Can A Chin Reduction Be Done To Remove Non-Dissolvable Fillers Injected Into My Chin?

Q: Dr. Eppley, I have been researching a lot about chin reduction but it seems like my case is not common at all. I used to got filler injected to  my chin but two  years later I found out the substance I got injected may not hyaluronic acid-based which is dissolvable. It made my chin longer, more protrusive horizontally, and kinda pointy. I really wanted to come back where i was before, at least reduct the length and make it less protrude. My case is that my bone is totally fine, it is all about the soft tissue. I know its difficult to handle the soft tissue thats why Im reaching out to you whom I believe is very experienced in this area. Please let me know if I am too ambitious.

A:Thank you for your inquiry and sending your pictures. The question in your case is whether a submental chin pad excision would produce the desired chin change and whether the fine line scar to do so is worth it. Your chin pad excess is caused by injections which likely means the cause of the problem is undoubtably spread throughout the tissues which has created an overall fullness. The injection material is not located in just one spot. But yet the only excisional approach is to remove a wedge of chin pad tissue from below in an effort to make the chin smaller. (submental tuck) This can be effective as long as one can accept a fine line scar under the chin to do so.

Dr. Barry Eppley

Indianapolis, Indiana