What causes slight enlargement under the chin?

Nov 28, 2025 Source: Cainiu Health
Dr. Lv Renrong
Introduction
Thyroiditis: Factors such as autoimmune abnormalities and viral infections can damage thyroid tissue, leading to inflammation and enlargement of the thyroid gland. This may result in visible swelling under the chin, possibly accompanied by difficulty swallowing and hoarseness. Treatment may include levothyroxine sodium tablets, prednisone acetate tablets, and indomethacin enteric-coated tablets, as prescribed by a physician. Regular follow-up evaluations of thyroid function are recommended to monitor and adjust the treatment plan accordingly.

Under normal circumstances, slight enlargement under the chin may be caused by fat accumulation, genetic factors, or conditions such as swollen lymph nodes, thyroiditis, and thyroid nodules. If related symptoms occur, it is recommended to seek medical attention promptly. A detailed analysis is as follows:

1. Fat accumulation: Excessive daily caloric intake combined with insufficient physical activity can lead to increased body fat, including subcutaneous fat buildup under the chin, resulting in a fuller appearance beneath the chin. Adjusting dietary habits by reducing high-calorie and high-fat food consumption, along with increasing exercise, helps promote fat burning.

2. Genetic factors: A family history of a predisposition to a larger chin may result in abnormal development of the jawbone or soft tissues due to genetic influence, leading to an enlarged appearance under the chin. If there are no discomfort symptoms and aesthetic concerns are minimal, special treatment is usually unnecessary. For those with higher aesthetic expectations, consultation with a specialist physician regarding cosmetic surgery options is advised.

3. Swollen lymph nodes: Infections in areas such as the mouth or throat allow bacteria to travel through lymphatic vessels into the submental lymph nodes, causing inflammation and lymph node enlargement. This results in swelling under the chin, often accompanied by pain and fever. Medications such as cefixime dispersible tablets, amoxicillin capsules, or roxithromycin capsules may be used as directed by a physician.

4. Thyroiditis: Damage to thyroid tissue caused by autoimmune abnormalities, viral infections, or other factors can trigger inflammation, leading to thyroid enlargement and visible swelling under the chin. Symptoms may include difficulty swallowing and hoarseness. Treatment may involve levothyroxine sodium tablets, prednisone acetate tablets, or indomethacin enteric-coated tablets as prescribed. Regular follow-up tests of thyroid function are necessary to monitor and adjust the treatment plan accordingly.

5. Thyroid nodules: Abnormal proliferation of thyroid cells forms nodules, which can cause thyroid enlargement and swelling under the chin. Possible accompanying symptoms include a sensation of pressure in the neck or difficulty breathing. Small, asymptomatic nodules may be managed through regular observation. However, if the nodule is large or suspected of being malignant, surgical removal is required, followed by pathological examination.

Maintain a balanced diet in daily life, with adequate iodine intake; adhere to regular sleep patterns and avoid staying up late; engage in moderate physical activity to enhance immune function; and undergo routine health check-ups for early detection and timely treatment.