focused on self promotion tend to be worried more about how much money they can make rather than how much they can help their patients.
If you are going to travel to have fillers, then the person I refer patients to is David Mabrie MD in San Francisco. He’s a facial plastic surgeon, whose career is devoted exclusively to only working with fillers.
He no longer does any surgical procedures.
His work with fillers is the best I’ve ever seen.
Check out his website. He has an impressive collection of results of people from all different backgrounds.
I’m not suggesting people flight to San Francisco to have fillers done but seeing his work can give an understanding of just what is possible using the fillers alone.
I think can be helpful when looking for providers in patients home areas.
Best,
Mats Hagstrom MD

Help! Weird chin! What's the best way to fix this hanging tissue? (Photos)

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