What is the best method to reduce a vertically long chin and give it a v-line shape?

Question

I am a woman with a long square chin, and I would like to reduce my chin vertically (not horizontally). However I also have a lot of soft tissue on my chin, and when I smile the soft tissue chin pad pulls down and looks droopy. Would a T-Osteotomy be a good method to make my chin shorter and more v-line? Or would this method cause my chin pad to sag? Would a submental chin reduction be a better option? I would like to shorten my chin by at least 5mm - 7mm.

Michael P. Morrissette, DDS, FACS · Answer

With chin reduction surgery, you may need both a vertical reduction and then a chin "tuck" beneath the chin to prevent droopy soft tissue. The key is to maintain a natural mentolabial fold.

Jeffrey H. Spiegel, MD · Answer

A t-osteotomy is sometimes helpful, but if you have excess skin it can sag more. We do 3-4 jaw surgeries like this a week, and pictures or a video are the next step for good guidance for you.

Barry L. Eppley, MD, DMD · Answer

By definition when a soft tissue chin pad sags exists with a vertically longer chin bone, any form of intraoral bone reshaping is going to exaggerate the soft tissue problem. Thus a submental chin reduction where both bone and soft tissue can be reduced at the same time would be the preferred approach

What is the best method to reduce a vertically long chin and give it a v-line shape?

Answers (3)

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What is the best method to reduce a vertically long chin and give it a v-line shape?

Answers (3)

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