CHOOSE YOUR TREATMENT Chin Augmentation
AKA: Chin Implants/Genioplasty. What is it?
A‘weak’ chin can have a surprisingly big impact on your facial appearance - it affects the overall balance of your face and can make your nose seem disproportionately large in comparison. In fact, often patients present at surgeons’ consulting rooms requesting a Rhinoplasty (p 122) when in fact the problem is not with their nose, but their chin.
There are two main options to deal with the problem of a recessive chin – although if the problem is mild you may want to consider Dermal Fillers (p 84) orVolumisers (p 138) – either a chin implant or a technique called genioplasty.
Who does it? Who is suitable?
● Plastic Surgeon ● Face Surgeon
It is probably advisable to visit a maxillofacial or specialist facial cosmetic surgeon to assess whether this is the right procedure for you. It is important to assess whether there is a problem with your teeth or jaw, because if there is, this will need to be addressed before it will be clear if chin augmentation surgery will benefit you.
Chin implants can only achieve a fairly small projection, so if you need a more pronounced change it may well be that genioplasty is the best option for you.
As these are both surgical procedures, it is also important to have a full medical assessment to ensure that you are fit to undergo surgery.
What’s the treatment like? Both types of surgery are usually performed under a
general anaesthetic. For chin implant surgery, an incision is made either inside the mouth, in front of the bottom teeth, or underneath the chin, and the implant is inserted and adjusted into the correct position.
Genioplasty involves the surgeon cutting into the bone of the chin itself and moving it into a more prominent position. Again, this can be performed either from inside the mouth or from underneath the chin, and the great advantage of genioplasty is that the surgeon can control the height, width and projection of the chin to give a tailored result.
If the problem is with the jaw, a procedure called a ‘sliding genioplasty’ allows the surgeon to move your jaw forward, or indeed backwards - for more information on this, see Chin Reduction Surgery (p 75).
What happens afterwards?
You will usually be kept in hospital for one night, to allow the anaesthetic to wear off, although if you’ve only had a very minor augmentation you may be sent home on the same day.
There will be some bruising and swelling for the first few days post surgery, whichever technique has been used, but you should be able to go back to your normal daily activities after about a week to ten days.
Will I have a scar?
If the incision was made inside the mouth you won’t have a visible scar. Otherwise, there will be a small scar under your chin, but this won’t be very visible - unless you want to show it off.
Cost From £1,500 to £4,000 Chin augmentation:The non-surgical option
A particularly pronounced problem with the chin will probably need a surgical procedure to correct it. But for many patients,who have just minor irregularities with their chin, there is a non-surgical option. Dermal fillers or volumisers can be used to add volume or fill in any dips to result in a smooth contour to the chin or improved shape.
Always go for temporary dermal fillers, as they only last for approximately nine months and the ever-popular hylauronic acid dermal fillers, such as Restylane and
74 The Cosmetic Surgery Guide
Juvederm, can be dissolved with hyaluronidase if you don't like the look.
The advantages of going for the non-surgical option is that they are painless, safe,with a very quick recovery and minimal downtime. Obviously their temporary nature,which is good for so many reasons, does mean that repeated procedures can end up being very expensive.However, if you're just dipping your toe in the water with a chin augmentation, they can be a great first step.
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