Asymmetrical cleft chin. Are there any permanent solutions to solve this problem? (Photo)

Question

I have a cleft chin. One side is larger than the other. There's more fat or some other type of soft tissue on one side compared to the other, It's been like this my entire life even throughout weight fluctuation. The asymmetry is not in the jaw bone itself, the bone is equal on both sides. I'm not interested in temporary solutions, I would not consider hyaluronic acid fillers. I'd like to know which permanent solutions can solve this problem. Thank you!

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Gurkan Kayabasoglu, MD · Answer

Hello. Asymmetric implants can be placed like the asymmetry of your jaw. But first we need ct scans. I would like to help you if you send them. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. With all respect.

Mats Hagstrom, MD (license on probation) · Answer

A partial or customized implant might be possible though fillers is an easy and very forgiving way of changing shape and contour in this area. Fat transfer is not going to do well in this area so most likely an implant or potentially a bone graft could be options.You may want to look for plastic surgeons who also serve on cleft lip and palate panels (look for plastic surgeons who may have a privileges at a local Children’s Hospital) which are usually done as multidisciplinary team approach procedures. Know that you need the entire team that surgeons who do that may be more familiar with the variety of conditions related to failure of complete fusion on the midline during embryological development. 
Best,
Mats Hagstrom MD

Asymmetrical cleft chin. Are there any permanent solutions to solve this problem? (Photo)

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Asymmetrical cleft chin. Are there any permanent solutions to solve this problem? (Photo)

Answers (3)

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