Chin is not smooth when mouth is open - Replace Chin Implant or add filler? (Photos)

Question

I got a small chin implant 10 years ago and I have never had a smooth chin when my mouth is closed. It always looks orange peel like. Will a bigger implant make this any better? Is filler an option?

Michael P. Morrissette, DDS, FACS · Answer

In the lateral photo, your chin appears small and still underprojected. I would recommend removing the implant and advancing your chin forward 8-9 mm and lengthening it slightly with a sliding genioplasty. This will give you improved facial balance. The skin will be stretched, which may improve texture and relieve some Mentalis muscle strain. Some texture problems require a CO2 laser, chemical peel, or microneedling. The sliding genioplasty moves your natural chin forward, and the surgery is performed in the office with sedation anesthesia. The surgery does not require braces or affect the teeth.

Eric M. Joseph, MD · Answer

Many people have a pebbly or orange peel texture to their skin of the chin, due to a hyperactive mentalis muscle. Since you have a natural looking chin implant, I believe the path of least resistance would be a trial of a neurotoxin. I hope this helps, and I wish you well moving forward. Sincerely, Dr Joseph

Darryl J. Blinski, MD · Answer

Your photos demonstrate the orange peeling effect of the skin following chin implant initial attempt should be to use a very thin capital H capital A filler example skinvive. Expect fee to be $500-$800. If after attempting this filler you’re still not happy I might then return to very very low-dose micro Botox again best of virtual concert with.

Chin is not smooth when mouth is open - Replace Chin Implant or add filler? (Photos)

Answers (3)

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