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.
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 the tip of the nose to the lower lip on a side view. In the photo below of the man, one can readily see how even a modest enlargement of the chin can add masculinity to the face. It should be noted that other procedures were performed on this man, including a 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 your bite, but overbites and underbites can be modified with a genioplasty. A genioplasty adds projection to the chin and corrects teeth misalignment. However, the genioplasty surgery is much more invasive than chin augmentation and carries additional risks.
The chin implants used are made of silicone.
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 chosen will depend on your current facial shape and your desired results. For instance, a 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 narrower 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.
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 local anesthesia.
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.
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, it is possible that while the scar matures the incision will be in the path of a razor. While it heals, simple caution around the incision should eliminate any problems with cutting the scar.
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) removal and facial fat grafting. Interestingly, most people that are unaware you had chin augmentation surgery will not be able to put their finger on why you look better. Alterations to the chin can balance the face without making it look drastically different. That is the beauty of a chin augmentation.
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 woman demonstrate this.
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. Women are often concerned an implant will give them a stronger jawline than they want. 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.
Because chin augmentations are often performed in combination with other procedures, patients are most often asleep for the surgery. However, it is possible to perform chin augmentation with local anesthesia as well.
A chin augmentation surgery from start to finish generally takes less than an hour.
Some swelling is normal after chin augmentation but it should subside within a few days. Bruising is rare, but can happen on occasion and will also disappear within a matter of days in most cases.
The chin will be sore for about three days but the discomfort won’t interfere with talking or eating. Commonly prescribed oral analgesics are more than enough to handle post-operative pain.
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 members will realize you had chin surgery.
There are two possible incisions for chin augmentation. One is external and the other is inside the mouth. Both incisions are about two centimeters 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. Dr. Neavin performs both incision approaches, depending on a patient’s individual preferences.
(See above question) The intraoral incision will not be visible. The external incision is placed transversely just under the chin and is about two centimeters in length. This heals remarkable well and is virtually impossible to see during normal interactions among people.
There will be some swelling and pain after surgery for a few days. Most people that have a chin augmentation on Thursday or Friday can return to work Monday.
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 is with pull-out stitches and the other uses dissolvable stitches. The pull out stitches are generally preferred over dissolvable because as stitches dissolve, they leave inflammation. The scar will generally mature better and faster with pull-out stitches that will be removed at about seven days.
Chin implants are not secured to bone. They can be secured to soft tissue, but even that isn’t necessary. The surgical pocket made between the bone and soft tissue is precise, fitting the implant snugly. It would be very unusual for the implant to migrate.
Generally, no bandages are required after chin augmentation. However, there are exceptions. In revision cases or when downsizing an implant, a bandage may be placed for about one week. However, that is the exception and not the rule.
With the intraoral incision, hard foods should be avoided for a week. This includes pretzels, potato chips, etc. The mouth should be rinsed with mouthwash in the morning and at night to keep the area clean and free of infection.
Contact sports, where there is a threat to harm the chin, should be avoided for several weeks. There are also some oral care and dietary rules to follow if the implant is placed through the mouth:
- Soft foods for a week
- Rinse with mouth wash after every meal (or at least twice a day)
- Care with brushing teeth for first week
Chin augmentation offers dramatic results in the facial profile without making it obvious you had a surgical procedure. To learn more about this surgery, contact Artisan of Beauty Plastic Surgery at 310‑858‑8811.