Your Chin Implant questions answered by Dr. Neavin
- What is chin implant surgery?
- How do I know if I could benefit from a chin implant?
- What are the chin implants made of?
- Are there different sizes of chin implants?
- Can my body reject a chin implant?
- What if I don’t like it, can I have it removed easily?
- If the chin implant is removed, will my chin be saggy?
- Will a chin implant affect my ability to shave?
- Can you add a chin implant the same time as a facelift or neck lift?
- How do I know if I need a chin implant or neck liposuction?
- Why are chin implants often used in combination with rhinoplasty surgery?
- Will I need to be asleep for chin augmentation?
- How long does chin augmentation surgery take?
- How long will I be bruised or swollen after surgery?
- Does chin augmentation surgery hurt?
- Will people know I had a chin augmentation?
- Where is the incision for chin augmentation surgery?
- Will the incision for chin augmentation surgery be visible?
- When can I return to work after chin augmentation surgery?
- Will I have visible stitches and if so for how long?
- How does the chin implant stay where you put it? Can it move?
- Will I have bandages after surgery and if so how long?
- Will there be any dietary restrictions after chin implant surgery?
- What other restrictions do I have with chin augmentation surgery?
What is chin implant surgery?
Chin implant surgery is also referred to chin augmentation. An implant is placed through a small incision either externally below the chin or from inside the mouth to rest on the bone in a secure, precisely dissected pocket to enhance projection of the chin.
How do I know if I could benefit from a chin implant?
A profile photo is generally the best way to assess chin projection. Chins in men and women do follow different rules when it comes to balancing the face. In addition, the chin should also be evaluated with the nose and lips. As a general rule (and there are always exceptions), one should have their chin project beyond an imaginary line connected from tip of nose to lower lip on a side view. In the photo below of the man, one can readily see how a modest size enlargement of the chin can add masculinity to the face. It should be noted that other procedures were performed in this man including neck lift and facial fat grafting. In the photo below of the woman, the powerful transformation of chin enhancement is apparent. A properly balanced chin can make the nose look smaller. It should be noted that a chin implant will not alter the “bite”. Overbites and underbites can be modified with a genioplasty. A genioplasty will add projection to the chin and correct teeth misalignments. However, the genioplasty surgery is much more invasive than chin augmentation and carries additional risks.
What are the chin implants made of?
The chin implants used are made of silicone.
Are there different sizes of chin implants?
Yes. Sizes of chin implants vary in projection and shape. Some implants are “extended” and wrap around the chin further than others. The size and shape of the chin implant choses will depend on desires and facial shape. For instance, s more angular lower third of the face could be slightly altered with an extended chin implant. A more rounded face can be adjusted with the addition of a more narrow chin implant.
Can my body reject a chin implant?
Silicone is rather inert in the human body. Rejection doesn’t occur like it does in the sense of a transplanted organ. It can become infected in which case it may have to be removed, but that is very rare.
What if I don’t like it, can I have it removed easily?
Yes. The implants are made of a smooth silicone. They are not secured into the bone. Removal of the implant can be done quite easily in the office under just a local anesthesia.
If the chin implant is removed, will my chin be saggy?
Generally, no. If the implant was placed through the mouth, it is possible that the muscles that suspend the chin weaken, and removal of the implant could cause a small descent of the chin pad. This is rare and can be improved with permanent suspension stitches in the office. The skin itself from the implant won’t be “stretched” permanently.
Will a chin implant affect my ability to shave?
For men who have a chin implant placed within the mouth, there are no concerns about shaving over an incision. If the chin implant was placed externally below the chin, then it is possible that while the scar matures the incision will be in the path of a razor. While it heals, simply caution around the incision should eliminate any problems with “cutting” the scar.
Can you add a chin implant the same time as a facelift or neck lift?
Yes. In fact, chin augmentation is often part of a combined facial procedure. The most common combinations are chin augmentation with rhinoplasty, or chin augmentation with buccal fat (chipmunk cheeks) and facial fat grafting. Interestingly, most people that are unaware of a friend or family members chin augmentation surgery will not be able to put their finger on why you “look better” after surgery. A chin can balance the face without making it look drastically different. That is the beauty of a chin augmentation.
How do I know if I need a chin implant or neck liposuction?
Often, chin augmentation is combined with liposuction of the neck. Added projection to the chin with a tighter neck powerfully transforms the profile. The photos below of the man and women demonstrate this.
Why are chin implants often used in combination with rhinoplasty surgery?
The chin, nose and lips all act to balance the profile. Larger noses can look smaller with the addition of a larger chin and lips. Thus, when performing a reduction rhinoplasty, chin implants are often used. Even a small one can do wonders balancing the face and nose without making the chin look too big. For women, it is always a concern of theirs to look too “chinny”. The photo below of a three quarter view demonstrates that a properly sized chin implant can obviate the need for rhinoplasty. In fact, this woman had initially wanted a smaller nose. By simply adding volume to lips and chin her face became perfectly balanced.
Will I need to be asleep for chin augmentation?
Because chin augmentations are often performed with combination surgery, men and women are most often asleep for the surgery. However, it is possible to perfom chin augmentation with simply local anesthesia.
How long does chin augmentation surgery take?
A chin augmentation surgery from start to finish generally takes less than an hour.
How long will I be bruised or swollen after surgery?
Some swelling is normal after chin augmentation but it should subside within a few days. Bruising while it can happen is rare.
Does chin augmentation surgery hurt?
The chin will be sore for about three days but won’t interfere with talking or eating. Commonly prescribed oral analgesics are more than enough to handle post operative pain.
Will people know I had a chin augmentation?
It is interesting that while most people will think you look more attractive after a chin augmentation, most won’t be able to tell why. Chin augmentation isn’t like rhinoplasty of breast augmentation. These surgeries generate obvious results. Chin augmentation creates subtle but significant results. It will surprise you how few of your friends (if any) and even family will identify you as having had chin surgery.
Where is the incision for chin augmentation surgery?
There are two possible incisions for chin augmentation. One is external, the other is inside the mouth. Both incisions are about 2 cm in length. The external incision offers the advantage that more of the dissection is visible, and the mentalis muscle that supports the chin pad isn’t divided. Division of the mentalis muscle can in rare cases cause a mild descent of the chin pad over time. The disadvantage is that the external incision will leave a scar. The scar while hidden well, isn’t completely invisible. For men who shave, the scar can sometimes be “scratched” with a razor during the healing phase. Both incision approaches are performed depending on desires of the individual.
Will the incision for chin augmentation surgery be visible?
(See above question) The intra oral incision will not be visible. The external incision is placed transversely just under the chin, about 2 cm in length. This heals remarkable well and is virtually impossible to see during normal interactions among people.
When can I return to work after chin augmentation surgery?
There will be some swelling and pain after surgery for a few days. Most people that have a chin augmentation Thursday or Friday can return to work Monday. The limitations are mainly just discomfort and swelling.
Will I have visible stitches and if so for how long?
There are no visible stitches when the chin implant is placed inside the mouth. With the external incision, there are two ways a surgeon can close the incision. One, with pull out stitches. The other, dissolvable stitches. The pull out stitches are generally preferred over dissolvable because as stitches dissolve they leave inflammation. The scar will generally mature faster (and better) with pull out stitches that will be removed at about 7 days.
How does the chin implant stay where you put it? Can it move?
Chin implants are not secured to bone. They can be secured to soft tissue, but even that isn’t necessary. The surgical pocket make between bone and soft tissue is precise. It fits the implant snug. It would be very unusual for the implant to migrate.
Will I have bandages after surgery and if so how long?
Generally, no bandages are required after chin augmentation. However, there are exceptions. In re-do cases or down sizing an implant, sometimes a bandage is placed for a week. But that is the exception not the rule.
Will there be any dietary restrictions after chin implant surgery?
With the intra oral incision, hard foods should be avoided for a week. This includes pretzels, potato chips, etc. The mouth should be rinsed with mouth wash in morning and night.
What other restrictions do I have with chin augmentation surgery?
Contact sports where there is a threat to harm the chin should be avoided for several weeks. Other than that, there are some oral care and dietary rules on should follow if they have the implant placed through the mouth:
- Soft foods for a week
- Rinse with mouth wash after every mean (or at least twice a day)
- Care with brushing teeth for first week