How Can I Fix My Dynamic Chin Ptosis?

Q: Dr. Eppley, Hello! I am a 26 Female who has chin ptosis. My chin to me doesn’t not seem overly large, but when I smile, it droops quite dramatically, creating a weird shape along with a double chin from my side profile. 

A:I think the reason you have dynamic chin ptosis is because of your small chin. There is no support for the chin pad as it gets pulled back when you smile, thus it gets pulled down. This is a natural congenital origin of the problem rather than an iatrogenic one. (from prior surgery)  A chin augmentation procedure in your case is going to probably be more effective than an excisional submental chin pad procedure. The only question in that regard is whether the aesthetics of a chin augmentation would be acceptable. You don’t need much of an implant augmenttion (5mms or less) but it would provide a physical block to prevent the chin pad from being pulled down.

Dr. Barry Eppley

World-Renowned Plastic Surgeon