Chin Augmentation
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Leading with Your Chin

A more defined jawline and neck contour

The chin plays a crucial role in creating facial harmony and balance. A small or underdeveloped chin results in a less well-defined jaw and neck line, and can also make the nose appear larger than it is.

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Chin augmentation (mentoplasty) creates a more defined jawline that also improves neck contour. Advancing the chin can also provide better balance between projection of the nose and lower face.

 

Frequently Asked Questions

Who is a candidate for chin augmentation?

Patients whose lower jaw (mandible) does not project as far forward in relation to the remainder of the face and neck are the primary candidates for chin augmentation.  The lack of lower jaw projection results in a blunted, less defined neck line, and chin augmentation lengthens the jaw line, helping to create a more defined neck angle.  Chin deficiency may also make the nasal tip appear long (over-projected), and patients seeking a rhinoplasty because of an over projecting tip, may also be a candidate for a chin implant at the same setting of a rhinoplasty.

Chin augmentation can also be useful for treating lower facial and neck changes with age. The aging process of the jaw and its overlying soft tissue result in fullness under the chin (submental fullness), jowling along the jawline and also the formation of a slightly more subtle depression in front of the jowl, called the prejowl sulcus.  While these changes can be improved with a face and neck lift and, or neck liposuction, the addition of a chin implant at the same setting can result in a more dramatic improvement in jaw and neck line.

The chin appears small due to lack of growth of the lower jaw or because the lower jaw is positioned too far back in relation to the upper jaw (maxilla).  These abnormalities can not only lead to appearance issues but also how the teeth come together (occlusion).  For those without functional issues (ie chewing problems), chin augmentation provides reliable improvements in facial profile.  If there are significant functional problems, orthodontic or jaw re-positioning surgery may be necessary as opposed to chin augmentation alone. 

What chin augmentation technique is best for me?

Chin Augmentation is typically achieved with either the placement of a chin implant (made of Gore-Tex or silicone) or by moving a portion of the lower jaw bone forward without changing the position of the teeth (sliding genioplasty).  Both techniques can be used successfully to improve chin position, but augmentation with an implant is simpler and as effective in the appropriate candidate.  The implant is placed through a minimally noticeable incision underneath the chin or through an incision in the mouth.

What is involved with chin augmentation surgery?

The Initial Consultation

The initial consultation centers around your goals of possible chin augmentation.  A full head and neck examination is performed followed by a discussion of how best to meet your vision.

During your consultation, a variety of techniques for chin augmentation may be discussed. A method is chosen that results in the best cosmetic and functional outcome for you. Pre and post-operative examples of other similar patients are often reviewed.  The details of the procedure and post-operative care are explained, and any questions you may have are answered. If a plan is confirmed to move forward with surgery, you meet with our patient care coordinator to schedule a surgery date.

Pre-operative Visit

Prior to your surgery, you may have one more pre-operative visit. This visit typically involves a pre-operative history and physical at our office. This visit is performed to assess any medical issues you may have and to ensure that your surgery is conducted in the safest manner. Pre and post-operative instructions are reviewed, and this visit is also an opportunity for you to ask additional questions that may have arisen after your initial consultation.

Day of Surgery

Once in the pre-operative area, you will meet the nursing and anesthesiology staff who will take care of you during your procedure. Your surgeon will meet with you and your family prior to the procedure to review the procedure and discuss any last minute questions you have. After the procedure is performed, you will be taken to the recovery room. You will have facial dressing in placed that may be removed the next day at your post-operative visit or at home by you or your caretaker. All chin augmentation procedures are performed as outpatient surgery, and you will be sent home with detailed post-operative instructions and pain medication. We will call you on the night of surgery to ensure that you are doing well and to answer any questions you may have.

Post-operative Visits and Follow-up Care

Your first post-operative visit will typically be the day after surgery to remove your dressing and review post-operative care instructions.  The next visit will be approximately one week after surgery to remove your sutures. You will then follow-up at one month after surgery and usually every three to six months for the first year after your surgery to ensure adequate healing. 

What are the risks or complications of chin augmentation surgery?

As with any surgical procedure, there are risks such as bleeding, infection, poor healing and risks related to undergoing anesthesia. More specific to chin augmentation surgery, there are risks of deformity under-correction, overcorrection, asymmetry, persistent lower lip or chin numbness, implant extrusion, and the need for additional revision surgery. 

With you from step one

Contact us below or call at 206.599.3223. We’re here to help answer your questions or to get you started with a consultation.

Contact our patient care team