Facelift pointy chin. How do surgeons avoid this?
Doctor Answers 13
Facial Plastic Surgeons Can Help Avoid “Witch's Chin”
Sagging Skin Is to Blame
A "witch's chin" deformity is generally related to sagging skin, fat, and other tissue that descends with age and accumulates around the chin. Facelift surgery doesn't cause a witch's chin if it wasn't present to begin with, but it can make an existing one look worse if it isn't properly addressed during the procedure. A chin implant, which is usually placed through an incision in the lower lip, can help lessen the appearance of a lax chin and smooth the jawline. Other options exist, as well, such as chin liposuction. If you're considering facelift surgery, ask your surgeon about it — specifically, ask to see before-and-after photos of patients with a similar condition.
Witch's chin not related to a facelift
Andrew Campbell, M.D.
Facial Plastic Specialist
Quintessa Aesthetic Centers
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Witch's chin following Facelift
Witch's Chin after Facelift
How do so many women end up with the 'Witche's' chin look after facelifts?
Hi, I have performed facelifts for over 30 years and have performed many minimally, invasive type facelifts. Following the beauty principles outlined in my book on face and body beauty, women look the most feminine, youthful and attractive with heart shaped faces. Heart shaped faces have cheeks that are full and round in the front. Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face. Conversely, men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles.
If the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin. Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.
If you have "jowls” these are sagging facial tissues and an indication for some form of a SMAS facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last). The excess skin is then removed and the facelift incisions closed.
My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
- very small incisions
- minimal tissue dissection = less bruising and swelling = rapid recovery
- can be performed in 90 minutes or less, with or without general anesthesia
- no incisions within the hair = no hair loss
- excess fat can be removed
- excess skin removed
- cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
- most patients fly back home to parts all over the world in as little as 3 days post-op
Hope this helps.
Face lift - why the witches chin afterwards?
- The face and neck lift does not alter the chin
- The 'witches chin' is unrelated to surgery but appears with age in some women -
- The chin tissues loosen and move down.
- This may require a small chin implant or other procedure to correct.
- If you are seeing it as the result of a face lift, it is not from the surgery but from the surgery revealing another problem.
Best wishes. Elizabeth Morgan MD PHD FACS