How Can I Get Rid Of An Excessive Fat Pad After Chin Reduction Surgery?

Q: Dr. Eppley, I had an ineffective horizontal projection chin reduction surgery about 5 years ago that only seems to get worse with time. The surgeon did it orally, and burred the bone down, but the fat pad was not properly taken care of and it now projects the same and scrunches oddly at the front and bottom when smiling. I can feel the -bone- properly reduced now when I examine my jaw, but the chin pad is thick and can be grabbed. I’ve been wanting a revision for chin pad reduction and have been considering surgeon and timing, and I saw that Dr. Eppley has success in these exact cases like mine.

A: Intraoral bony chin reduction for a horizontal excess is a flawed technique as it fails to address the soft tissue excess. Such chin pad excess must now be addressed by an external submental excision technique.

Dr. Barry Eppley

Plastic Surgeon