Do I need a genioplasty? Is there any structural issues? (Photo)

CT shows bone well but not soft tissue balance, lighting or camera effects. A chin that looks unusual with a normal CT often reflects:• Soft tissue factors such as a deep labiomental crease, a bulky or ptotic chin pad, or mentalis overactivity• Submental fullness that blunts the neck angle even if the bony chin is adequate• Dental and lip posture that changes the lower face silhouette
What helps clarify• Standardized photos in frontal, oblique and true profile with neutral head position• Clinical profile analysis focused on vertical chin length, width and the labiomental angle• Bite assessment if lip strain or altered incisor show suggests an occlusal factor
Possible solutions when structure is normal• Botulinum toxin or soft tissue shaping for mentalis overactivity or a bulky chin pad• Submental contouring if fullness under the chin dominates the profile• Small, precise filler to soften a sharp crease• Genioplasty or implant only when measurements show a true structural imbalance
CT alone is not enough. Clear facial photos and a brief history are needed to define the safest plan. A complimentary conversation with a patient coordinator can help gather details before any medical evaluation.
Wishing you clarity and a plan that makes your profile feel balanced and natural.Güray Yeşiladalı, MD