Sacramento Chin Surgery doctors

Andrew Pichler, MD Andrew Pichler, MD
Sacramento Facial Plastic Surgeon
6633 Coyle Ave Suite 2, Carmichael
2 answers
Travis T. Tollefson, MD, MPH Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon
2521 Stockton Blvd Suite 6206, Sacramento
1 answer
Miguel Delgado, Jr., MD Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon
450 Sutter Street Suite 2433, San Francisco
Andrew Kaczynski, MD Andrew Kaczynski, MD
Sacramento Plastic Surgeon
77 Cadillac Drive Suite 170, Sacramento
Thomas E. Kaniff, MD Thomas E. Kaniff, MD
Sacramento Facial Plastic Surgeon
631 Fulton Avenue, Sacramento

Recent Answers

Alternatives to Chin Implants & Sliding Genioplasty

I am interested in augmenting my chin but am wary of the reactions that are possible by having a foreign body placed inside me. I was more interested in a sliding genioplasty for a while as it seemed to have less long term complications compared to a chin implant, but I've found evidence that the titanium screws/plates are a hazard as well. Is there any other method of augmenting the chin, even if slightly, with safer methods such as fat grafting?

A: Options for changing your chin

Dear Curiousgal

The change that you would like to make to your chin be in relation to another facial feature, as so you have a lot of options. Clearly you are doing your research and want the most safe and effective way.

  • Your question about fat grafting for the chin is a good one.
  •  Fat grafting  is safe and effective at filling deflated areas,  BUT
    • Prominent structures like your forehead, chin and nose are better treated by building up the foundation.
  • Injectible fillers are an option but require reinjection and expense.
  •  
  • Although, titanium plates and screws have a long history of safety and reliability,
    • You can always have the sliding genioplasty and have the titanium removed after the bone has healed. if that is your preference.  See the link below for more information.

Best Wishes, Dr. T

 

Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon
Chin Reduction Surgery - Options and Costs

I am considering chin reduction surgery as I feel it points out when I smile and I hate that... Could someone give me a recommendation for a fairly priced surgeon in the LA area who is well known for chin reduction surgeries? Does anyone know the estimated cost of such a surgery?

A: Chin reduction

Assuming that you do not have any malocclusion (under or overbite) so the problem is simply excessive projection of the mentum (center of jaw) then what you need to have is an intraoral approach to the bone which allows cutting off some of the excess. Basically not a complicated procedure but should be done under general anesthesia. Ask around see what plastic or facial plastic surgeon or oral surgeon has experience. Its not done very commonly so you wont find anyone with a huge experience but anyone with reconstructive (trauma) experience should do well.

Andrew Pichler, MD
Sacramento Facial Plastic Surgeon
Cosmetic Chin Surgery - What Are my Options?

I had Rhinoplasty last year, but the doctor recommended that I get a chin implant as well.  I opted not to. I do love the outcome of my new nose, but I am now considering chin augmentation to help balance out my face. I have seen the profile computer image, but I am having a hard time understanding how I will look from the front, and when I smile and my facial expressions. Also, I am trying to decide between the implant or sliding genioplasty (since I don't love the idea of an implant being in my body. Any thoughts?

A: Improve your profile with a chin implant

Chin implant can be done at any time; at the time of rhinoplasty or after. Looking at your photo it is unquestioned that your profile would improve, i.e. would be better balanced, by having a more projecting chin. This can be done thru an intraoral (Iinside the mouth) or external (under the chin) incision. Statistics show that plastic surgeons use the external approach 2:1 but the ultimate results are similar. My personal preference is external. I think the small risk of infection is almost none by doing it that way. Good luck.

Andrew Pichler, MD
Sacramento Facial Plastic Surgeon
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