Chin Alteration, also known as Mentoplasty, is intended to improve the appearance of the chin by changing the projection or shape. Augmentation increases the projection and changes the shape by either the use of implants or bone movement. Implants are considered less invasive and are an excellent option for patients who genetically have an inadequate projection or desire more prominent facial features. Injectable fillers can replace soft tissue, but a stronger underlying bony framework is best achieved with implants. The final operative plan will be determined by your consultation. It is often combined with other facial cosmetic procedures.
Most patients contemplating chin implant surgery have concerns with their chin appearing too weak or underdeveloped for their face. Some complain that their chin looks too recessed, particularly when seen from the side (profile) view. Chin implant patients commonly note they lack definition along the lower one-third of their face compared with the middle and upper one-third. When a patient has an excessively short neckline and/or a larger than average nose, the weak chin can oftentimes be exaggerated in appearance.
Your skin, soft tissues, and bone structure define your facial appearance. Ageing alters your features with changes to your skin and the loss of soft tissue. Your underlying facial bones, though, maybe something that bothers you even as a young adult.
Evaluation of the patient considering chin implant surgery begins with the Precision surgical team assessing the overall facial balance. This is primarily done when looking at the profile view of the face, although the oblique (45-degree angle) view is also telling in most cases. The frontal view can also reveal the imbalance in the lower one-third of the face, but it is not as obvious in most patients since the chin becomes blended into the background of the face.
Note that the best candidates should be at least 20 years old to ensure that the process of bone aging has been completed.
Since chin surgery is often combined with other complementing techniques, it is usually performed as an outpatient, under a light general anaesthetic. There can be flexibility in anaesthetic choices depending on unique patient characteristics and procedures selected.
The operation takes approximately 15-20 minutes. The incision for the chin augmentation procedure may be made either through the mouth or through a very small incision placed in the crease under the chin. The chin implant, which is made of silicone, is placed in a small pocket and secured to the mandible (lower jaw). The incision is then closed, and the resultant small scar is inconspicuous and hardly detectable.
Potential complications, as with any operation, are infection, bleeding, and scarring. Infection is exceedingly rare, and if present, the chin implant is simply removed. Other possibilities include injury to either a sensory or motor nerve. Again, this is exceedingly rare and usually temporary, but it can possibly be permanent. Usually, the sensation or motor movement of the muscle returns within 2-3 months.
The patient leaves the operating room with tape over the chin to help reduce swelling, and to keep the implant in place. This tape is usually removed approximately 48 hours after surgery.
The usual time off from work is approximately 48 hours, however, the return to regular activities should be addressed with the physician/nurse since there can be a high degree of variability in demand and a plan can often be developed to enable you to return to more normal activity faster. Sutures, if present, are removed 5 days after surgery.