Best option for full lower face and protruding chin pad? (photos)

Question

Although I’m thin, I’ve always had roundness in the bottom of my face, especially when I smile, giving the appearance of jowls. Additionally, my chin pad has excess fat that protrudes horizontally and downward when I smile, giving it a witches chin appearance. I’ve heard of a chin reduction, or ‘submental excision and tuck of the remaining tissue’ as well as ‘Intraoral chin pad thinning with bone anchor fixation’ What are the best corrective options balancing my lower face?

Barry L. Eppley, MD, DMD · Answer

By your pictures and description a submental chin reduction technique were the bone is reshaped (made more narrow) and excessive chin pad is removed and tucked would be the best approach. You never want to debunk the chin pad intraorally as that will create chin irregularities that will be exaggerated with movement.

Majid Jamali, DMD · Answer

There is a strong suggestion from pictures that the problem might be the lower jaw and chin. X-rays should be obtained.

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