Better projection, better shaping on chin - Possible genioplasty? (photo)

Question

i have an average chin but i believe it would look better with some projection/better shaping. unfortunately my chin is very different when resting and when smiling. when resting, it appears smaller and looks like some projection should be added, but when smiling, it flattens out, gets larger, and goes a bit downward. I would like for my chin to stay the same when smiling and resting face and have a nice shape to it. is genioplasty a good method for my issue?

Michael P. Morrissette, DDS, FACS · Answer

Dynamic changes to the chin are difficult to correct. Neuromodulators like Botox tend to help with a hyperactive Mentalis muscle. A small advancement genioplasty will provide better lower facial balance but may not completely prevent the downward positioning of the chin pad when smiling.

Zoran Potparic, MD · Answer

Different position and shape of chin in your case mostly depends of the muscle activity; a number of muscles from the neck and around the lips are attached to the chin pad and their dynamics will change position and shape of the chin when animated. Only on the basis of in person evaluation an experienced, board certified plastic surgeon would be able to give you a meaningful advice. Good luck.

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