When I smile my chin sticks out too much. It becomes pointy and looks weird. I did not have this problem when I was younger. What can I do?Saturday, May 14th, 2011
There could be several different causes of a "witch's chin" as it is known. It could be a hyperactivity of your chin muscle (the mentalis) which pulls down too hard as you're smiling causing the chin to elongate and stick out more. Botox or Dysport judiciously injected into the mentalis muscle can sometimes fix this problem.
Another reason for a seemingly protruding chin especially as you age is that the area just lateral to the chin slowly becomes depressed causing the central part of the chin to stick out more. Sometimes addressing this "pre jowl" area with a little filler can fix the problem.
I have also seen this problem in patients that either had a geneoplasty operation or a short chin implant placed. In those patients sometimes a combination of lateral filling and Dysport/Botox is needed, or the short chin implant can be changed for one that extends more laterally.
By Dr. Gal Aharonov