Chin contour can affect our perception of facial age. In youth, facial contours are oval and smooth. Skin aging causes a series of changes, with prominent changes in the chin and upper neck regions resulting in a square face shape with shadows and sagging.
Facial adipose tissue is not one continuous piece, but rather is divided into multiple areas. In youth, these areas are arranged in an orderly fashion, forming smooth facial contours. However, each area’s adipose layer ages at different rates, causing the lines between areas to become uneven and deeper.
Doctors must first determine the cause of chin contour problems before selecting an appropriate treatment. Causes can include a combination of skin sagging, loss of facial volume, and muscle relaxation.
There are surgical and non-surgical methods for improving chin contour. The surgical method involves lifting the facial skin, tightening the facial fascia, and enhancing the chin contour. Non-surgical methods include radiofrequency, focused ultrasound, thread lifts, and injectable fillers.
Radiofrequency is a treatment for skin and muscle relaxation problems. This treatment can stimulate fibroblast cells, which help the skin rebuild collagen and elastin, resulting in tighter skin. Focused ultrasound tightens the superficial muscular aponeurotic system (SMAS), resulting in a tighter appearance. If there is excess chin fat, non-invasive treatments may not produce the desired effect, and invasive treatments such as surgical facelifts or filler injections may be necessary.
Around the age of forty, facial cheeks begin to lose fat, causing the lower part of the face to lose support and sag. This is referred to as “loss of facial volume,” and requires filling. Filling materials can include hyaluronic acid, Radiesse, PLLA, and autologous fat. After filling the cheeks, additional support is added, resulting in a smoother chin contour.
Chin contour is critical to our appearance, but improper treatment can have the opposite effect. Therefore, it is essential to have a doctor diagnose the root cause of the problem and prescribe appropriate treatment.