Chin Reshaping surgery
Chin surgery, or mentoplasty, is a surgical procedure to reshape the chin either by enhancement with an implant or reduction surgery on the bone.
Plastic surgery, and other minor office procedures, can often be performed on the lower jaw line and chin area to improve proportions of the face and to help with one’s confidence and self-esteem. These types of interventions are frequently suggested by board-certified plastic surgeons to improve the harmony of facial features and improve the chin/jaw/cheek/forehead balance.
Sometimes bone from the jaw itself can be moved forward in an operation called a mentoplasty or genioplasty. Alternatively, shaped silicone implants can be used to give more projection to the chin. Conversely, bone can be removed to decrease an overly projecting chin. Furthermore, modifications to the upper and/or lower jaw can be advised for improved chewing dynamics and occlusion—or how the teeth fit together. These operations can range from simple to very complex.
Many times a plastic surgeon may recommend chin surgery or procedures to a patient having a rhinoplasty in order to achieve better facial proportions, as the size of the chin may magnify or minimize the perceived size of the nose.
Additionally, with recent advances in technology, and after obtaining informed consent after reviewing all options, risks and benefits, your plastic surgeon may suggest off-label use of FDA approved gel filler material as an alternative for providing augmentation of the chin area that may last for a shorter duration
Why Chin Enhancement Is Required?
If you are bothered by your recessed or “weak” chin, or you feel your facial features lack proportion, chin implant surgery can help you feel more confident in your appearance. Specifically, chin augmentation can:
- Improve facial harmony by bringing chin into better proportion with other features
- Correct a weak or recessed chin
- Improve definition of the neck and jawline
- Help reduce the appearance of a full or “double” chin caused by a small chin bone
Why Iran Is Suitable For Chin Enhancement?
Patient Eligibility \ Who Can Have Chin Enhancement?
How Is Chin Enhancement Done ? (Procedures)
Plastic surgery on the chin is called mentoplasty or genioplasty. Facial plastic surgery can have a huge impact on the appearance and function of the chin. It can also help improve the look of other facial features. A chin that is too large or too small can warp the perception of different facial features. For instance, a reduced or “weak chin” may make a person’s nose appear too large. On the contrary, an outsized chin can cause the eyes and nose to be perceived as too small.
Chin surgery is a surgical procedure that can greatly change an individual’s appearance. Receiving a chin implant or chin reduction surgery, which affects the chin bone can improve the patient’s confidence and self-esteem.
There are many different ways to improve the look of the chin – beyond silicone implants to correct a chin deficiency – including the use of dermal fillers. A plastic surgeon might use fillers to improve the chin area in certain patients who aren’t ready for the rigors of chin surgery. Or, a plastic surgeon might suggest chin surgery when certain patients request a nose job, to ensure the chin shape and position complements the perceived size of the nose.
1: Chin Augmentation (Chin Implants)
When discussing various types of procedures to correct the chin, augmentation of the chin with an implant is the most popular type of chin surgery. Plastic surgeons utilize implants to create contour and volume for a chin that is recessed or lacks projection.
The implants can be made of synthetic material, silicone, bone, and other substances. The plastic surgery works best for healthy adults who solely have a concern about the smaller size of their chin. If a patient is worried about other concerns, such as the shape of their jaw or a problem with the positioning of their teeth, a chin implant alone may not be the answer.
However, those merely focused on a chin that is too small may benefit from an implant that provides the projection and definition desired. The surgeon must inform the patient that chin augmentation will not improve chin deformities that are better served by orthognathic surgery, which is jaw surgery that corrects problems with the jaw bones and teeth.
Chin implant surgery involves an incision beneath the chin or in the interior portion of the lower lip. The implants are placed into the space created via the incision, with certain chin implants being affixed to the jawbone itself while other implants remain in the pocket made during surgery.
2: Chin Augmentation with Fat Transfer or Soft Tissue Fillers
Enhancing the chin with soft tissue fillers or via a fat transfer is another option, although it isn’t permanent plastic surgery like an implant. Getting chin fillers means there are no surgical incisions and shorter recovery time, but the process is temporary.
With fillers containing hyaluronic acid (HA) or other substances injected into the chin, patients can obtain a natural look of projection that may last as long as two years. A new chin in five minutes is possible with dermal fillers, as seen in videos of the procedure.
Chin fillers via a fat transfer are also possible, with the benefit of the fat coming from the patient’s body having a low rate of rejection and a retention rate of 20% to 80%. However, there is still the risk of postoperative problems occurring from where the fat was harvested.
3: Chin Ptosis Correction Surgery
Chin ptosis or “witch’s chin” is the common name for a chin that might be projected quite a bit, with a deep fold, or sagging skin. When a person smiles, the condition can be more pronounced. Local anesthesia is used during the surgery that creates an incision to correct the projection of the chin.
Chin ptosis that stems from inherent issues with the facial bone structure will require surgical correction that involves osteotomies, or bone cuts. Patients needing this surgery should have not had periodontal disease to ensure the best results as permanent anchors will be positioned above the jawbone’s lower border to elevate the chin’s soft tissue. Other times, only excess skin or fat may be removed to improve the projection of the chin. An implant may also be placed during surgery to ensure ideal face proportions for the patient.
4: Chin Reduction Surgery
Chin reduction surgery helps people with large chins balance their facial features. The surgery takes approximately one hour and involves using general anesthesia. Incisions are made under the chin and inside the mouth to separate the skin from the chin bone to allow extra tissue and bone to be removed.
The skin of the chin may also be repositioned and an implant potentially used to smooth away any angular or rough edges. The chin bone is usually shaved down to create a more feminine or balanced look. Ideal candidates for chin reduction surgery include healthy adults whose chin is no longer growing and those who do not suffer from periodontal disease.
5: Sliding Chin Osseous Genioplasty Surgery
Sliding genioplasty is a form of chin surgery that can either augment or reduce the size of the chin. During an augmentation, a portion of bone that is shaped like a horseshoe will be cut from the lower jaw and moved forward for greater chin projection. In the case of chin reduction surgery, the same portion of bone can be placed farther back. Titanium screws and a titanium plate hold the bone in place.
Also called osseous genioplasty, the surgery is recommended for people who have a chin that projects very far forward or very far back. In the case of chin reduction with this surgery, portions of bone may be removed while the patient is under general anesthesia.
6: Jaw Implants
Facial implants such as jaw implants usually help individuals who have small or unbalanced jawbones correct them via surgery that enhances their jawline. Incisions are generally created inside the back of the mouth near the juncture of the cheeks and gums to put the jaw implant in place.
Jaw implants are usually comprised of MEDPOR, which is a type of biocompatible implant material made of porous polyethylene. The material allows individuals who desire strong jawlines to create a more angular, natural-looking face shape after undergoing the procedure.
The MEDPOR implant will adhere to the jaw bone, allowing for a more stable and secure outcome than silicone materials. The titanium screws secure the implant in place and all incisions are closed via several layers so that fluids from the mouth will not seep into the incision. The surgery may last from one to two hours.
7: Double Chin Correction
When certain individuals speak about problems with their chin, it isn’t necessarily a weak chin nor a sagging chin that is the issue. Instead of issues with the actual chin bone, some patients have a problem with a double chin, which can be treated by options that aren’t as invasive as chin surgery.
Body contouring via laser treatments can help reduce the appearance of a double chin, such as procedures like SculpSure, which has received clearance from the FDA to treat excess fat, tissue, and skin beneath the chin. Whereas a double chin can mask the jawline, treatment sessions with the laser can help to eliminate the fat below the skin, eventually destroying those fat cells. The procedure may last approximately 25 minutes, but it can take up to six weeks for the body to naturally eliminate the destroyed fat cells.
Although the process can include side effects such as burning, bruising, and stinging, the procedure to treat double chins is not invasive and doesn’t require much downtime or recovery. Other methods of treating a double chin include the injectable Kybella, which is FDA approved to help reduce fat under the chin and neck.
Preparation & recovery
Starting with a consultation, you will be able to learn all the intricate details about the chin treatment that would help your case. The consultation should include disclosure of any risks, side effects, and potential complications of the procedure. The physician may order an X-ray so that they can determine the underlying structure of your chin, and how it can best be reshaped to meet the surgical outcome you desire.
In the wake of your consultation – but before your surgery – your physician should supply you with a list of pre-operative instructions to help you prepare for your procedure. Those instructions may include information about quitting smoking and abstaining from taking any medications, aspirin, or supplements that cause your blood to thin before surgery.
The recovery period for a chin procedure is also dependent upon whether or not you received an invasive surgery or a non-invasive treatment. Either way, it is essential to follow the specific post-surgery procedures given by the surgeon to help the healing process flow smoothly.
Keeping every follow-up appointment is also important in the wake of surgery to help your physician ensure the recovery process is proceeding as planned. Expect the following recovery times based upon the procedure being received:
Surgery to place implants in the chin may come with a recovery period as little as one week up to three months
Dermal fillers injected into the chin requires a very short recovery period, lasting from two to 10 days
Chin ptosis correction may be accompanied by a recovery period of one to three weeks
Surgery for reduction of the chin comes with a recovery period that can last from two weeks to six months
A sliding chin surgical procedure may take anywhere from six weeks to six months to recover from
Patient care after most surgical procedures for the chin involves adapting to actions that help the chin and jaw heal. That includes eating a soft food diet that doesn’t aggravate the surgical incisions. Patients might experience a tight feeling that ultimately goes away during the recovery period.
Most surgeries for the chin are outpatient procedures that are performed with the surgeon utilizing general anesthesia or local anesthesia with sedation on the patient. The small incisions that are created below the chin or within the mouth will likely feel tender or sore. Pain medication can be used to alleviate any feelings of discomfort, and surgical dressing will likely be worn for two or three days following surgery.
Whereas the chin area may be exaggerated with swelling initially, expect the swelling to reduce after six weeks post-surgery. Your doctor may advise you to stay away from strenuous activity such as intense exercise during the initial one or two weeks after your surgical procedure. However, you should be able to resume your normal activity about 10 days after your procedure.
Discomfort is typically minimal and easily controlled with pain medication or cold compresses. You will need to sleep face-up, with your head elevated, for a minimum of 1 to 2 weeks after surgery to help control post-op swelling and protect your healing incisions. Your cosmetic surgeon may also require you to consume a liquid-only diet for a day or two after surgery. Strenuous activity can typically be resumed within 3 to 4 weeks after chin augmentation. It is important to follow your cosmetic surgeon’s specific instructions during recovery to ensure you heal well and your results look great as soon as possible.
Results look close to final within one month after surgery, and are considered final after about 3 months, when residual swelling has subsided.
Like any other facial feature, chins come in various shapes and sizes. A well-defined chin creates a nice balance between your nose, neck, and cheeks. In contrast, a recessed chin may not provide enough structure to create visual distinction between the face and neck. A small chin can also make your nose appear larger.
If you are bothered by a “weak” chin, there are several options to strengthen the chin and bring a more aesthetically pleasing balance to your facial features.
Fillers are a great way to try a new, improved jawline; chin implants are better when you’re ready for lasting changes.
Chin augmentation with fillers: instant results, no surgery, no downtime
Dermal fillers can be injected in key points to add volume beneath the skin and modestly enhance chin and jawline contours. Results are temporary, but long lasting (about 12 to 24 months).
Key benefits of chin augmentation with fillers:
- Immediate improvements
- No surgery or downtime
- No anesthesia required (just a topical anesthetic)
- Safe and effective for most patients
- Lower up-front cost than chin implants
- Effects wear off on their own
Considerations of chin fillers:
- Periodic re-treatment needed to maintain results
- Often costs more than surgery in the long term to maintain results
- Fillers cannot achieve as dramatic a result as chin implants
- Your provider must have specific skill and experience with facial contouring using fillers
Chin implants vs. dermal fillers: how do they compare?
If you’re on the fence about undergoing surgery, but you are ready to do something to strengthen your chin, consider starting with filler injections as a trial procedure. While the results won’t be as dramatic with fillers, the improvements should be enough to give you a taste of what a chin implant can achieve. Additionally, if you only need a modest enhancement to get chin contours you are happy with, fillers can likely achieve this; no surgery necessary.
That said, you’ll probably be happiest with chin implants if you:
- Need or want substantial changes to achieve your desired result
- Prefer a “one and done” procedure to improve your facial profile
- Have tried fillers and are ready to make permanent changes
- Are considering additional surgical procedures that require anesthesia, such as rhinoplasty or neck liposuction
The bottom line: fillers are a great way to try a new, improved jawline; chin implants are better when you’re ready for lasting changes.
Different options to enhance the chin and jawline
While many patients choose to have chin implant surgery alone, just as often chin augmentation will be combined with other procedures for enhanced results.
Rhinoplasty + chin augmentation
Chin implants can dramatically enhance the results of rhinoplasty, and chin augmentation with nose reshaping surgery is one of the most common facial contouring procedure combinations.
Neck liposuction + chin implants
Patients with excess fullness beneath the chin often choose to have neck liposuction at the same time as chin implant surgery. While strengthening the chin will help improve jawline definition on its own, removing excess fat from underneath the chin can further improve the appearance of the lower face and neck.
Risks & Complication
When performed by a qualified, experienced cosmetic surgeon, chin augmentation is associated with very few complications. Possible risks include infection, hematoma (internal bleeding), shift in implant position, poor scarring, and side effects from anesthesia.