How to fix the gap that appears on each side of my chin? (photos)

Question

Hello, Up to now i had a face contouring surgery and i also moved my chin forward a bit. However after this 2 surgeries now my chin looks like is a different part of my body and does not fade into the shape of my face as it should. On both sides of my chin there is a gap (as presented in the pictures attached). Kindly let me know what surgeries/procedures do i need to fix this? Thanks!

Larry S. Nichter, MD, MS, FACS · Answer

You need to make an appointment with your surgeon and share your concerns with him/her. An opinion cannot really be made just by looking at pictures. If there is a gap you might have to have the chin implant altered or consider a filler. Choices include a  variety of fillers such as Sculptra, Radiesse, Restylane, Juvederm, Perlane, Voluma etc). These fillers can last for 1-2 years and  will give you the ability to judge the improvement with improved dimension and volume. If you like the appearance then I would recommend fat transfer as a more permanent solution.#filler#chinimplant

Paul W. Papillion, MD · Answer

Hello, in addition to what been mentioned below...another implant, fillers.... you have to option for fat grafting. You can harvest your own fat and then place it into the depressed areas softening the contour to the area. The good thing about fat as oppose to fillers, is that its your own tissue, and what stays after the procedure will live with you have have the potential to have long term correction without the long term risk of fillers other implants in the region. Good Luck.

Michael I. Echavez, MD · Answer

The area of the gap on each side of your chin is referred to as the pre-jowl area.  There are a variety of injectable fillers that could be used to improve your issue and fill in the gap.

Stephen Weber MD, FACS · Answer

I really don't find this to be very objectionable but if this bothers you it can be remedied with either dermal filler or a chin implant to augment the pre-jowl area. You're too young to have jowls but this area can be filled with that type of implant. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Barry L. Eppley, MD, DMD · Answer

Those sliding genioplasty gaps/defects can be filled in using a variety of materials including prejowl implants or hydroxyapatite granules. Both filler material can be done from an intraoral approach.

William Portuese, MD · Answer

Chin implants are manufactured and a large variety of sizes and shapes, are composed of Silastic, and are placed usually under local anesthesia through a submental approach.  The arrow is pointing to the pre-jowl sulcus. A pre-jowl implant is designed to give augmentation in that area which gives added width to the chin. For many examples of chin implants, please see  the link and video below

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for your question and there are specific implants made for this area so see some experts in your areaDr Corbin

Francis R. Palmer, III, MD (retired) · Answer

Hi, these "gaps" may represent areas where a sliding ginoplasty was performed and the required bone cuts created.  Using an HA filler, I'd use Restylane Lyft would fill in and re-establish a more uniform contour to the chin/jaw line junction.  Hope this helps.

Richard W. Fleming, MD (retired) · Answer

This depression can be successfully corrected with the placement of a pre-jowl implant. While this contour is secondary to previous surgery in your case this also frequently occurs in older patients secondary to the aging process.

Gerald Wittenberg, MSc, DMD (retired) · Answer

the 'dips' are related to the chin surgery. The 'chin' does not 'blend' in to the jawline properly and the correction can be temporary with fillers (less ideal over many many years) or by placing a contouring length of an implant 'strip' across the 'gap' so the jawline is continuous. You could also review the 'back/angle' of the jawline at the same time; as to any desire to highlight the jawline in that area

How to fix the gap that appears on each side of my chin? (photos)

Answers (10)

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