What to do about a weak/double chin when the nose is small? (Photos)

Question

hi, i want to do something about my weak/double chin (which is present even at and below my ideal weight). i hear that the main solution when a small chin is contributing to the double chin is to get a chin implant. however my nose is quite small so i’m not sure if that would unbalance my face (i’m happy with my nose). based on my pictures, would a chin implant be too much and/or would fat removal be enough? (i’m really hoping fat removal would be enough as it seems like it would be weird having a foreign object in my face). or is there anything i haven’t thought of? (as long as it doesn’t require altering anything outside the chin/lips area as i like the rest of my face)

Ali Riza Öreroglu, MD · Answer

You Are a Good Candidate for a Chin Implant
In your case, a chin implant seems like the most suitable permanent solution. Chin implants provide a lasting change to the structure and shape of the chin. They make the chin more defined and aesthetically pleasing, especially if your chin is not prominent or if it is positioned further back. It enhances the overall symmetry of your face and provides a natural result in the long run.
Alternatives like fat injection and submental liposuction (chin liposuction) are also options. Fat injection involves injecting your own fat into the chin area to restore lost volume. However, this method is not permanent, as some of the fat may be absorbed over time, meaning you may need follow-up treatments.
Submental liposuction, on the other hand, permanently removes excess fat from under the chin. If there is a significant amount of fat buildup in this area, this method can be helpful. However, liposuction does not reshape the chin itself; it only removes the fat. If you're looking to improve the structure and projection of your chin, a chin implant offers a more permanent and effective solution.
Ultimately, if you're seeking a more defined and aesthetically pleasing chin, a chin implant seems to be the most suitable option for you. However, to determine which treatment is best for you, it is essential to perform a physical examination. During the examination, we can assess the amount of fat in the chin area and make a clear decision on which options would be appropriate.

Lexie Wang, MD · Answer

You could probably just do liposuction and leave the chin position as it is. You are correct that it's on the smaller side but your facial skeleton in general is small so unless you plan on doing a double jaw advancement, you're right that doing a chin implant or any kind of chin aug alone might look weird.

Gary M. Horndeski, MD · Answer

You are an excellent candidate for a chin implant. It is done through an intra-oral approach and it is a foreign body but over time it becomes integrated into your self perception. I do not believe liposuction will make much of an improvement. A rhinoplasty is an alternative to give you a stronger nasal profile.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Eric M. Joseph, MD · Answer

Neck liposuction is a minimally invasive procedure that can be performed in the office with local anesthetic, and minimal inconvenience and downtime. If you are looking to achieve the maximum improvement in your jawline appearance, depending on your examination, a small chin implant may be helpful as well. Consider meeting with several reputable facial plastic surgeons who offer computer Imaging so you could see what to expect after surgery. Thank you for this question, and I hope it's helpful. Sincerely, Dr Joseph

Michael P. Morrissette, DDS, FACS · Answer

A sliding genioplasty is a procedure that moves your natural chin forward to improve projection and balance your lower face.  The surgery is performed in the office with intravenous anesthesia. No braces are needed and your bite remains the same. The surgery allows you to go home the same day and takes less than 1 hour. In some cases, we recommend simultaneous submental liposuction.

Zoran Potparic, MD · Answer

Based on these photos chin augmentation with chin implant and liposuction of the neck and jawline would be my suggestion. In person co automation with a board certified plastic surgeon with experience in these procedures should be your next step. Good luck.

William Portuese, MD · Answer

From these photographs, it appears that your biggest issue is really the recessive chin profile. Consider placement of a chin implant, which can be done under local anesthesia as an outpatient procedure. It takes about 30 minutes. You have a small amount of fat deposits underneath the neck that can be removed with liposuction as long as you're at your ideal body weight and this is diet resistant fat. This procedure can also be performed under a local anesthesia.

Mats Hagstrom, MD (license on probation) · Answer

You’re correct that a small mandible is the primary reason for people to develop a double chin.
This usually is unrelated to the chin projection.
When a double chin forms prematurely it’s usually because the body of the mandible is insufficient in size and or projection.
It’s possible to have a small mandible with a strong projecting chin. A large mandible with a weak chin, etc., etc. 
It’s the body of the mandible that supports the muscle and doesn’t give sufficient foundation to support the soft tissues that causes the sagging and lack of jawline definition.
For this reason, adding a chin implant, having a sliding genioplasty or any other form of chin, augmentation isn’t going to correct the loss of jawline definition. 
Assessments and or understanding the impact of skeletal structure in regards to the mandible is complex and in my opinion, both patients and providers often don’t quite get this right.
Advancing the mandible itself is also highly complex some most people turn for softer easier solutions.
A chin implant with well done. Liposuction is probably your best option.
Recognize that the chin implant in itself will not fix problems behind the chin.
The alternative procedure is a sliding genioplasty or the use of fillers.
All three of these procedures have advantages and disadvantages, and no one procedure is better than the other.
Be very selective when it comes to choosing providers, especially for Liposuction.
Doing liposuction in this anatomic area well is much more difficult than people recognize.
 Almost all plastic surgeons will claim competence and even expertise but the results tell a different story.
The number of plastic surgeons who truly are exceptional at chin and neck Liposuction is in reality quite small.
I suggest having multiple in person consultations before selecting a provider.
Bring a complete set of facial pictures to use as reference during the consultation.
During the consultation ask each provider to open up their portfolio and show you their entire collection of it before, and after pictures of previous patients who had similar facial characteristics.
 Best,
Mats Hagstrom MD

What to do about a weak/double chin when the nose is small? (Photos)

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