Fred L. Hackney, M.D.
I see lots of information on chin augmentation but have yet to see any articles on chin reduction. Is there anything that can be done for someone who has a protruding chin?
A protruding chin can be treated with a procedure called a sliding genioplasty. With this procedure the bony chin is cut and slid back. The chin is held in the new position with a small bone plate and screws. There are no incisions or scars on the face. An incision is made in the mouth inside the lower lip.
Sometimes when the chin is moved back, fullness under the chin can occur. Depending on how severe this fullness is, it may be improved with liposuction. The liposuction can be done at the same time or at a later time as a staged procedure.
One word of caution: this is a difficult procedure. Make sure your surgeon has experience doing sliding genioplasties. I recommend consulting with a surgeon who is an ASAPS member.
I am 29 years old and am considering fat injections for my face. I have high cheekbones and began to notice that my face is not as full-looking as it used to be. I tried gaining weight but my face is still sunken in. My question is, will fat injections help my sunken-in face?
Loss of facial volume or sagging of the face is common with aging. Treatment options to restore the face include fat injections, cheek implants, or a facelift. At the age of 29, it is doubtful a facelift would be indicated for you, but cheek implants may improve the fullness of your face. The risks of cheek implants include the possibility that the implants could become infected or could move out of position. However, the disadvantage of fat injections is that the fat has a tendency to be dissolved by the body over time, thereby losing the desired volume change. The success of fat injections is very dependent on the techniques used to take the fat from another area of the body and then to inject it. I would suggest you consult with a member of the American Society for Aesthetic Plastic Surgery to see if you are candidate for any of these procedures.