Can A Prominent Chin Pad be Reduced By Liposuction?

Q: Dr. Eppley, I am inquiring about a possible reduction in the “chin pad” on my chin. I actually previously had an actual chin reduction where the bone was burred down, and I was quite happy with the results of this compared to what it was before. 

The surgeon did the reduction via submental incision, and I actually already did have a scar in that area prior to the surgery. (stitches from an old sports injury)

However, even before I had my chin reduction, there was a prominent “fat pad” on my chin, and it is slightly more obvious now (although the overall appearance of my chin compared to before the reduction is significantly better now). I would not consider it to be a classic “witch’s chin” .

I was wondering if it would be possible to discuss what could be done to reduce the fat pad? I am a medical student and did read in a textbook chapter Dr. Eppley mentioned liposuction should not be performed on the face, but also read on a post on realself he mentioned a possible intraoral chin pad thinning. I have attached a few pictures, showing me at the present showing the prominent “fat pad”.

A: Your assessment that treating a full chin pad by liposuction is not a good idea. Liposuction of the chin fad pad is not advised as it will result in irregularities and mentalist muscle distortions. The only way to treat an excessive chin pad is with a submental excision and tuck of the remaining tissue.

Dr. Barry Eppley

Indianapolis, Indiana