Chin augmentation may improve the balance and symmetry of the face and create a fuller, more youthful appearance. The surgery can also compliment another procedure, such as a face lift or rhinoplasty, creating overall facial balance.
Candidate / Indication
With inadequate chin bone structure microgenia, your other facial features may look larger than normal. If you have microgenia and are mentally ready for surgery, you may be a good candidate for chin augmentation.
When the chin is very small and an implant cannot help, then a different type of chin surgery called sliding genioplasty may be recommended. You might not be a candidate for chin augmentation if you have extreme microgenia, especially if your teeth are misaligned when your jaws are closed.
To complete the augmentation using an alloplastic implant, your surgeon will make an incision inside the mouth along the lower lip. A pocket will then be created in front of the jaw bone between the bone and the skin. The implant is then inserted through the incision into the pocket.
As an alternative, especially for more severe cases of microgenia, the tip of the chin bone can be moved forward. In this instance, the incision is made either inside the mouth or below the lower lip. Your surgeon will carefully select the portion of the bone to advance forward, then he will cut the chin bone while taking care to minimise trauma to the soft tissue. The bone piece is secured in its new position with titanium screws or wires, and sutures are placed to close the incision.
Non-surgical chin augmentation may also be performed using injectable fillers, such as Radiesse, Juvederm or Restylane.
Your treating specialist will provide you with specific instructions to be followed after chin surgery. You will feel some discomfort and soreness, which you can easily control with medication. You might have to stick to a liquid diet for a day or two. You can resume light activity the day of surgery.
You may be asked to keep your head elevated during this time and practice good oral hygiene. Also, in this duration, you must refrain from touching your chin. You may be prescribed antibiotics and pain medications for the first week of recovery. You should be able to return to work and your usual activity within 7 to 10 days. You will probably have the outside bandage removed within a week of surgery.