How can I improve my face structure? (Photo)
Doctor Answers 2
Candidate for Chin Augmentation
It is a very simple outpatient procedure typically done in the plastic surgeon’s office or in a surgery center. It is usually done under local anesthesia with oral sedation or intravenous sedation, but can be done under general anesthesia if requested.
It is very important to select a highly-skilled, board-certified plastic surgeon, to aid you in selecting the implants and insertion methods that will give you the best possible result.
Sliding genioplasty + rhinoplasty = profileplasty
Your nose needs basic complete rhinoplasty via endonasal (no scars) to shave down the hump, reduce the tip and narrow frontally.
Your chin needs anterior advancement and for this I recommend sliding genioplasty.
Being an option, chin implants have serious disadvantages, specially in the mid and long term, patients are rarely happy with them after 5-6 years, all are out by then or later.
Consider the chin advancement by means of sliding genioplasty, the advantages are:
-lifetime procedure, no more revision or renewal procedures
-more natural than implants
-no visibility of implant edges during gestures
-improves the double chin effect at the sub-mental muscles (floor of mouth) hammock caused by lack of tension there; also improves the shape and tension of perioral muscles; implants do no offer this feature
-horse-shoe enhancement, covering the chin and also the jaw sides of it
-no future displacements or neuritis of mental nerves
-practically zero infections and 100% healing of bones
-no need for complex plates and screws that may need future removal; just steel wires synthesis may suffice, they stay buried into bone callus
The cons are:
-expensive, but cheap if you consider the lifetime pros
-technically demanding, few surgeons are experienced or comfortable (though I personally perform 100% of the chin augmentations by this osseous method, always after offering the patients both options)
-scary for the patient (though not so much if you explain well the stuff around it)
You'll find in this website dozens of negative experiences with chin implants in the short and mid term, do read my profile's Q&A and you'll find them too. I am doing sliding genioplaties for 15 years with the highest success and no one patient regreted, totall the opposite, I did many chin implant removals and one staged sliding genioplasties to replace them.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.