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Chin Implants: Witch’s Deformity?

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.

2 Responses to Chin Implants: Witch’s Deformity?

  • kat says:

    Hi there,

    I have some excess fatty tissue hanging down from off the margin of my chin bone after chin reduction surgery (chin ptosis) I had done a number of years ago and want to try reduce it

    do u have familiarity with a procedure that involves creating an incision below the chin and removing excess fat and tissue then resuturing it up to reduce the ‘witches chin’ look?

    (I also might be able to benefit from a neck lift in combination with this as I also have a double chin.)

    I don’t want to correct it with an implant or genipoplasty, or fillers and if cant get it fixed via soft tissue correction I would rather just leave it as entire reason I got surgery in first place was to try get a smaller looking chin. Its this particular correction Im interested in if I am an eligible candidate after assessment of course.

    I saw you answer a question on the real self website and u mentioned this procedure so I was wondering if u perform it yourself.

    I reside overseas which is why I wanted to check first please before booking a consultation.

    Thank you.

    • Houtan Chaboki, M.D. says:

      Excess chin and neck fat is more likely treated with liposuction or similar treatments as part of chin/neck lift. Chin ptosis after chin bone surgery is more likely treated with an intraoral (inside mouth) approach to lift sagging chin muscle and tissue, with or without possibly advancing the chin with bone or implant surgery. If you haven’t already, speak with a plastic surgeon to review potential options.

      Best,
      Dr. Chaboki

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    Houtan Chaboki, M.D.