What is wrong with my chin/neck? I always have a double chin, I'm not overweight. (Photos)

Question

I'm a size 8-10 and I'm 27. I have seen a plastic surgeon about getting a chin implant and he said my chin was only slightly recessive and not at all necessary. I also looked at getting fillers in my chin and was told that it wouldn't help, that my chin only looked small because I have a pointy nose. I'm not sure if it's my chin, my jaw, if braces would help or maybe I have a weak platysma muscle. I would really appreciate some honest opinions and treatment ideas!

Sam Rizk, MD · Answer

From the pictures, it looks like you have some loose skin that drapes from your chin to the top of your neck. This could be caused by a weak platysma muscle, or it could just be the natural shape of your face. In either case, you may benefit from Kybella, an injectable solution, that destroys fat cells beneath the chin. If loose skin is still an issue after this, a skin tightening procedure such as Ultherapy may be a good option. You may also benefit from the use of dermal fillers to enhance the angularity of your jawline and to augment your cheekbones. If the above non-invasive treatments do not provide enough improvement, consider neck liposuction or a small chin implant.

Larry S. Nichter, MD, MS, FACS · Answer

Without an exam your question cannot be answered.  You will need to see an Oral/Maxillofacial surgeon to see if othognathic surgery, genioplasty or using an implant is best for your specific case. It should be noted that patients with severely weak jaws or abnormally functioning jaws may be better treated with other facial surgery (orthognathic surgery), although a chin augmentation may be an option at a later time. These patients should seek the advice of a plastic surgeon to determine which course is right for them. Here is some information to help you make this decision: Candidates for Chin Augmentation - Patients whose chin profiles are weak but have normally functioning jaws are candidates for Chin Augmentation. Many of these candidates have used injectable fillers in the past to strengthen the protrusion of their chins, but are looking for a permanent solution. If you are one of these patients, then you are a likely candidate for chin augmentation
#weakchin #chinimplant

Guy Watts, MBBS (Hons), FRACS (Plast) · Answer

Thank you for your question and images. It would be ideal to perform and personal consultation but it appears you have some vertical length discrepancy of your chin. By that I mean that the middle third of your face should be equal or slightly shorter than the lower third of your face. From the images it appears your lower third is slightly short (vertically) and your chin point slightly weak along with some excess submental fat. There are some options for you including genioplasty and liposuction that may achieve the results you are after. Happy to chat further.RegardsDr Guy Watts

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

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 weak and there is a slight excess of skin and fat (pending on the photo) under the chin.  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

What is wrong with my chin/neck? I always have a double chin, I'm not overweight. (Photos)

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