Chin Enlargement or Augmentation Genioplasty: Implants and Other Techniques
Chin enlargement is often referred to technically as AUGMENTATION GENIOPLASTY
A chin enlargement (augmentation genioplasty) may entail 3 or 4 different types of procedures based upon the condition of the skin, fat (amount and location), muscles (loose, weak, or separated), as well as your general body weight and facial shape. For example, chin implants are commonly performed in combination with liposuction of the neck, tightening of the neck muscles, and/or a facelift. During the consultation we may determine that other procedures are better suited for your optimal outcome.
The operation can be performed inside or outside the mouth. I prefer the latter for several reasons. The operation may involve removal of skin and/or fat (liposuction) and/or movement of the chin pad and/ or tightening or repair of the underlying muscles. The proper procedure to perform is a complex decision process determined based on your desires, anatomy, practicality, and wound healing.
Surgery is about 1 hour and it can be performed on an outpatient basis.
Implant size and type is a complex decision process determined based on your desires, anatomy, practicality, availability, etc. This is usually determined at the time of the initial consultation but may need to be adjusted intra-operatively. There are many options available for implant material ranging from silicone, gortex (PTFE), polypropylene, and numerous other materials.
At the time of this writing, I generally prefer the solid extended smooth posteriorly-textured, anatomic wrap-around medium sized silicone implant placed via an incision located on the undersurface of the chin.
Of course, there are risks to any surgical procedure. These risks can occur regardless of surgeon or technique. These include but are not limited to: infection, hematoma, discomfort, wound breakdown, hypertrophic scar formation, asymmetry, unfavorable healing, implant rotation, migration, infection, exposure, bony erosion, dental injury, nerve injury with diminished lip sensation (which can cause drooling), palpability, visibility, distortion with muscular contraction, capsular contracture, interference with lip/chin sensation, need for secondary surgical revisions, and inabiltity to guarantee a specific cosmetic result. Although many other claims of diseases associated with silicone implants have been reported these have not been substantiated by major studies.
We generally recommend that you take a week off work and avoid strenuous physical activity for three weeks. Certain dressings may be required during this time.
The surgery can be done in several different places (hospital, office surgical suite, or surgicenter) and the prices vary accordingly with the last being the most affordable.