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Chin augmentation or mentoplasty, is a surgical procedure to reshape and add fullness to the chin. This can be done either by enhancement with an implant, or by repositioning the bone structure. Chin implant can be a life changing procedure for people because it affects their social life, and helps them gain confidence in their appearance.
Chin implants can increase the size of the chin, proportion and shape of a chin that is small or lacks proportion to the rest of the face. It can help add structure to a small chin, and help make it a more distinct feature. It can increase a patient’s confidence in that it will improve facial balance.
Patients who have a small or receding chin benefit from this cosmetic procedure. Chin surgery helps provide a harmonious balance to your facial features so that you can feel confident about yourself and the way you look.
Chin augmentation is a relatively simple procedure, and Dr. Payne will decide if an implant or bone advancement is right for you.
Chin implants: Chin implants are done under local anesthesia or general anesthesia. Dr. Payne will choose the proper implant to fit you seamlessly. Chin implants are a permanent and beautiful way to add size to your chin area. The implant is typically made of either a hard plastic called porous polyethylene or Silicone. We avoid silicone implants in the chin for facial plastic surgery because it can have distortion or shift over time. Typically we prefer a much harder material such as porous polyethylene implants which have lower infection risks.
Bone advancement: An osseous genioplasty is a bone advancement held in place with plate and screw implants. This procedure is done for larger chin advancement through a small incision hidden inside the lower lip. By cutting the jawbone, the chin bone can also be lowered to help not only lengthen the chin but provide more vertical height of the chin creating aesthetically pleasing facial balance.
Some patients need other surgeries such as a rhinoplasty or facelift which can be combined with a chin augmentation surgery. Combining these surgeries can improve the weak chin appearance and reduce the nose or lift the sagging facial skin from aging to create a more youthful appearance of the jawline. Occasionally, liposuction of the neck area can help with defining the chin in addition to adding volume to the chin itself to move it forward creating a more defined jaw aesthetic.
Surgeons who are not comfortable with jaw surgery will frequently suggest a chin implant over a bone advancement with genioplasty surgery. Unfortunately this is a one-size fits all approach in most cases and may not always work for everyone. Some surgeons claim that a genioplasty is outdated, more expensive, longer procedure with higher risks of infection. This is simply not true and is very close to the same cost, time in the operating room and has less risk of infection. Asymmetry of the chin and jawline can be worsened with a chin implant but corrected with a genioplasty surgery by repositioning the bone. In addition the height of the chin can be reduced or elongated to balance the face. To sum up the differences: chin implant only adds volume versus an osseous genioplasty can reposition the chin, elongate the chin or set the chin back.
The cost for chin augmentation can be around $4,000-$6,000 compared to the cost for an osseous genioplasty which is about $5,000-$7,000.
After chin augmentation, the chin is wrapped and bandaged to minimize any swelling or discomfort and to protect the area. We will check surgical site and incision during your post operative clinic visit to ensure that everything is healing properly. Sutures placed inside the mouth will typically dissolve on their own and not need to be removed. Sutures on the outside of the chin in the submental area may or may not need to be removed.
There is usually some bruising, and this is completely normal and will begin to subside after two weeks. Scarring may occur but is usually hidden and heals nicely with proper care. The scars will be hidden either inside the mouth near the lower lip or under the chin. We will walk you through the entire process and our team will provide post operation instructions to help you have the best recovery process possible.
Chin implants can last for the rest of your life if porous polyethylene implants are used. When using silicone implants you can expect to have to remove the implants and change them out in the future. The silicone chin implants have a higher risk of infection and are much more likely to move due to scar around the implant distorting the implant. An implant can cause some bone reabsorption along the jawline and chin area. It is not expected to have to ever replace porous polyethylene implants like the silicone implants because they rarely shift or change position with time.
Liquid chin augmentation is a commonly requested procedure that does not involve making an incision or placing an implant. It is done with the use of filler placed directly on the bone. The injectable filler such as Juvederm Voluma will change the facial appearance by augmenting the jawline. Typically this requires between 2-6 cc’s of filler to provide definition along the jaw and chin. This is done outpatient in the clinic without sedation or local anesthesia. You can return to work the same day and will not need any pain medication. The effects of the chin augmentation with filler last approximately 1-2 years depending on how quickly the material is metabolized by your body.
Chin reduction surgery is a medical procedure to reduce the excess bone and tissue around the prominent chin. This procedure will give the appearance of a balanced look to the face with a more flattering and aesthetically pleasing jaw line.
Anyone who feels like their chin is too large or too prominent can benefit. If your chin is larger than the proportions of your face, and you wish for a smaller more even chin, then you may want to consider this procedure. Dr. Payne will evaluate your personal needs and walk you through what your chin reduction will look like.
Dr. Payne can reduce your chin and give it a more natural shape. He has extensive training as a plastic surgeon in craniofacial and maxillofacial surgery which takes into account every detail. He will work to shape your chin and to bring balanced to your face.
Chin reduction surgery targets these areas of concern: the bone length or size, and the skin along with the soft tissue surrounding the bone.
Chin Reduction surgery is performed under general anesthesia. Typically, the incision for a chin reduction surgery is underneath the chin to allow for reshaping or reducing the bone as well as removal of skin and soft tissue. The incision will heal either as a straight line scar or an upside down “T” shaped scar under the jawline. These types of scars heal favorably and are difficult to notice. The goal of chin reduction is to achieve better facial harmony and facial proportion with this cosmetic surgery. Liposuction of the neck can be combined with chin reduction to help define the jawline.
After your surgery, you will need to sleep with your head elevated. Swelling will fluctuate depending on your position. It is recommended to use a chin garment to reduce swelling and fluid building up for the first 2 weeks. We recommend a liquid diet for the first 3 days if there is an incision inside the mouth then a soft food diet for the first 2 weeks after surgery to help with the discomfort. You can use a soft toothbrush to brush your teeth; making sure not to irritate the incision inside your mouth. There may be an incision underneath the chin which will require minimal care of the sutures. No contact sports or strenuous activity for 4-6 weeks.
The average time for recovery is about 2 weeks and there is usually minimal swelling that resolves in 4-8 weeks. You can expect to have a natural profile that is proportionate to your facial features.
Every person is unique so an evaluation is needed in order to properly estimate cost. However, most chin reductions will cost anywhere from $4,000-$6,000 depending on factors like anesthesia and hospital fees.
We recommend you contact us to schedule a consultation with Dr. Payne who is a board-certified plastic surgeon trained in maxillofacial surgery and a member of the American Society of Plastic Surgeons.