Know All About Chin Augmentation

CONTENTS

How Do I Fix My Receding Chin?

If you have a weak or receding chin, then you may want to consider correcting such deformities to improve your facial balance. A disproportionate chin can also negatively affect the appearance of your side profile. Many ageing individuals like to strengthen their jawlines through facial contouring. This can actually help you achieve a younger look.

If you have ever undergone a traumatic accident which has led to a deformity in your chin shape or size, then you may need a facial reconstruction.


Chin Augmentation can help you by reshaping your jaw or correcting a deformity.

What Is Chin Augmentation?

Chin Augmentation or Mentoplasty is a type of plastic surgery, performed to reshape or increase the size of the chin, so that the appearance of the face is balanced . Implantation is performed to add volume to the chin, whereas bone reshaping is done to reduce the size of the chin. It can be used to correct Microgenia, if the person has a normal bite.
It is usually performed with rhinoplasty (nose job) and facial liposuction, to achieve the desired facial proportion.

Typically performed as an outpatient surgery, Chin Augmentation takes a few hours to be performed. The bandages and stitches are usually removed within a week.
A chin augmentation enhances the size of the chin by either placing an implant or adjusting the facial bones. It can also correct any deformity in the skin, birth defects and defects caused due to accidents. The procedure is an easy one and can produce noticeable changes in the chin. 

This procedure is also known as Augmentation Mentoplasty or Genioplasty.


Who Are The Ideal Candidates For Chin Augmentation?

Most people who are unhappy with the way their chin looks can be prospective clients for the procedure. However a few points regarding the outcomes of the procedure require to be taken into consideration.
 

 

Some patients who opt for a mentoplasty either to get their chins enhanced or reduced.

In rare instances, people have congenital malformations of the chin. In such situations the resulting facial asymmetry makes the patient seek out a genioplasty to correct the underlying condition.

In some cases augmentations are sought after as a fix for the after effects of trauma.

People who decide to have a gender reassignment surgery sometimes undergo a mentoplasty as a part of the transition process.


What Are The Different Types Of Chin Augmentation?

Augmentation procedures on the chin are done either by placing implants or fillers, or reshaping the bones to attain a desired effect. These procedures are performed under local or general anaesthesia. An incision is made either inside the mouth or under the chin. 

Implants

This procedure is commonly adopted for patients with mild or moderate microgenia (small chins). Earlier, cartilages were used to make the implants. But since 2003, allogenic materials have been employed for the procedure. These include:

  • Silicone

  • Medpor 

  • Gore - Tex 

  • Acellular Dermal Matrix or AlloDerm

Fillers

This is a rarely opted for procedure. Injections of hyaluronic acid or calcium hydroxyapatite are used. These effect of these is temporary, and can last from a few weeks to a few months.

Surgery

This is referred to as a sliding genioplasty. Surgery is frequently done on patients who feel that their chin is too small for implants. In this procedure a surgeon removes a part of the bone, then moves the bone segment forward and holds it in place with metals and screws. On the other end of this spectrum there are patients who opt for sliding genioplasty because they feel their chin is too big. This procedure is similar to enhancement, however; here the bone segment is moved backward.


What To Do Before A Chin Augmentation?

  • Patients about to receive a genioplasty need to stop taking non steroidal anti- inflammatory drugs like ibuprofen as well as herbal supplements. This is because these medications increase the bleeding during and after the procedure, thus affecting the recovery.

  • Smoking needs to be stopped a couple of weeks before the surgery. Nicotine is known to have constricting effects on your blood vessels, and this prolongs recovery time.

  • If your surgeon recommends an incision under your chin, your face needs to be washed properly with antibacterial face wash two days prior to the procedure. Incisions made inside your mouth, require one to use mouthwash from a couple of days before the procedure.

  • You shouldn’t eat anything after midnight, prior to your surgery. In some instances surgeons have to intubate patients and this could cause the contents of the stomach to go into the lungs and cause an infection.

  • Wear loose fitting clothes on the day of your procedure.


What Is The Post-operative Care For Chin Augmentation?

  • A tape will be placed on the incision site, and the area will be bandaged. You will need to take precaution not to get this dressing wet.

  • Ice packs can be placed on the chin for the first 48-72 hours to help decrease discomfort and swelling.

  • You need to elevate the head of your bed if possible or use two or three pillows to sleep. This after care measure helps to reduce the swelling.

  • Avoid accidently hitting your chin against any solid objects, sleeping on your chin or vigorous exercise that could strain the chin.

  • An appointment needs to be scheduled with your surgeon about 10 days into post op to evaluate the wound and the progress in the stages of healing and remove stitches if present.


What Is The Post-operative Diet For A Chin Augmentation?

Chewing should be limited for the first few days after the procedure. For the first two days a liquid diet is recommended, and this should be followed by a soft diet for 2-3 days.

For the first few days, avoid spicy food as this aggravates heartburn. Spicy foods are also known to dilate blood vessels, leading to excessive bleeding.

Rinse your mouth with hydrogen peroxide and warm water at least two to three times a day.

Milk and citrus juices should also be avoided for the first few days as they cause indigestion.


What Are The Realistic Expectations From A Chin Augmentation?

  • You can expect to see the following benefits from a chin augmentation:
    • Improvement in facial proportions like balanced features

    • Stabilize a weak chin

    • Reduction of a prominent chin

  • The final results of a chin augmentation procedure can take upto 3 months to show as the swelling subsides.

  • The effect of the surgery is permanent and lasts for a lifetime, though a patient can opt for revision.


What Are The Pros And Cons Of Chin Augmentation?

  • Pros

  • Cons

  • The procedure shapes any deformity in the chin and removes irregularities in the size. 

  • Chin augmentation leads to a stronger facial profile and increases a person's confidence. 

  • Chin implants are usually customizable and any shape and size aspired for by the patient, can be used. 

  • Implants can also be removed quite easily, if the patient is unsatisfied with the results. 

  • An augmented chin, provides symmetry to the face and improves balance of facial features. 

  • It supplements and enhances a weak or receding chin. 

  • Chin augmentations are relatively easy procedures, and are performed many a time on an outpatient basis. 

  • It has been noticed that chin augmentations can cause numbness over the chin for a couple of weeks after the surgical intervention. However, such an effect is temporary.

  • Some bruising or swelling may surface after the procedure. However, the bruising and swelling usually fades within a few days. 

  • Noticeable results of the procedure are seen after a month or so. However, the final effect is dramatic and worth the wait.

  • In some instances it has been observed that a chin augmentation does not provide the complete satisfaction sought for by the patient, which causes them to go in for more procedures to achieve “perfection.”


Who Should Avoid Undergoing A Chin Augmentation?

  • People having long teeth with a short mandibular height are unfit as it is difficult to establish proportionate features for them.

  • In general, patients with heart problems, those of ill-health and taking anticoagulants should not undergo the procedure.


What Are The Alternatives To A Chin Augmentation?

There are some alternatives to a chin augmentation surgery which are relatively less intrusive and faster procedures, but are not as effective. 

Fillers - For minimal changes, fillers such as Radiesse can be injected which alter the shape of the chin. However, these do not provide a long lasting solution.

Submental Liposuction - These involve the removal of fatty tissues from the neckline and chin to seriously alter the jawline. This procedure has a faster recovery period than a chin augmentation surgery, but it just as invasive and may not provide very pronounced results. 

Orthodontics Surgery - This procedure makes alterations in the teeth structure of the patient, which is subsequently expected to alter the jawline and chin. However, this method is very long drawn and may even take several years to show effect.


Does Chin Augmentation Lead To Scarring?

A usual concern after a chin augmentation procedure is the tightness felt in the chin. This lasts for a few weeks before a patient is able to gain flexibility of the chin. In some instances the muscle in the chin is repositioned by a simple procedure performed in your doctor’s office. As for visible scars, only the procedures done with an incision under the chin have a chance of such. During most of the closing procedures, the stitches are made into the natural folds of the chin.


What Are the Temporary Side-effects Of Chin Augmentation? 

  • Bruising and soreness may be present for upto 2 weeks, but it would be best to give yourself time to heal. Everyone heals at a different rate.

  • Swelling may persist for 1-1.5 months, and final results of the procedure would be best observed after the swelling subsides with application of ice packs.

  • Numbness is a common complication around the chin. It lasts for around 3 weeks due to damaged nerves that may have been stretched during the procedure.

  • Feeling of stretching: Due to the removal of any sagging skin, and tightening, a tingling feeling may occur but over time, you will get used to having firmer skin.


How To Choose A Surgeon For A Chin Augmentation?

Ensure that you check the credentials of the surgeon you are consulting with. Ideally, your surgeon should have been well-experienced, successful and/or a specialist in plastic surgery.

The surgery is best done in combination with rhinoplasty (nose job) and facial liposuction, so that the desired facial proportions are achieved. Your surgeon should skilled enough to be able to perform these procedures. A good judge of this fact would be to ask for before-and-after-pictures of the patients’ of the doctor, as well as refer to the patient forums to get feedback on their experiences.

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