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Treatment Of “Witches’ Chin”

Posted: 6:00 a.m. Sunday, May 20, 2018

By Anita Mandal, M.D.
Question: I’m in my 60’s and my chin has begun to look more and more pointy. It makes me look aged. One plastic surgeon suggested surgery but that seems too aggressive. Is there a less invasive option to soften the hard look of my pointed chin?

Answer: As we come to better understand facial volume loss, I commonly treat a “witches’ chin” non-surgically. Quite often patients experience volume loss between the lower lip and anterior jawline (lower chin border). Associated with this volume loss can be deepening of the chin crease.

Not only can injectable fillers restore lost volume to the chin crease but in the area between the lower lip and anterior jaw, they can significantly and effectively soften and reduce the appearance of a “witches chin”. While temporary fillers such as Restylane, Juvederm, Radiesse and Sculptra can be used, long term fillers like Bellafill, the 5-year filler, while more expensive upfront, can be much more cost-effective in the long run.

There are some instances of “witches’ chin” where the fat pad in the chin itself has begun to sag due the effects of aging and gravity. In such cases, surgical repair by lifting the sagging fat pad in the chin is needed. However, even in these cases, identifying and restoring volume loss in the area between the lower lip and chin border may be sufficient to avoid surgery.

Careful consultation with a Board Certified Facial Plastic Surgeon is the first step in identifying the cause of a “witches’ chin” and recommending the proper treatment approach to give you the most natural, youthful results.


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