Chin droops when I smile & makes face look super long, what procedures are recommended? (Photos)

Question

Everytime I smile with or without teeth my chin droops down creating a weird imbalance in my face. It makes my face look very long. Is there a way I can fix this in a minimally invasive manner? If not, what surgical procedures are recommended?

Michelle Zweifler, MD · Answer

At times chin filler helps to minimize chin drooping downward.  If one is satified with the filler results, a chin implant is a surgical option.  For some patient, off-label Botox helps to relax the mentalis muscle which may limit the downward pull.

Michael P. Morrissette, DDS, FACS · Answer

The soft tissue of the chin consists of muscles and fibrofatty tissue. The chin droop can be addressed with neurotoxins like botox. In your case, you have a prominent soft tissue pad which can be diminished with injections of Kybella. This will reduce the roundness and projection of your chin.

Zoran Potparic, MD · Answer

Only on the basis of in person evaluation an experienced board certified plastic surgeon could find  the cause and how to treat your chin deformity. A combination of chin lift and liposuction should be considered. Good luck.

Jeffrey H. Spiegel, MD · Answer

In the short term I can recommend botulinum (e.g. Botox).  This can stop those muscles from contracting when you smile and avoid the pulled down chin.
For a longer term solution we may need to do a chin reduction where the soft tissue of the chin is reshaped from underneath the chin or inside the mouth. These are frequent procedures at my practice.

Chin droops when I smile & makes face look super long, what procedures are recommended? (Photos)

Answers (4)