How Can I Fix My Sagging Skin After Chin Implant Removal?

Q: Dr. Eppley, I had a chin Implant 3 years ago when I had a rhinoplasty done. I never wanted a chin implant however the surgeon recommended so I got it. Nine months after I decided to get it removed because I felt it made me look masculine, too much projection. However my skin began to sag after removing it and I don’t like it. I feel like my chin looks so long. What do you recommend should be done to fix this. My skin sags more when I smile. Please advise. Thank you I appreciate your time! 

A:Thank you for your inquiry and sending all of your picture. What you have is very common after chin implant removal, the stretched soft tissue chin pad does not shrink down and go back to its preoperative state/position. Rather it sags/drop due to the two sides of the capsule not adhering. The most effective strategy for its surgical managment is a submental tuck to remove the overhang. An intraoral resuspension seems logical but works inconsistently my experience.

Dr. Barry Eppley

Indianapolis, Indiana