Do I have chin ptosis? What are my options for fixing it? (photo)

Question

Hi, after looking through the internet and at pictures, I think I have chin ptosis? My chin sticks out when I smile and I really dislike how it looks. I’m 20 years old and I would like to know my options on fixing this. Thanks in advance!

Jeffrey H. Spiegel, MD · Answer

Ptosis implies "falling out" or "sagging".  If you think your chin is sagging it may because you have excess soft tissue.  But, if it mostly happens when you smile it could be an excess of bone.  We can evaluate the situation and then suspend the tissue, reduce the bone, and reshape the area for improvement.  It's all done through the mouth!

Michael P. Morrissette, DDS, FACS · Answer

Dynamic changes that occur when people animate (contract facial muscles) are difficult to change. It is best to seek improvement for conditions that are present without animating. However, you might want to consider some botox to selected muscles to diminish theireffect when you smile.

Thomas Romo, III, MD · Answer

Interesting question. Ptosis is specific, meaning to fall. Your chin tends to fall during smiling. The muscles are pulling it down during activation. Because you are young, a conservative approach should be considered. First consider an injection with a neuromodulator like Xeomin or Botox. This will reduce the muscle pull. The most you would consider is a conservative chin augmentation with an implant. See a surgeon who does this procedure regularly

Barry L. Eppley, MD, DMD · Answer

With just this one picture you are demonstrating dynamic chin ptosis, a soft tissue chin overhang that occurs when you smile but is not present when you don't....or at least in a negligible amount. Dynamic chin ptosis requires some bone and soft tissue reduction done from a small incision under your chin.

Jeffrey Jumaily, MD · Answer

Usually this occurs due to multiple factors, excess bone, soft tissue and also muscle action. We need to examine the area with detailed photos and get a CT scan/xray to get a 3D evaluation and plan a procedure that address all these issues. Consider a consultation if you would like more information. Best wishes.

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