What Type Of Chin Reduction Do I Need?

Q: Dr. Eppley, I have been looking into surgery for my chin for quite some time and am not having much luck. My chin protrudes from my face and it’s something I’m extremely conscious of. I believe the main problem is excess soft tissue, however I have recently had a CBCT scan to see how the bones sit and have attached images of this for you to see. 

I am based in the UK and have seen 2 surgeons about this, however I don’t seem to be getting a definite answer for a solution, it doesn’t appear to be a common thing to fix here. 

I came across your name and details when searching the internet for cases like mine, and have seen your comments on various posts on Real Self. Also looking at some of your before and after photos, it seems you have dealt with similar cases to mine. 

I really would appreciate any guidance you can give on what surgery you think I would need. If I cannot get the surgery here in the UK it’s something I would definitely consider travelling for. 

I have attached images of my chin from all angles, and have also attached screenshots of my scan (I do have the link to view the scan properly so this is something I could provide if necessary). 

I look forward to hearing from you.

A: Thank you for your inquiry and sending all of your pictures. Based on your side view x-rays your prominent chin does appear to be due to an excessively thick soft tissue pad. That can only be reduced by a submental excisional technique.  In some cases to create the space for the soft tissue pad to be tucked after the excision, some chin bone may need to be reduced. That would probably not be necessary in your case.

Dr. Barry Eppley

Indianapolis, Indiana