Almost a year and a half of post op and smile isn’t normal. Is there something I can do to fix it? (Photo)

Is it possible that your chin implant is too large on front view? You appear to have a wider chin appearance after surgery and if this is associated with tightness, it makes me think that perhaps your chin implant could be a bit too large. Sometimes chin implant replacement is considered. And if you are uncomfortable with your chin implant, you could certainly have it easily removed. And replaced at a later date with a different size. I hope this is helpful and thank you for your question. Sincerely, Dr. Joseph

hard to tell from the distorted pictures, but looks like one side of your chin is lower than the other side. Chin implants are also known to cause mentalis strain, which might be what you are experiencing. Your lower teeth show is relatively symmetric from what I can tell. I need to see profile photos to see if an advancement is needed. I would advise removing the implant, and either fat grafting the chin, or genioplasty to reshape/recontour it.