Frequently Asked Questions

 

What is chin augmentation surgery?

What are chin implants made from?

What does a typical chin augmentation consultation entail?

How is chin augmentation performed?

What are the different techniques in performing a chin augmentation?

What should I expect postoperatively?

When will the sutures be taken out, and does this hurt?

Will there be scarring? If so, where will the scars be located?

Is there a lot of swelling involved with a chin augmentation?

How much downtime is required for this procedure? How long should I expect to be out from work?

When will I be able to see the results?

What are the risks of chin augmentation?

How long do chin implants last?

 

What is chin augmentation surgery?
Chin implants were originally used for reconstruction in cases involving birth defects or trauma-related incidents. Now, they are being utilized to enhance a person's weak chin or to create symmetry or an aesthetically pleasing shape within the facial structure. 

Back to Top

What are chin implants made from?
Chin implants are commonly made from hard silicone. There are also HA implants, injectable pastes, carvable blocks, Mersilene mesh, PMMA, MMA, and more. Discuss with your surgeon which implants he or she prefers and why.

Back to Top

What does a typical chin augmentation consultation entail?
Your surgeon will discuss your goals and what can be achieved realistically with you. The usual goal of the typical patient is to "correct" a chin that's lacking, but each case is individual - just like you! 

Your doctor will take into account your facial dimensions and natural face shape. The type, placement, and size of the chin implants will be determined by you and your doctor. Don't be afraid to speak your mind during this visit.

Back to Top

How is chin augmentation surgery performed?
The chin augmentation operation is usually performed using light sleep anesthesia or, if combined with other procedures, general anesthesia. Light sleep anesthesia induces a state of relaxation, and patients usually sleep during the operation and have little memory of the operation afterwards. Local anesthetics are administered to produce numbness of the surgical area.

This procedure takes from 1 to 2  hours to perform. Depending upon your facial structure, the incisions will be placed as inconspicuously as possible. For chin implants, the incision can be made either in the mouth (intraorally) or under the chin (extraorally). The risk of infection is higher if the incision is intraoral, although a strict postoperative oral hygiene regimen can decrease this risk.

Back to Top

What are the different techniques in performing a chin augmentation?
There are surgeons who only wish to use a certain implant type or a certain incision. For example, a surgeon may prefer an oral approach, where the incisions are placed within the mouth area. No visible scar is made, and oral incisions heal much faster. However, oral techniques sometimes are plagued by a higher rate of infection, especially in patients with problems with plaque build up or poor dental hygiene.

There is also a procedure called a genioplasty, also referred to as a "sliding genioplasty" or chin advancement surgery. This surgery involves using a bone saw to trim a piece off the bottom of the chin, "sliding" it forward, and fastening it with titanium screws. Metal plates may also be used. Although a rarity, bone infection may be a risk of this procedure.

Additionally, there is the use of injectable Hydroxyapatite (HA, or processed coral) paste. It should be performed over a course of a few months. The paste is still "moldable" for a few days. There is no osteoinduction (bone incorporation) as HA is not porous, but there are reports of absorption.

Check with your surgeon on the technique he or she utilizes. This varies from surgeon to surgeon.

Back to Top

What should I expect postoperatively?
Although there is normally no extensive pain related to chin implantation, pain medication is prescribed beforehand. Your surgeon may also prescribe pharmaceutical grade Arnica montana to reduce swelling and bruising. 

You may feel a degree of numbness that should disappear within 1 to 3 months. You may continue to wear a support brace while you sleep to allow your tissues and implant to heal in the desired position and to prevent shifting in the first few weeks.

Don't be alarmed by bruising and swelling. Swelling will begin to disappear within the first 5 to 7 days. Many patients return to work with the help of camouflaging cosmetics at about 5 days postop. The swelling resembles inflammation that occurs with impacted wisdom teeth or their removal, and patients sometimes use this excuse to explain their appearance if they don't want to reveal their chin augmentation to others. Swelling may be apparent for months, and the defined, chiseled look that you desire may not become evident for quite a while.

Symptoms to be alarmed about that are not normal:

  • temperature elevation greater than 101 degrees
  • sudden swelling or sudden discoloration
  • hemorrhage
  • increasing redness and tenderness of the wound edges, indicating infection
  • allergic reaction to drugs
  • shifting of the implant

Back to Top

When will the sutures be taken out, and does this hurt?
The sutures will be removed in approximately 3 to 5 days. The removal should not hurt extensively, although there may be pain when your surgeon feels around for the implant through your swollen facial tissues. 

Back to Top

Will there be scarring? If so, where will the scars be located?
This depends on the incision technique chosen by you and your surgeon. It is quite possible to insert implants with no visible scars whatsoever. Ask your doctor about the intraoral incision location and what he or she thinks of it.

Back to Top

Is there a lot of swelling involved with a chin implant?
There is considerable swelling associated with the trauma to the tissues. If screws were used to secure the implant to the bone, there may be bone trauma and related pain. Take this into account when you decide on a technique. Go into this surgery well informed because many implant removals are due to patients not being able to handle the swelling, which can be overwhelming at first.

Back to Top

How much downtime is required for this procedure? How long should I expect to be out from work?
You can expect to resume regular activities in about 1 to 2 weeks, although exercising should be reserved for after the third week. Most patients return to work within a week.

Back to Top

When will I be able to see the results?
The results are immediate, although you may think that the implant is too big at first glance. Give your mind time to recognize the difference in swelling and augmentation. Most patients are very satisfied with the augmentation results once the swelling subsides. In general, men tend to think that their chin after augmentation is too small, while women believe their postoperative chin is too large and pronounced.

Back to Top

What are the risks of a chin augmentation surgery?
There is a chance of hematoma (blood clots), seroma, numbness from nerve damage, hyperpigmentation (permanent discolorations), implant shifting, asymmetry, and general dissatisfaction. 

Back to Top

How long does a chin implant last?
The silicone chin implants are made to last your lifetime, especially if the implants are the harder variety and are screwed into place. Everything is dependent upon the individual. 

Back to Top

This has not yet been rated.Log in to rate