What is a Chin Augmentation?
Chin augmentation surgery improves the shape, size, and projection of the chin. It can be performed by insertion of a silicone implant, if the correction required is mild enough. This is a simple procedure and is a cost-effective way to augment the chin. If the correction desired is more significant, a chin advancement by osteotomy (modification of the chin bone) may be performed. This is referred to as a sliding genioplasty and is a technically demanding procedure that should be performed by a skilled board-certified plastic surgeon.
A chin augmentation is sometimes performed in conjunction with a rhinoplasty (or nose job) if the chin projection and size is deficient. No matter how beautiful a rhinoplasty is, a deficient chin will significantly detract from the overall harmony of your facial beauty.
If you have an enlarged chin, this also significantly detract from your overall facial beauty and you may be a candidate for chin reduction surgery.
Am I a good candidate for a Chin Augmentation?
- If you believe your chin is too short, or does not have enough projection, or projection (often resulting in the appearance of a “double chin”) a chin augmentation may be right for you.
The chin implant is customized to match with your existing anatomy. Typically, silicone implants are used. However, your surgeon may opt to use Gore-tex, and inert material that incorporates strongly into your existing bony anatomy. There are pros and cons with both substances and will be reviewed with you at your consultation.
If mild modifications are desired, you may be a candidate for temporary or permanent filler injections, such as hyaluronic acid-based fillers or fat transfer, respectively.
Chin Advancement by Osteotomy
A horizontal cut is made along the lower section of the bone that provides your chin structure. The bottom segment that has been cut is advanced forward then secured with bone screws. Over the next several months, the chin bone will behave like a fracture and heal itself to close the surgical cut that was made.
Your plastic surgeon may opt to perform combination of any of the aforementioned procedures to optimize your aesthetic outcome.
- Mild to moderate pain is expected. Pain is well controlled with over the counter and prescription medications.
- Swelling is expected and worst 72 hours after the surgery. Cold compress for the first 72 hours followed by warm compresses for the next 1.5 weeks. Degree of swelling becomes socially acceptable 1.5-2 weeks later.
- Liquid or soft diet may be required the first week.
- Swelling will improve considerably at 3 months. Final results may take 6-12 months.
- If you surgeon opts to use non-dissolvable sutures, they will be removed in clinic 5-7 days later.
- All incisions are made within the mouth (intraorally), specific instructions regarding oral hygiene will be provided.
- You may return to work 1-2 weeks after the surgery (desk job). This depends on your comfort level.
- Avoid strenuous activity for the first 3-4 weeks. Gradually advance as tolerated.
Possible Risks with a Chin Augmentation
- As with any operation, an infection can occur. If this happens, the patient is given antibiotics to clear up the infection. If the infection does not resolve, then the implant may have to be temporarily removed and replaced at a later time.
- A facial implant could move slightly out of alignment, with a second operation becoming necessary to reposition it in its proper place.