Changing your appearance of your chin with can be done with the use of an chin implant or injectable. Implants also wonderfully improve the contour of the jawline. It is an effective operation for someone who has:
- A weak chin
- A larger nose
- An imbalanced profile
- A profile that simply isn’t as strong as one would like (generally, men)
There are three ways a plastic surgeon can enhance your look. One is a sliding genioplasty. This is a rather invasive procedure where the bones of the jaw are cut to slide the bony part of the chin forward. While this surgery can provide wonderful results, patients will have more swelling, downtime and pain. It also carries more risks of nerve injury and bone healing problems. For the most part, plastic surgeons have replaced this procedure with silicone implants or fillers.
Chin enhancement with Implants
A chin augmentation procedure uses a small incision inside the mouth or under the chin to place a silicone implant. The shapes and sizes of implants available are diverse. Some implants are wide, others narrow. Some are very large and others add very subtle projection. The key to good outcomes with proper implant selection is:
1) Proper aesthetic evaluation
2) Proper election to meet the desired goal
3) Minimal incision
4) Precise dissection on bone
5) Proper placement
Proper evaluation from a board certified plastic surgeon cannot be over stated. Indeed, mathematical equations exist to guide one to appropriate projection and width to balance the face. The aesthetic doctor must understand beauty in order to create it. There is absolutely no room for guessing. Having said that, one of the nice things about this surgery is that one can choose to remove the implants easily and safely under local anesthesia if one desires to revert the procedure.
Attaining Balance and Enhanced Beauty with a Chin Augmentation
It is a common belief by women that chin augmentation may make the face a bit more masculine. But, this is overwhelmingly not the case if the plastic surgery is done appropriately. Again, this reiterates the importance of proper diagnosis. Enhancement in women often feminizes the face. If you have your doubts about this statement I urge you to search for images online of profile photos of Angelina Jolie, Megan Fox, and Kate Upton. The projection on these women are striking. Why then, do they not look masculine?
Front View Impact of a Chin Enhancement
The chin must balance the face in profile and in front view. Chins in concert with the jaw and cheek bones assist in forming the desired square face in men and the heart shape face in women. Often, a bigger chin will harmonize better with the other facial features. In addition, one must not forget the impact on the front and three quarter view. With longer and shorter implants, the trained eye can be modify the face significantly to accentuate existing beauty.
Side View Impact of a Chin Implant
A proper chin augmentation can strengthen a male profile. It can balance a woman’s profile. And, it can make a large nose appear smaller. In fact, it is not uncommon for women to come into the office for a rhinoplasty, when in fact they just need a more prominent chin. Dr. Neavin will evaluate you with an artistic eye. He may even illustrate the effects of a chin enhancement to show patients the potential result with an enhanced jaw line. Generally, a small chin corresponds with deficient volume in the cheeks in both men and women. Facial fat grafting to the cheeks often goes hand in hand with chin augmentation. With women, enhancing the lip is often the rule, as well. More on these topics exist in their respective procedure pages.
Subtle but Significant
Chin augmentation is a procedure that Dr. Neavin describes as subtle but significant. It is surprising how few people, even friends and family, will be able to identify that you’ve had plastic surgery. Despite the magnificent profile and improved photos from this enhancement, most people that don’t realize you had surgery will simply tell you that you look better. Perhaps one of the most powerful face transformations is a chin augmentation with rhinoplasty, lip enhancement, buccal lipectomy, and facial fat grafting. Buccal lipectomy is a procedure that removes the appearance of chipmunk cheeks. Dr. Neavin often performs this combination. The synergy from these transformative procedures can convert virtually any face into one that looks like it belongs on a billboard. And the best benefit is that it can all be done with no visible scars on the face.
A Few Facts to Share
A plastic surgeon will take about 30 minutes to perform the surgery. While one does not necessarily need general anesthesia for surgery, it is often a recommendation for many patients. For patients who hate going to the dentist, general anesthesia may be preferable. However, one can perform the procedure easily with no pain while the patient is awake. Pain medications and relaxing drugs are given. Then, local anesthesia and adequate nerve blocks are administered to make the procedure comfortable. Results are immediate. Downtime is short. It is often combined with other surgeries of the face.
Schedule Chin augmentation Consultation
During your consultation, Dr. Neavin takes great time to evaluate your facial features as it relates to the nose and lips. Photographs are welcome to illustrate ideal profiles. He will review both intra-oral and external approaches and their respective advantages and disadvantages. Sample chin implants will be given to you to look at and feel. They are made of silicone and come in various sizes and shapes. Your preferred shape and existing anatomy will determine the most appropriate size and shape for your face.
Your bite will also be evaluated. Keep in mind, the implant will not change one’s bite. For significant under-bites, jaw surgery may be the more appropriate surgery. Dr. Neavin will determine this at your initial appointment with him.
After proper diagnosis, the surgery proceeds under local anesthesia or general anesthesia. Unless the chin augmentation is combined with other procedures, Dr. Neavin may recommend to perform the surgery in the office under local anesthesia. Before plastic surgery, one must make a decision: Intraoral or external incision. The factors that one must consider in this decision are scar placement versus potentially more complications. Because the external incision is small (2 to 2.5 cm) and under the chin, the scar is virtually imperceivable in most men and women. An external incision also provides the surgeon with the best visibility. This is turn, reduces risks to nerve impingement or injury. However, Dr. Neavin can place very large implants quite easily through this approach.
Incisions within the mouth are performed by the surgeon in a more blind fashion. In experienced hands this should not result in an increased risk of nerve trauma. However, it has its unique disadvantages:
1) More difficult to place
2) Contamination from oral cavity may increase infection rate
3) Disruption of the muscle in dissection can weaken the chin and make it drop over time
Both approaches are safe and effective in experienced hands. Dr. Neavin will help you determine the best technique for you.
Which Approach is Best?
Regardless of the chosen approach, the surgeon proceeds with the same steps. After prepping, Dr. Neavin injects lidocaine to anesthetize the area. Then, he will make a small incision. Next, he dissects is to bone. He then elevates the soft tissues off the bone in a precise fashion. At this point, great care is taken to avoid the mental nerve which is above the plane of dissection With precision, Dr. Neavin avoids dissection below the border of the mandible. Otherwise, malposition becomes a risk. He will then place either a sizer or chin implant in the precisely dissected pocket. Plastic surgeons sometimes use disposable sizers to assess best size before committing the the placement. Lastly, he will close the incision.
Chin augmentation surgery takes approximately in 30 minutes. Moreover, the results of are immediate with potentially no visible scarring.
Using Fillers or Fat for a Chin Augmentation
Dermal fillers are wonderful temporary substitutes. And depending on the product, results may last up to two years or more. Dr. Neavin will often inject fat into the chin during facial fat grafting cases. Fat can deliver subtle permanent enhancement. For more on these options visit the respective procedure page.
Recovery After Chin Surgery
There is surprisingly little pain after the surgery. Swelling around the jaw may persist for up to a week. If Dr. Neavin decides to place the incision within the mouth, he will recommend a soft diet for three days. He will prescribe antibiotics for up to a week. Surprisingly, most friends and family will be unaware that you’ve had plastic surgery. While the results are often subtle, they are significant. In some magical way, chin enhancement will improve one’s appearance with no obvious difference to the face. No special dressings or wraps are required after surgery. Stitches, if the incision is placed externally, will be removed in the office within one week. Internal incisions will dissolve. Moreover, the implant will not move even upon contact.
If you are unhappy with your facial profile, visit our Los Angeles location or Artisan of Beauty Plastic Surgery today at 310‑858‑8811 or text 323-975-1287 and find out if chin augmentation is the right procedure for you.