Can a Chin Implant Be Performed in the Office Under Local?

Doctor Answers 8

Chin Augmentation with Local Anesthesia

Chin Aug Anesthesia
Chin augmentation is an outpatient procedure typically done in the plastic surgeon’s office or in a surgery center. In my practice it is usually done under local anesthesia with oral sedation or intravenous sedation, but can be done under general anesthesia if requested.


Orange County Plastic Surgeon
5.0 out of 5 stars 72 reviews

3991 MacArthur Boulevard
Newport Beach, CA 92660

Chin implant can be done in office or surgery center

Yes, a chin implant (chin augmentation) can be performed in the office or surgery center setting under sterile conditions with local anesthesia. It can also be removed under local anesthesia. The entire chin area has to be anesthetized with a local anesthetic in order to place a chin implant.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 70 reviews

1101 Madison St
Seattle, WA 98104

Chin Implant In Office Under Local Anesthetic

Chin implant come in a variety of materials such as silicone or a permanent matrix such as Porex. Regardless of the material many surgeons like to anchor these implants with a screw into the bone. While it is easy to numb the lower lip and soft tissues of the jaw its more difficult to numb the bone. Not impossible but the surgeon must know how to block the alveolar nerves.

An outpatient surgery center or a hospital operating room would be more comfortable and safer in my opinion.

Christopher L. Hess, MD
Fairfax Plastic Surgeon
5.0 out of 5 stars 23 reviews

3930 Pender Drive
Fairfax, VA 22030

Chin implant placement in the office

Sterility is more of an issue here than anesthesia. The implant is in an area that must be kept very sterile during its insertion. An operating room is the most sterile place to perform this. As far as anesthesia goes, it may be painful to do just under local. Therefore, I would recommend at least twilight sedation with local anesthesia. Good luck!

Jeffrey E. Schreiber, MD, FACS
Baltimore Plastic Surgeon
5.0 out of 5 stars 123 reviews

10807 Falls Rd
Lutherville-Timonium, MD 21093


I would guess that a dental block could be done.  Personally I wouldn't want to do it that way, but if done in a "real" OR no reason not to.  I would recommend some form of sedation however.


Scott E. Kasden, MD
Dallas Plastic Surgeon
4.5 out of 5 stars 64 reviews

2813 W Southlake Blvd
Southlake, TX 76092

Can a chin implant be performed in the office under local?


I think all doctors will answer in a similar manner - Yes, it is possible.  What you save is perhaps some cost. However, the value of some intravenous sedation may out weigh any cost savings.  Perhaps your doctor meant local anesthesia with IV sedation vs a General anesthetic??

Michael Kulick, MD
San Francisco Plastic Surgeon
2.5 out of 5 stars 3 reviews

450 Sutter St
San Francisco, CA 94108

Possible for chin implant to be performed in office with sedation

A chin implant could be done under some local and sedation. Proper sterile techniques must be followed as per all surgical procedures.It is a simple procedure but requires dissection close to the bone which could be a sensitive dissection.

Hope that helps!

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 17 reviews

20301 SW Birch St
Newport Beach, CA 92660

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