A strong, well-defined chin adds proportion, creates symmetry and provides balance to other facial features. A small or weak chin can make the neck appear undefined as well as give the lower face a “pouty” expression. It also accentuates the size of a normal nose and makes a large nose seem especially big in the profile view.
Chin enlargement through chin implant surgery brings the facial features into harmony and balances the overall facial structure. A chin implant enhances the contours, creates a more pleasant facial expression, lengthens the neck and results in a more defined and sculpted jawline. Chin implants come in various shapes and sizes and may be used alone or in conjunction with other facial procedures to provide symmetry and to create a balanced face. In the long term, the implant becomes attached to the jawbone and it cannot be moved, felt or dislodged by physical contact, sports or facial expressions.
Sometimes temporary dermal fillers or fat transfer can be used to define average to moderate chins. However, in general, chin implant surgery is more predictable with long lasting, permanent results. If a patient is in doubt about having chin implant, fillers can be a good alternative for them to see the potential effects of a chin enhancement.
Genioplasty, or surgical reshaping of the jawbone is also another option to improve a recessed chin, however, it is a more complex procedure which is mainly used in reconstructive surgery for correction of deformities or in cases of severe receding chin which are not suitable for chin augmentation with use of chin implants.
Chin augmentation using implant is by far the most popular procedure employed for improving a weak or recessed chin. It is a gentle and straightforward surgical procedure that adds volume and structure to the jaw and brings proportion back to the face without altering the patient’s given natural-anatomy.
Individuals who would benefit from Chin Implant Surgery are:
- Those with mild to moderate receding / Recessed chin
- Those with jowls and undefined neck
- Those with pointed or squared chin
- Those with prominent nose
- Those with congenital or post-traumatic defects
- Those with realistic expectations and who are in good health.
Chin enhancement surgery adds definition to the jaw and balances other facial features. Chin implants can be used alone or in conjunction with other facial surgeries such as neck liposuction, rhinoplasty or facelift for optimum aesthetic effect and overall facial balance.
Today, chin implants are made of alloplastic (non-biologic) materials with high bio-compatibility, such as silicone, ePTFE (Gore-Tex) or high-density porous polyethylene (Medpor). Chin implants come in various preformed shapes and sizes suitable for both men and women. Variables taken into consideration include thickness, height and point of maximal projection. The chin implant may be further refined during placement to adjust the shape and accommodate the specific needs of the patient.
The importance of the initial consultation cannot be overemphasised. At your consultation, Dr Allen Rezai will fully discuss every aspect of your aesthetic goals and address any concerns you may have; he places the utmost importance on providing his patients with all the information they need to make fully informed decisions, ensuring each one arrives at the outcome that’s best for them.
Your medical history will be discussed with you. It is important that you answer all questions as honestly and accurately as possible as failure to do so can have significant clinical repercussions. Please feel free to bring along any medical records that may be pertinent to the discussion. Also, it is important to alert Dr Rezai to any allergies or health issues you may have, along with a record of what medicines or vitamins you are taking and whether or not you smoke. Smokers must stop smoking at least 6 weeks prior to surgery and not start before 6 weeks after, in order to avoid the increased risks of complications associated with smoking and to not delay the healing process.
Relevant measurements will be taken to assess chin positioning and possible facial disharmony and to determine the degree of projection required. Proportions, facial structure and aesthetic preferences are taken into account, and a functional analysis can identify bone quality and whether an underlying dental occlusion is present. Based on these findings a suitable type of chin implant is selected.
Working together during your consultation, a bespoke surgical plan will be developed for you. Dr Rezai will explain in detail the treatment options available, the techniques that would be used, and any potential risks and complications you need to be made aware of. Informational brochures and fact sheets explaining each procedure will be provided for your review. Dr Rezai will use his expertise and experience to guide you towards the best option, taking into account your anatomy, aesthetic goals and personal circumstances.
The procedure of Chin Augmentation surgery
There are two options for insertion of a chin implant. It can either be inserted through the mouth where the upper lip joins the gum (intra-oral positioning) in which case there will be no external scarring, or through an incision made underneath the chin (sub-mental positioning) with a pocket created between the soft tissues of the chin and the prominence of the jawbone. Both are reasonable options; however Dr Rezai prefers the intra-oral approach as it does not result in visible scarring.
The procedure begins by making an incision inside the mouth, where gum and lower lip meet. A pocket is then created and the implant is inserted into the pocket over the front of the jawbone. For aesthetic surgeries using silicone implants, the implants do not usually need to be fixed to the bone as it is sufficiently secured within the pocket created. However, for reconstructive surgeries or contouring with high-density polyethylene implants, fixation of the implants to the jawbone is usually required. In these instances small titanium screws are used to ensure instant stability, allow in-place refinement of the implant shape, prevent displacement and eliminate any gaps between the implant and the jawbone. After implantation, the incision is closed using dissolvable stitches and a dressing is applied to support the chin implant while your face heals and to reduce the risk of infection.
Chin augmentation is performed as a day case procedure, i.e no overnight stay is required, unless it is combined with other surgical procedures. It may take up to one hour and is typically carried out under general anaesthetic, although local anaesthetic with sedation may occasionally be used.
The shape of the chin has a remarkable influence on the overall appearance of the face and neck. Improvement of the chin can provide positive effects on other facial features that you might not anticipate. Once positioned, chin implants will look and feel like normal bone. Over the healing period, the implant becomes attached to the jawbone and it cannot be moved, felt or dislodged by physical contact, sports or facial expressions. The anatomical shape ensures that implants blend into the jawbone and deliver smooth transitions. Results of chin augmentation are generally associated with a high degree of patient satisfaction.
Following the operation
Recovery is usually uneventful and most patients go home the day of surgery. The dressing applied immediately after surgery will remain in place for up to 7 days to reduce swelling. Recovery is usually quick and is not associated with excessive pain or discomfort although some tenderness will be experienced. Post-operative discomfort can be controlled with prescribed medications. Chewing will probably be limited immediately after chin implant surgery, and a liquid and soft food diet may be required for a few days after surgery. Most patients feel a stretched, tight sensation after the surgery, but this usually subsides in a week. Some numbness to the chin and/or lower lip is normal and will resolve within weeks. After approximately six weeks, most swelling will be gone, and you can enjoy the results of your procedure. Rigorous activity may be prohibited for the first few weeks after surgery.
At Elite Plastic & Cosmetic Surgery Group, we will provide you with detailed post-surgery instructions to expedite your recovery. Should you develop any doubts or concerns following your treatment, however, they would encourage you to contact us straight away.
Risks & Complications
Chin implant surgery is associated with few risks and complications. Although rare, all patients must understand and accept that no surgical procedure is absolutely free from risk.
For information concerning the risks and complications associated with Chin Augmentation, please refer to Risks and Complications of Chin Augmentation.
At Consultation, your surgeon will discuss these risks with you.
All structural features of the face (nose, chin, cheeks) are linked and need to be in proportion to one another in order to obtain facial harmony and balance. Whether the aim is to improve facial feature structure or to rejuvenate, the best results are often achieved when facial procedures are combined.
Chin and nose are the most prominent features that make up the profile, and if not in proportion, they can affect the facial balance immensely. The size of the chin may magnify or minimise the actual perceived size of the nose. Thus the aesthetic improvement of the facial profile of a rhinoplasty is often vastly enhanced if combined with a chin augmentation.
In terms of facial rejuvenation, combining a chin augmentation with face or neck lift procedure, often significantly improves the results and help redefine both jawline and neck. Sometimes in conjunction with a chin augmentation, liposuction of the neck is also performed for a particularly dramatic improvement and rejuvenation of the jawline. In women, the neckline is contoured and made more long and elegant and in men a more athletic and younger look is achieved. Last but not least, fat transfer (fat grafting) and facial implants also work well in together, implants enhance the underlying bone structure and fat transfer the overlying soft tissues.