What surgery should I get to correct the appearance of my chin? What is the average cost? (Photo)

Question

My chin is fleshy and the overlying soft tissue is disproportionately larger than the underlying bone. When I smile, my chin pad pulls downward creating a "witch’s chin" deformity. The chin elongates and a deepened submental crease develops. (hyperdynamic chin pad ptosis). I have seen many options to correct my chin: - submental excision, flesh removal, & tuck - sliding genioplasty - chin augmentation: implant to support weak/under-developed chin. Pictures: Smiling and resting profile, CT scan

Jared Blau, MD · Answer

Thank you for the photos. Before you proceed with surgery, you should try a little botox to the mentalis muscle over the chin, which is a 1 minute office procedure that can help that "witch's chin" shape you described.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures. Your problem is challenging. You have a hyper dynamic mentalis muscle. There is no surgery for that type of issue. You may try minute doses of Botox to dampen the muscle activity enough so that this contour does not occur when you smile, but keeps your muscle active enough for its daily functions such a smiling maintaining your oral competence.   Best wishes!

Lucian Ion, FRCS · Answer

Thank you for your question. The movement of the chin when smiling can produce the impression that the chin point goes up, down, or flattens.

In your situation, the chin point appears to come down relatively strong, breaking the contour continuity with the rest of the jawline.

This is a dynamic problem and the chin contour at rest is very good

The best treatment for situations like this is to use botulinum toxin to decrease the activity in the chin muscles when smiling. This tends to maintain even contours between the jawline and the chin, as the chin retains its resting position when you smile.

Eric M. Joseph, MD · Answer

I can see that there is a little bit of droopiness of your chin with smiling, however, the success rate of procedures to elevate the soft tissue pad are unknown to me. In that regard, please try to find a specialist who is well versed in lifting the soft tissue chin pad. I hope this helps. Sincerely, Dr Joseph

Zoran Potparic, MD · Answer

Your photos show larger, bulky chin that needs shaping and possibly lift. That is different than simple augmentation with implant. In person consultation with a board certified plastic surgeon with good reputation in facial rejuvenation surgery is recommended. Good luck.

What surgery should I get to correct the appearance of my chin? What is the average cost? (Photo)

Answers (6)

Answer: You do not appear to have a weak chin appearance.

Answer: You do not appear to have a weak chin appearance.

Answer: Chin shaping

Answer: Chin shaping

Recommended reading

Everything you need to know about Chin Implant

Our mission is to create a world where every investment in modern beauty is Worth It.

What surgery should I get to correct the appearance of my chin? What is the average cost? (Photo)

Answers (6)

Answer: You do not appear to have a weak chin appearance.

Answer: You do not appear to have a weak chin appearance.

Answer: Chin shaping

Answer: Chin shaping

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Recommended reading

Everything you need to know about Chin Implant

Our mission is to create a world where every investment in modern beauty is Worth It.