Chin surgery

What is chin augmentation?

It is a surgical procedure designed to improve the balance of the facial profile by placing an implant over the bone structure of the lower jaw. Depending on the region augmented a stronger and/or wider chin can be created. Implants come in different shapes and sizes. They are chosen according to the changes desired. We prefer to use solid silicone implants which are well accepted by the human body. In certain cases a porous implant fixed to the bone with little screws could be used as an alternative. Besides implants part of your jaw bone can be advanced forward to augment the chin (sliding genioplasty).

Who is a good candidate for chin augmentation?

Chin area is very important for facial balance. Chin augmentation is a procedure of choice for those who have a normal function of the jaw, but naturally weak chin in proportion to other facial features.
Many patients who wish to undergo rhinoplasty will also benefit from increasing the size of their chin. Reducing a large nose can reveal and accentuate an underdeveloped chin.
Since patients with receding chins are less likely to get a good neckline with a facelift, chin enlargement is often combined with a facelift.
When considering aesthetic augmentation with a chin implant, it must be noted that certain patients are better served with other surgical approaches. For those with severely weak chin, or abnormally functioning jaw, a genioplasty or mandibular advancement surgery may be more appropriate.

How is chin augmentation performed?

At preoperative consultation, an image analysis is performed together with the patient to give a better understanding of the procedure and an impression of the final result. The size and shape of the implants are chosen at the consultation. Chin augmentation is usually performed under local anesthetic. The entire operation takes about 30 to 45 minutes to complete. A small incision is usually made in a natural crease under the chin. The incision can also be made inside the mouth in the grove between the lower lip and the gum. A pocket is designed to accommodate the implant directly over the bone along the lower jaw. The chin implant is secured in place by designing a well-fitting pocket and fixating it to a soft tissue or bone. A chin enhancement can be carried out in combination with other facial procedures such as chin liposuction, rhinoplasty or a face lift.

Will there be any visible scars?

If the implant is placed through an incision under the chin, a very short scar will be present in a well hidden region. With usual social encounters this scar is not noticeable. With intra-oral approach, no visible external scars will be present, but the rate of infection is slightly higher.

What is recovery after chin augmentation?

Chin augmentation is usually performed as an outpatient procedure. Right after the surgery the chin area will be numb of hours. Prescriptions for pain medicines will be provided. You should maintain light activities. Bruising and swelling are sometimes present during the first two weeks. Strenuous work or physical activity should be avoided during this period. Sensations over the chin area may be altered until sensory nerves near the implant get used to the tighter surroundings.

What are the risks?

There is a slight risk that the implant does not stay in the correct position. This is usually prevented by creating a tight pocket and attaching the implant to the bone or periosteum. Temporary lack of sensations may occur when the nerves surrounding the surgical area are stretched. Rarely these operations are complicated by infection and removal of the implant may be necessary. The implant can usually be replaced once the infection has cleared. There is a greater risk of infection if the approach through the mouth is used.

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