What Is The Best Procedure To Treat Hyperdynamic Chin Ptosis?
Q: Dr. Eppley, I believe I have hyperdynamic chin ptosis as my chin appears normal at rest, however it is very prominent when I smile. I have never had any surgery done, so I believe this might be genetic. I would like to have this issue adressed so that I look the same when at rest and when smiling (my chin no longer looks so prominent/witch-like). What procedure would be best suited for this? Ideally I would like to have the surgery this summer.
A: Like many hyperdynamic chin ptosis patients you have a borderline larger chin at result due to a larger soft tissue chin pad. This larger soft tissue chin pad then pulls down over the edge of the chin bone when you smile. This can only be improved by a submental chin reduction technique in which the soft tissue chin pad is reduced and tightened around the lower edge of the chin bone.
Dr. Barry Eppley