What chin procedure is recommended? (Photo)

Question

I have a muscular chin with fat underneath as well. I am hoping for a smooth jawline when smiling but don't want to make my chin more prominent necessarily. As you can see from the front view and at rest, it's not as much of an issue (only when smiling via profile does it bother me). What procedure is recommended for the desired results?

Michael P. Morrissette, DDS, FACS · Answer

The photos show a slightly protrusive chin that is also vertically a bit short (deep mentolabial fold). In cases like yours, it is possible to increase the length and decrease the prominence with a in office genioplasty procedure. It takes about an hour and does not require braces nor will it affect your bite.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a pleasing chin appearance and good chin projection. Your chin projection will help to keep your neck skin tight for many years. In that regard, I don't recommend any intervention. I hope this helps. Sincerely, Dr Joseph

Lucian Ion, FRCS · Answer

Thank you for your question and photographs.

The appearance of the chin when smiling seems to be related to the activation of the muscles in the chin. Their activity can be controlled using botulinum toxin injections (Botox or equivalent). Leads to a relaxed appearance of the chin when smiling which will soften the contour of the jawline.

Tanveer Janjua, MD · Answer

Chin reduction can help with a large protruding chin 'Witch's chin'. This is usually an abundance of soft tissue which causes a bulge. The procedure involves making an incision below the chin, accessing the extra soft tissue and removing it while taking care to preserve the muscles. Along with this some skin is removed below the chin to have a pulling effect on the chin and leading to a smaller or less protruding chin.

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

Dear Ari,

Thank you for your pictures. 
I understand what you mean. In my opinion without direct examination, you have several issues concerning your lower jaw and chin. At the current position of your lower jaw and chin you have fullness of the mentalis muscle and overactivity of that muscle.  That in of itself is hard to correct.

Where I think the increased muscle activity is a compensatory mechanism due to a recessive lower jaw, a slightly prominent chin, facial asymmetry and a decrease height to the lower third of your face.

In order to potentially improve this area, you would need a fairly large operation in my opinion. This would include at least a lower jaw surgery and probably a two jaw surgery parentheses orthodontic surgery.

Because you have concerns when you're animated I don't think there's really any go to camouflage procedure that would address your concerns. The best thing to do is to have 2 to 3 consultations if possible with plastic surgeons and or oral surgeons who are well-versed in this with this issue.

Best wishes,

ESJ,
#TruthAndTransformation

Anna Chacon, MD, FAAD · Answer

Based on the description of the issue, there are a few different procedures that could potentially help to achieve the desired results. However, it's important to note that the best procedure can only be determined by a qualified professional after a thorough examination. Here are some possibilities:

1. Chin Liposuction: This is a common procedure for removing excess fat from under the chin. It can help to create a more defined jawline.

2. Neck Lift: A neck lift could also potentially help to create a more defined jawline. This procedure involves removing excess skin and fat from the neck and tightening the underlying muscles.

3. Chin Implant: While you mentioned not wanting to make your chin more prominent, a small chin implant could help to balance out the face and create a smoother jawline.

4. Non-Surgical Options: There are also non-surgical options like Kybella, which is an injectable treatment that destroys fat cells under the chin, or CoolSculpting, which freezes and eliminates fat cells.

5. Botox: Botox injections can also be used to relax the muscles and provide a smoother appearance when smiling.

6. Buccal Fat Removal: This procedure removes fat from the lower cheeks, which could potentially help with the appearance of the jawline when smiling.

Again, it's important that you discuss these options with a qualified professional, such as a plastic surgeon or a dermatologist, who can provide advice based on a thorough understanding of your specific situation.

Mats Hagstrom, MD (license on probation) · Answer

From your pictures, it looks like the body of your man Duval is short and lacking in projection while the mentalis is overly projected.
Your mandible is both too long and too short into different areas.
Most likely you have an overbite dental occlusion.
On your profile picture, your upper lip projects significantly more than your lower lip.
This shows that the body of the mandible is not sufficiently projecting.
At the same time you have the beginning of a witches chin.
When you smile, the chin does not move forward the soft tissues around the chin move back this is normal and true for all people.
If surgery was easy, without consequence and risk free, then a jaw advancement with a chin reduction would be the correct treatment.
I don’t think that’s a reasonable option because that type of surgery is pretty involved.
I think you’re gonna find that oral surgeons have an upper edge over plastic surgeons for both assessment and treatment options for this type of work.
I think you’ll get a lot of different opinions and the fact that your chin is both under and overdeveloped into different regions may not be obvious to most people.
You could use reducing the forward projection of your chin slightly, and you could also benefit from increasing vertical height a bit as well.
There are plastic surgeons who do this kind of work and do it well but my best guess is you’re gonna have more luck with the oral community.
I say that as a senior board-certified plastic surgeon.
These are fairly complex procedures and I suggest you have multiple consultations before considering provider selection or even thinking about scheduling surgery.
Best,
Mats Hagstrom MD

What chin procedure is recommended? (Photo)

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