My chin is large and more masculine than my face. What procedure would I benefit from for the best results? (Photos)

Question

I'm soon to be 19 and have been given this chin by my dad. Its far more masculine than the rest of my face and while large at rest it gets far worse when I smile what procedure would help me? I've been forced to smile small without my teeth just to feel normal. its taking too much energy and time away from me by worrying and id like to explore my options.

Eric M. Joseph, MD · Answer

Strong chin projection tends to keep neck skin tight over many years, as you age. This may be bothering you now, however, I do not think it would be worth the downtime, expense, and effort to consider a chin reduction procedure. Since photographs do not replace an examination, consider meeting with several reputable facial plastic surgeons. Wishing you well moving forward. Sincerely, Dr Joseph

Raffy Karamanoukian, MD, FACS · Answer

Unlike other tightening treatments, Ultherapy only requires a single treatment every one to two years and has long-term effects in skin stimulation and collagen production. Ultherapy is ideal for men and women who are experiencing mild to moderate skin laxity and desire a noticeable and long-term skin tightening treatment without the complications and risks of more invasive surgical procedures. Ultherapy can be combined with dermal fillers, Botox treatments, chemical peels, skin tightening lasers, and skin facials. Our plastic surgery and cosmetic center in Santa Monica offers Ultherapy as a complement to other skin treatments and cosmetic rejuvenation procedures.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

First, I want to acknowledge how heavy this has been for you. Feeling like you have to control your smile or hide parts of yourself just to feel “normal” is exhausting—and you’re not imagining what you’re seeing. What you’re describing is a real, anatomical pattern, not a flaw or something you caused.

Looking at your photos and your description, this appears to be driven by chin shape and muscle behavior, not aging or weight.

What’s likely contributing

1. Strong mentalis muscle (dynamic chin prominence)
When you smile, the mentalis muscle contracts and pushes the chin upward and outward. In some people—especially those with inherited chin structure—this creates a more prominent, squared, or “masculine” appearance only during expression. This is why it feels much worse when you smile.

2. Chin projection relative to the rest of your face
Your chin itself isn’t “too big” in isolation—it’s that its projection and muscle activity are stronger compared to your softer facial features. This imbalance is what your eye is picking up on.

3. Genetics (and yes, parents pass this down)
This is very commonly inherited. The good news is that structural concerns like this are also some of the most predictable to improve when treated correctly.

Options that actually address the root cause

The goal here is softening and feminizing, not shrinking your face or changing who you are.

• Neuromodulator (Botox-type treatment) to the mentalis
This is often the single most impactful treatment for concerns like yours. Relaxing this muscle:

Reduces the “balling up” of the chin when smiling

Softens projection without adding volume

Allows you to smile naturally without forcing it

For many patients your age, this alone makes a dramatic difference.

• Conservative chin contouring (only if needed)
In select cases, very subtle structural balancing (not enlargement) can help harmonize the chin with the rest of the face—but this is never about making the chin bigger, and it’s not always necessary.

• What usually does not help

Overfilling nearby areas

Aggressive contouring

Anything that adds bulk
These often make the chin look stronger, not softer.

A very important thing to know

You are not too young to address this—but you are at an age where conservative, reversible approaches are the smartest place to start. Many people wait years carrying this discomfort when the solution is actually quite straightforward.

And just as important, you should never feel like you have to hide your smile to be acceptable. Your face isn’t wrong—it’s just responding to muscle patterns that can be softened.

My chin is large and more masculine than my face. What procedure would I benefit from for the best results? (Photos)

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