Why does my chin stick out when I smile and how can I get rid of this? (Photo)

Question

When I smile my chin sticks out and my mouth kind of sinks in. I really don't like how it makes the shape of my face look. It's only really when I smile, when I'm not smiling my chin looks quite balanced with my face in my opinion. This is why I thought it might not be a good idea to get a chin reduction, but maybe I am wrong. Is it maybe because my teeth are far back? What can I do to stop this from happening? Thanks

Gurkan Kayabasoglu, MD · Answer

Hello, First of all, thank you for your question and pictures. 
Due to the abnormal adhesion of the chin muscles, the tip of the chin looks droopy. Your problem can be solved with a combined chin reduction surgery. The operations required are; bone reduction for thick tissues and pulling the excess muscle tissues to behind. You need to seek a professional, experienced board-certified facial plastic surgeon to get the best result. Best Regards

Barry L. Eppley, MD, DMD · Answer

Dynamic chin ptosis occurs when the soft tissue chin pad pulls down when the patient smiles. Many such patients have a borderline larger chin but you do not. Your chin ptosis is also very mild by comparison to others. The only method for improvement is a submental chin pad tuck which removes/tightens the chin pad against the bone.

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