I have extra tissue/fat on the front of my chin. It looks ok when i'm not smiling or talking, but when I smile the tissue distorts in a weird way and makes dimples/lines. It also makes my chin uneven. I'm concerned about removing the excess tissue because my jaw is very small and I feel like I would look like I had a weak chin without it. I would like my chin to be smooth or smoother when I smile. Are there fillers or botox or something that would help? SLIGHT lipo? What are the options?
Answer: Making chin smoother Dear Chinstuff,Thank you for your question and photos. Based on your photos, you would benefit from Botox injections. The lines that you describe on your chin are caused by overactive muscles that can be injected with Botox to help smoothen out your chin. Please see a board-certified plastic surgeon for a consult to better address your concerns. Best regards,Nima Shemirani
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Answer: Making chin smoother Dear Chinstuff,Thank you for your question and photos. Based on your photos, you would benefit from Botox injections. The lines that you describe on your chin are caused by overactive muscles that can be injected with Botox to help smoothen out your chin. Please see a board-certified plastic surgeon for a consult to better address your concerns. Best regards,Nima Shemirani
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May 31, 2017
Answer: Botox for Mentalis Strain I would suggest trying a small dose of botox to relax the mentalis muscle which is straining during animation.
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May 31, 2017
Answer: Botox for Mentalis Strain I would suggest trying a small dose of botox to relax the mentalis muscle which is straining during animation.
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May 30, 2017
Answer: "Smile lines" on chin The "smile lines" on your chin are due to overactive muscles that may be best controlled by Botox injections. Filler injections will not be successful. Why not?1. Dynamic lines are wrinkles which occur with talking, smiling, frowning, or other facial animation. They are not present at rest and are due to muscle action on the overlying skin. Botox relaxes the muscles, reducing the dynamic lines.2. Static lines are wrinkles which are present at all times, even when you are standing still doing nothing. These are best treated with facial fillers (Restylane, Juvederm, etc.).Since you are experiencing dynamic lines (and not static lines), Botox is your best treatment.
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May 30, 2017
Answer: "Smile lines" on chin The "smile lines" on your chin are due to overactive muscles that may be best controlled by Botox injections. Filler injections will not be successful. Why not?1. Dynamic lines are wrinkles which occur with talking, smiling, frowning, or other facial animation. They are not present at rest and are due to muscle action on the overlying skin. Botox relaxes the muscles, reducing the dynamic lines.2. Static lines are wrinkles which are present at all times, even when you are standing still doing nothing. These are best treated with facial fillers (Restylane, Juvederm, etc.).Since you are experiencing dynamic lines (and not static lines), Botox is your best treatment.
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May 31, 2017
Answer: Unusual smile lines I think your best option is to try Botox. There are a few muscles that could be contributing to the skin Lines your face creates while smiling. These include the mentalis muscle or the depressor anguli Oris muscle. It may take some experimenting and you should definitely look for a boat that's provider Wesson integral understanding of facial anatomy. I would not recommend any surgical intervention. Using fillers for dynamic skin folds is sometimes not all that successful. What this means is adding fillers to lines that on the form when you contract muscles may have an undesirable affect when those muscles are not contracted or your face is in a neutral relaxed state. Best, Mats Hagstrom M.D.
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May 31, 2017
Answer: Unusual smile lines I think your best option is to try Botox. There are a few muscles that could be contributing to the skin Lines your face creates while smiling. These include the mentalis muscle or the depressor anguli Oris muscle. It may take some experimenting and you should definitely look for a boat that's provider Wesson integral understanding of facial anatomy. I would not recommend any surgical intervention. Using fillers for dynamic skin folds is sometimes not all that successful. What this means is adding fillers to lines that on the form when you contract muscles may have an undesirable affect when those muscles are not contracted or your face is in a neutral relaxed state. Best, Mats Hagstrom M.D.
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Answer: How to make my chin smooth(er) when I smile or move my my face. Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years. From the photos, your chin is very weak and there appears to be both a lack of adequate mentalis muscle volume along with specific areas of muscle hypertrophy creating the dimples and grooves when smiling. There is some excess skin but very little if any fat...both can be removed at at the same time that the chin implant is placed. A step wise approach to the treatment makes the most sense to me. First augment the weak chin with a properly placed silastic chin implant as described below. Then at about 3 months post-op, if the dimples and grooves persist, use Botox or a similar neurotoxin precisely placed to create spot weakening of the mentalis muscle. 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". 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. In my opinion, you are a good candidate for chin implant surgery. Hope this helps.
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Answer: How to make my chin smooth(er) when I smile or move my my face. Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years. From the photos, your chin is very weak and there appears to be both a lack of adequate mentalis muscle volume along with specific areas of muscle hypertrophy creating the dimples and grooves when smiling. There is some excess skin but very little if any fat...both can be removed at at the same time that the chin implant is placed. A step wise approach to the treatment makes the most sense to me. First augment the weak chin with a properly placed silastic chin implant as described below. Then at about 3 months post-op, if the dimples and grooves persist, use Botox or a similar neurotoxin precisely placed to create spot weakening of the mentalis muscle. 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". 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. In my opinion, you are a good candidate for chin implant surgery. Hope this helps.
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