What Is The Difference Between Type 1 and Type 2 Chin Ptosis Correction?

Q: Dr. Eppley, I have searched for someone to correct my chin ptosis for the past few years and seeing a slew of negative reviews about the few who specialize in correcting droopy chins  has been frustrating and cause for my apprehension. I felt as if plastic surgeons in general didn’t listen to their pts well, but  it’s clear now that your advice was sound.  Could you please consider discussing possible surgery soon.  I  have the time to have  a submental tuck and / or whichever other procedure you recommend, whenever you have availability .   Thanks for  your consideration

A: Just to be clear it is critically important for you to understand the differences between a type 1 and type 2 chin ptosis correction, both of which you have concurrently shown in prior pictures when trying to illustrate your desired result. In a type 1 chin ptosis correction the goal is to fix the overhanging tissue by lifting up the soft tissue chin pad into a higher position. This is a tissue relocation procedure which is done through an intraoral muscle/chin pad suspension. The success of this procedure is not great unless it is combined with a chin implant which helps support the lifted chin pad. In a type 2 chin ptosis correction the chin pad position remains the same but tissue is removed from the bottom. This is a tissue excision procedure which vertically shortens the chin a bit which is highly successful IF the diagnosis is hanging tissue off the bone.

Your prior pictures, which are attached, seem to show different types of soft tissue chin pad eshaping goals.

Dr. Barry Eppley

Indianapolis, Indiana