I am getting rhinoplasty, and the surgeon mentioned that my chin would look better projected more. I knew it always looked a little off, but I just thought it was the length and angle of my neck that bothered me. I don't know anything about chin implants, and was curious if one would improve my profile.
Considering Chin Implant, But I Want a Second Opinion. (photo)
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Doctor Answers 19
Considering Chin Implant, But I Want a Second Opinion?
- Non-surgical augmentation of the chin with fillers (hyaluronic acid, Radiesse) offer a conservative augmentation that is temporary for between 6-12months. Fillers are generally softer materials so the augmentation of the bone along the jaw line is generally limited in effectiveness. They offer the advantage of a non-surgical procedure that enable a patient to “try out an improvement” before surgery.
- Chin augmentation with a chin implant requires a surgical procedure to insert the chin implant, however the size of the implant can be tailored to the individual and the implants will last long-term.
- Augmentation of the chin with jaw advancement surgery (termed sliding genioplasty) requires more invasive surgery than insertion of a chin implant. Often the treatment is coupled with orthodontics requiring braces to realign bite that requires many months of treatment, there is numbness in the area of the jaw after treatment which can be permanent.
Conservative approach to rhinoplasty and chin augment
Chin implant and rhinoplasty
Chin implants are often considered with rhinoplasty. This is one of my favorite operations and the combination can often give a substantial improvement in one's appearance. However, from the photo you submitted I would not say that your chin is the primary issue. Without the benefit of an exam, or more photos, my inclination would be to not perform a chin implant at this time.
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Chin Implants and Rhinoplasty
In order to obtain a balance when a patient comes in for rhinoplasty, I think it’s very important to look at their lower face. If the patient has a microgenia, or small chin, I think a chin implant will improve their overall profile appearance. It is important to mention this to the patient and consider doing it simultaneously with the rhinoplasty.
A chin implant would balance your face better
From your profile view, it appears the your chin is recessed . As long as you don't have a problem with the position of your upper teeth in relation to your lower teeth, a chin implant would be the correct procedure to balance your face. If your lower teeth are set back compared to your upper teeth then you may need to have the lower jawbone advanced forward. There are different types of chin implants depending on whether you need just the point of the chin augmented or if you need an extended chin implant which provides fullness along the lower jaw line
Chin Enhancement to Improve Profile
A chin implant will improve your profile and actually improve your rhinoplasty results. A chin implant alone would improve facial proportions and give the illusion of a smaller less-projected nose.
Chin implant for a better profile.
Wise to combine chin implant with rhinoplasty?
From your profile photo you submitted it does appear that chin augmentation is a good consideration. It is very common to combine chin implant placement with rhinoplasty surgery. Most patients interested in rhinoplasty don't come to their surgeon looking to improve their chin, even though it is a great way to improve the overall balance of the face.
Ironically, I find that combining chin augmentation with rhinoplasty allows for an overall more conservative approach as the nose doesn't need to be reduced as much in size to create the best overall facial balance.
Chin implants are placed either through a small incision placed under the chin or through in intra-oral approach. You can discuss this with your surgeon to get more specific details.
Rhinoplasty and Chin Augmentation a Great Combo
Curious Gurl, you are wise to consider chin augmentation along with your rhinoplasty
Ideally, the chin should protrude forward enough for touch an invisible vertical line dropped from the upper and lower lips.
Right now, your facial anatomy does not quite fit that ideal.
There are three good reasons to combine with rhinoplasty: 1) One surgery, one recovery period, 2) More economical; most practices reduce the fee of the second procedure when done with the first. and 3) One anesthetic. Today, anesthesia is unbelieveably safe. But isn't it wise to have all the work done under one anesthetic reather than two?
Go for it!
-Robert Kotler, MD, FACS
Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON
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.