Can a Lower Facelift Address Saggy Skin Around the Chin Area?

Can a lower facelift tighten sagging skin around the chin area, If you have a 'witches chin' from saggy skin and fat, can this be corrected or improved with a lower facelift? Thank you.

Doctor Answers 21

Sagging Skin at Chin Requires Special Treatment

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Sagging Skin at the chin area with droopiness accentuated by the submental crease (witches chin) requires special techniques to correct.  Generally, a facelift addresses the lower two thirds of the face including the neck. The jawline is made sharper, and excess skin and muscle bands at the angle of the neck (halfway up to the chin from the adam's apple) are addressed making this angle more acute and younger appearing.  Sagging chins are due to lack of projection of the chin itself, and loose skin and fat can cause the submental crease to appear deeper accentuating the "witches chin".  In conjunction with the facelift, the best treatment is placement of a chin implant to increase anterior projection of the chin with posterior advancement of skin and muscle from the chin onto the neck to soften the deep crease.  This is performed very successfully through the same incision used in facelifts to correct the lower neck laxity, and heals well, and does not increase post operative recovery.  I have performed many of this procedures with beautiful results.

Lower facelift to address cosmetic concerns

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The lower portion of a facelift can address a lot of cosmetic concerns - in particular, jowls and excess neck skin- but one thing it cannot improve is a ptotic or hanging chin, often called a “witch’s chin” which is due to looseness of the mentalis chin muscle. The witch’s chin can be surgically repaired, sometimes by the placing of a chin implant, with the resuspension of the mentalis to a more elevated position. Reducing jowls through the lower facelift can further improve the overall appearance of the jawline, and therefore can help as well.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
4.7 out of 5 stars 145 reviews

Improving a Ptotic Chin

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All facelifts should be tailored to the patient's anatomy.  A ptotic chin, is a complex anatomic issue which typically requires direct surgical action.  An experienced facelift surgeon can determine the cause of ptosis in the chin area and determine the best treatment plan.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 181 reviews

Lower facelift for sagging around the chin area...

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Yes, a facelift addresses this by lifting the deep layers of tissue and filling in the fat compartments. A facelift will provide a more shapely and youthful look to the chin area by using a lift and fill facelift technique. However, a ‘witches chin’ is an entirely different situation in that you have redundant tissue in the chin area. This can be addressed and corrected with a lower face/necklift by a technique in which the surgeon builds up the fat in the lower neck area to correct the ptosis of the chin.

Rod J. Rohrich, MD
Dallas Plastic Surgeon

Lower facelift

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If you are complaining about a withces chin and submental fat and loose skin, a lower facelift with the neck sounds like the right antidote.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

A facelift and saggy chin

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A facelift will help the cheeks, jowls, and neck by removing excess fat and tightening the loose skin and muscle.  At the same time, an additional procedure can be done to improve your "witches chin".  An experienced surgeon can recommend what is best for you.

Randy J. Buckspan, MD
Austin Plastic Surgeon
4.6 out of 5 stars 10 reviews

A facelift can improve the chin

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In all of the facelifts I do, the chin looks stronger after surgery than before it.  I virtually never need a chin implant.  There are several techniques that I use around the chin to create these changes.

Witches Chin

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A lower facelift with or without chin augmentation may be used to treat a "witches chin". However you need evaluation by an experienced surgeon to determine if the chin can be improved by contouring without the facelift.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

A lower face lift with a neck lift can improve sagging chin skin

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A lower face and neck lift will improve the contour of the neck, jawline and lower face.

Depending on the area of the chin you are referring to, it may be required to add volume with either and implant or filler at the same time.

Having a consultation with a board certified plastic surgeon who has extensive cosmetic experience is your best place to start.

Steven L. Ringler, MD, FACS
Grand Rapids Plastic Surgeon
5.0 out of 5 stars 72 reviews

Lower Facelift for Saggy Skin Around Chin

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Sagging skin and fat below the chin (submental region) is usually very amenable to surgical improvement. A re-contouring refinement of the soft tissues in this region can be achieved in some cases by addressing this specific area. However, there are often adjacent findings of sagging in the neck and jowl region to warrant a face/neck redraping procedure, otherwise, known as a facelift.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.