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What is chin augmentation surgery?
A chin augmentation procedure can give prominence to a weak or receding chin. This can bring balance and a more aesthetically pleasing appearance to the face. Chin augmentation can involve the insertion of an implant to bring the chin forward (mentoplasty) or it can be a procedure where the chin portion of the jawbone is separated and brought forward (genioplasty).
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What are chin implants made of?
The most common types of chin implants are made of solid silicone, expanded polytetrafluoroethylene (ePTFE), rigid polyethylene, or hydroxyapatite. They come in many shapes and sizes and can be custom-made. You should discuss with your doctor which implants he or she prefers and why.
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What does a typical chin augmentation consultation involve?
During your consultation, your cosmetic surgery will discuss your goals with you and explain what can be achieved realistically. The usual goal of the typical patient is to "correct" a weak or receding chin. Your surgeon will evaluate your facial dimensions, the shape of your face, and will probably take a look in your mouth. He or she will also discuss the different types of chin augmentation procedure. For some people a chin augmentation is not enough to bring the face into balance. You may also need a nose job or cheek implants to create the best appearance for you. Do not be afraid to bring up any issues you want to discuss during your consultation.
How is chin augmentation surgery performed?
The chin augmentation operation is most frequently performed using local anesthetics and sedation or, when combined with other procedures, general anesthesia.
Mentoplasty takes about an hour to perform by itself. The incisions will be placed as inconspicuously as possible and can be made either in the mouth or under the chin. Either way, a pocket is made between the skin and bone over your natural chin, and the implant is placed in that pocket. Some implants are screwed or sutured to the bone.
In "genioplasty," also referred to as chin advancement surgery, your surgeon will separate a piece of bone off the bottom front of your jawbone and slide it forward before fastening it back onto the jawbone with screws or metal plates.
If your lower jaw is underdeveloped and you have a poor alignment of your upper and lower teeth, you may benefit from a procedure that breaks the jaw on both sides and brings the entire front of the jaw forward. This is considered reconstructive surgery and is more invasive and extensive than mentoplasty or genioplasty.
What can I expect postoperatively?
Although there is usually no severe pain after cosmetic chin surgery, your surgeon may prescribe some pain medication for you. You may experience some numbness over your chin that should resolve within a few months. Your chin will be bruised and swollen. This is normal and should start to disappear within the first 5 to 7 days. Many patients return to work with the help of camouflaging cosmetics 5 days after their surgery. Any nondissolving sutures will be removed after about 3 to 7 days.
Will there be scarring after chin implant surgery?
The incision for a chin implant or sliding genioplasty can be made either inside the mouth or under the chin. If the incision is made under your chin, your surgeon will make every effort to minimize the scar. A scar under the chin is usually unnoticeable. However, the scar may look prominent for a few weeks after your surgery and will then start to fade. Some people, especially smokers, scar more than others.
How long should I expect to be out of work?
Most patients return to work within a week. You can expect to resume most regular activities in about 1 to 2 weeks, and go back to exercising after the third week. Swelling and bruising should resolve by the fourth week.
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When will I be able to see the results of chin augmentation surgery?
The results are immediate, although you may think that the implant is too big at first because of swelling. Most swelling will resolve in a week or two and you will see the true results.
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What are the risks of a chin augmentation procedure?
There is a chance of infection, permanent numbness from nerve damage, and of the implant shifting. There is also a chance of asymmetry. If the implant shifts or your chin is unsymmetrical, you may need to have further surgery.
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How long does a chin implant last?
A chin implant should last your lifetime, unless a problem such as infection develops.
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