Witch’s chin deformity may occur with any form of dental or plastic surgery around the chin. The mentalis muscle becomes loose from surgery or implants, resulting in a pointier or bulbous chin. The skin and soft tissue of the chin sags or droops.
Witch’s deformity may occur spontaneously. More often it’s due to dental surgery. Incisions that are intraoral (inside the mouth) or external (under the chin) may cause the deformity. Chin implants and augmentation, or replacing implants are also a risk.
Although relatively uncommon, having a plastic surgeon recognize the risk helps to manage and prevent the chin deformity from occurring, or treating the deformity.
If you feel your chin implant is too big or masculinizes your face, then it should be removed or exchanged. As with any procedure, you must weigh the risks, advantages, and disadvantages.
Speak with a plastic surgeon about chin deformities with chin implants and augmentation.