I don’t like my chin. When I smile my chin sticks out and I would like to permanently fix it. How do I fix my chin? (photo)

Question

I don’t know what kind of preocdure I would need and I would like to hear some suggestions on why Incould do.

James M. Ridgway, MD, FACS · Answer

Dear heartbrie1998,Thank you for your question in the images you have provided.  The images that you have provided classically show "ptosis" of a chin fat pad.  What this means is that when you smile the fat pad rotates down and back, off of the "bony" chin of the jaw. The correction of this is a surgical procedure with meticulous reduction of the fat pad as well as reduction of skin along the chin. The scar is hidden under the chin and out of sight. If this is something that you wish to address, then you need to see somebody who specializes in the treatment of the face as well as the review their specific before and after images for this specific type of procedure.  I hope this helps you find the best answer for you.Be healthy and be well, James M. Ridgwway, M.D., FACS

Jonathan Kulbersh, MD · Answer

You have a few options to achieve a stronger-looking chin and profile. If you’re not sure you’re ready for surgery, but still want to improve and strengthen your chin and profile, I’d suggest augmenting your chin with Sculptra and/or Voluma. I’d also remove the fat underneath your chin with liposuction or Kybella. If you like your new look, you can make it permanent with a chin implant. I hope that helps.

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

Hi, your chin has "ptosis" or a mentalis muscle that has rotated downward at a 45 degree angle.  Smiling contracts that muscle making it more apparent.  This typically occurs when the chin is weak and does not have adequate bony support for the chin muscle (mentalis muscle).  In addition, your chin is ,as described above, quite weak.  I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  In some cases, such as yours, the weak chin can also create a "ptosis" of the chin. 
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  It turns out that in the scenario of a weak chin with ptosis that a properly placed silastic chin implant will correct the weak chin and cause the chin muscle to rotate upward also correcting the chin ptosis.  In my opinion, you are a good candidate for chin implant surgery.  
Hope this helps.

Val Lambros, MD, FACS (retired) · Answer

I would suggest trying botox into the mentalis muscle to see if it helps the issue. I have found it to be helpful.

I don’t like my chin. When I smile my chin sticks out and I would like to permanently fix it. How do I fix my chin? (photo)

Answers (4)

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