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Treatment of Witch’s Chin

Posted: 8:50 a.m. Wednesday, October 28, 2015

By Anita Mandal, M.D.
Question: I am in my 60’s and notice that over the years, my chin is becoming more and more pointy. I look like I have a witch’s chin instead of the soft, smooth chin which I used to have. Can this be corrected and restored to the youthful chin of my younger days?

Answer: A “witch’s chin” is a common complaint in patients seeing me for facial rejuvenation. Often however, patients complain about their jowls and droopy mouth corners and don’t notice how their pointy chin ages their lower face.

Aging is rarely restricted to one facial area but occurs in multiple parts of the lower face. An important cause of witch’s chin is the loss of fat and collagen, that occurs with age, in the area between the lower lip and chin. This tissue loss results in deepening of the chin crease and, more importantly, depressions in the lower face surrounding the chin, giving the illusion that the chin is becoming more pointy. This effect, combined with droopy mouth corners and sagging jowls contributes to the overall appearance of a witch’s chin, making you look 10-20 years older.

Treatment of a “witch’s chin” that is due to volume loss of the lower face is injectable fillers since surgery is typically not effective. Filler is injected into the chin crease as well as the depressions on either side of the crease and into the mouth corner grooves. Visible results are immediately youthening.

Choice of filler for “witch’s chin” ranges from temporary fillers such as Juvederm, Voluma, Radiesse or Sculptra. Long term fillers such as Bellafill are very safe and more cost-effective and can, alternatively, last at least five years.

Careful consultation with Board Certified Facial Plastic Surgeon who can properly diagnose the “witch’s chin” of aging and help you decide the best filler option for your unique needs is the first step.

It is a misconception to think you should only seek a surgeon for surgery. Facial Plastic Surgeons have in-depth knowledge of facial anatomy and expertise in both non-surgical and surgical facial aesthetic treatments. Each time you have a non-surgical cosmetic procedure by a less qualified doctor, you increase your risk of complications and poorer results. When it comes to your face, why would you consider less than a Board Certified Facial Plastic Surgeon? Log on to ABFPRS.org.


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