Chin Augmentation and Reduction
Although most patients who seek changes in their appearance focus primarily on their eyes and nose, it is often the lower area of the face that lacks symmetry. Chin surgery can significantly alter a patient’s profile which, in turn, can greatly improve facial symmetry and contour. Most chin surgeries can be performed under local anesthesia; more complicated cases may be performed under general anesthesia in the operating room.
Chin surgery is often combined with another procedure. A quarter of patients elect to have chin surgery with a facelift, while others have chin surgery with a rhinoplasty and/or liposuction as well.
During the complimentary first visit, a full medical history will be taken. Physical examination will focus on harmony in the lower third of the face. It is important to discuss any pre-existing conditions, allergies, dental problems and previous surgeries. The surgeon will ask you what you like and dislike about your chin. Once your surgeon understands your expectations, mutual and realistic goals can be set.
For at least two weeks prior to surgery, patients are required to refrain from smoking, alcohol and all aspirin products. Smoking interferes with circulation and healing, and products containing aspirin or ibuprofen increase the risk of bleeding.
Genioplasty: Chin Augmentation
To augment a receding chin, genioplasty can be performed by use of an alloplastic chin implant, or by surgically advancing the bone itself. For the implant, an incision is made under the lower lip inside the mouth, or under the chin in an inconspicuous place. A small pocket is formed, the implant is placed inside, and the incisions are closed.
To advance the bone in the chin, the surgeon makes an incision under the lower lip inside the mouth and uses a powered saw with a special blade to separate the edge of the chin bone. The surgeon moves the separated piece of chin-tip forward and secures it with wire, bolts or screws. The incision is then closed.
Mentoplasty: Chin Reduction
To reduce a protruding chin, the surgeon makes an incision under the lower lip inside the mouth, or under the chin in an inconspicuous place. The surgeon then uses a powered drill or rotary bone burr to reduce and reshape the bone. The surgeon will close the incision with sutures.
For at least two weeks before surgery, patients are required to refrain from smoking, alcohol and all aspirin products. Smoking interferes with circulation and healing, and products containing aspirin or ibuprofen thin the blood and increase the risk of bleeding.
After the procedure, tape will be applied to the chin. There will be swelling and bruising in the chin area for several weeks. Swelling can be somewhat controlled by elevating the head when resting. Once the stitches are removed, most normal activities can be resumed after a week. Pain medications and antibiotics will be given. A liquid or soft diet may be prescribed until the incision heals.
There is always a risk of infection post-operatively. Scar tissue is also a possibility. There may be numbness in the chin area but this is usually temporary. In rare cases, a loss of sensitivity may be permanent.
Chin surgery will create a better balance between your chin and other features. The best way to learn more about chin surgery is to come in for a consultation.
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