Am I A Good Candidate For Chin Pad Reduction?

Q: Dr. Eppley, But I saw you comment on a question forum about my exact issue so what I think I have is chin ptosis! For years I have been getting filler in my chin to correct it and was considering a sliding genioplasty or implant but what I realized I really want is for the fleshy pad on top of my chin to be shortened, it is too long and extends even further when I smile and talk. I am in the process of trying to make my face “smaller” by reducing the fleshiness in the lower half of my face. My chin has really been standing out to me, I believe the filler is migrating too even though I’m adamant with the injectors to not place it anywhere in the lower part of my chin, I only get the filler to project it forward and fill in the hollow crease right below my lip which causes a shadow that really bothers me. I got x rays done at a dentist so I’m attaching that since it’s probably helpful! Please excuse the purple Halloween costume but that photo my chin looks crazy so I thought it would be a good example. Any way, depending on the price of this procedure I may make an appointment to travel to IN sooner than later and maybe combine it with one of the implants? Please let me know what you think.

A:You have a natural large soft tissue chin pad to bone ratio which can clearly be seen on your lateral cephalometric x-ray. This becomes more apparent when you smile as it pulls down creating hyperdynamic chin ptosis. You have correctly surmised that a soft tissue chin pad reduction is the correct procedure to improve it.

Dr. Barry Eppley

World-Renowned Plastic Surgeon