The ptotic (witch's) chin deformity: an excisional approach.
Author: Feldman JJ
Plast Reconstr Surg, 90: 2, 1992 Aug, 207-17
Ptosis of the chin pad is often associated with a deep submental skin crease present. The main concern is the appearance or exaggeration of chin ptosis in smiling ("dynamic" ptosis). This article describes the correction of ptotic chin deformities. The author believes that direct excision of the sagging or excess chin fat, muscle, and skin is the best method of treatment. In this method no attempt is made to reposition the soft tissues. If a deep submental skin crease is present it is excised. If the chin needs more projection a chin implant is used. 
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