What can help my witches chin? Implant? Soft tissue removal? Bone shaving? Filler? Botox? (Photo)

Thank you for your question and photos. As you mentioned, there are various surgical and non-surgical methods for enhancing your chin and jawline. A combination of dermal fillers and collagen stimulators, such as Sculptra, can add volume to the chin to create more balanced facial proportions. A chin implant is a more long-term solution that can define your chin and jawline and create a striking, natural-looking contour.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or expert injector. They will be able to answer any questions you have and determine the best treatment plan for you.

"A formal evaluation would be needed to determine what's best. Many of my patients try to avoid surgery, so we perform a non-surgical chin augmentation treatment with injectable fillers. Fillers like Radiesse, Voluma, BellaFill as well as Sculptra are injected into the area, improving the overall appearance of the lower face and balancing the jaw and lip harmony. We use cannula injections to meticulously contour and project the chin, soften the chin along the jawline and improve the chin crease.

Implants are still a great option once you are 100% positive that you are ready for a permanent enhancement.​ I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert; our practice is located right here in Los Angeles. Best, Dr. Emer"

Chin deformities that position the soft tissue pad below the mandibular plane are difficult problems to correct. The changes that occur with movement are even more difficult. Multiple considerations are required. Botox usually helps to some degree but the effects are temporary. Soft tissue resuspension is possible and can provide some improvement in for the chin position but is less effective when the chin soft tissue is in animation. Sometimes a chin implant and/or sliding genioplasty can provide some additional improvement. Consult with a surgeon who performs many types of chin surgeries.

Based on the photo you provided and your description of your chin, it appears that you may have a condition called "witch's chin" or "mentalis strain." This occurs when the mentalis muscle (located in the chin) is hyperactive, causing the chin to look pointed or dimpled.

There are several treatment options available for this condition, depending on the severity and underlying cause of the problem. Some of these options include:

-Injectable fillers: A filler such as hyaluronic acid or Radiesse can be injected into the chin to add volume and smooth out the appearance of the chin. This is a temporary solution, usually lasting several months to a year.

-Botox: Botox can be injected into the mentalis muscle to relax it, reducing the appearance of the witch's chin. This is also a temporary solution, lasting several months.

-Surgery: Depending on the severity of the witch's chin, surgical options such as soft tissue removal, bone shaving, or implant placement may be considered. These options can provide long-term results but also carry more risks and longer recovery times.
It is important to consult with a qualified and experienced plastic surgeon or dermatologist to determine the best treatment plan for your specific case. They can evaluate your chin, discuss your concerns and goals, and recommend the most appropriate treatment options.


I hope this helps,
best of luck !