How Can I Get Rid Of My Fleshy Chin Pad After A Bony Chin Reduction?

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 intraorally, 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:When an intraoral bony chin reduction is done some degree of an excessive chin pad problem will ensue. Any surgeon that thinks the chin pad is going to contract back down to the reduced bone is a surgeon that clearly lacks much experience with the procedure. That is a flawed concept.

The only way to manage the fleshy chin pad now is a submental reduction/tuck.

Dr. Barry Eppley

Plastic Surgeon