Chin Augmentation Surgery: Frequently Asked Questions
Chin augmentation can restore balance to your face. But what are chin implants, and how is chin augmentation performed? If you have questions about chin augmentation, you have come to the right place. Here are some of the most commonly-asked questions about chin augmentation with implants, and their answers:
- What is chin augmentation with implants?
- What are chin implants made from?
- What does a typical chin augmentation consultation entail?
- How is chin augmentation surgery performed?
- What is a sliding genioplasty?
- What should I expect postoperatively?
- When will the sutures be taken out, and does this hurt?
- Will there be scarring?
- How much downtime is required for this procedure?
- When will I be able to see the results?
- What are the risks of chin augmentation?
- How long does a chin implant last?
Chin augmentation with implants can enhance a person's weak chin or create symmetry or an aesthetically pleasing shape within the facial structure. Implants can also be used for reconstruction in cases involving birth defects or trauma-related incidents.
2. What are chin implants made from?
Chin implants are made primarily of a soft, rubbery, flexible material such as solid silicone that is inserted through a small incision under your chin. The material is biocompatible, meaning that your body will not react adversely to it.
3. What does a typical chin augmentation consultation entail?
During your surgical consultation for chin augmentation, you should discuss the reasons you're interested in a chin augmentation, as well as your goals. The surgeon will then explain what can be achieved realistically with chin augmentation. He or she will take into account your facial dimensions and shape, and make recommendations about the type, size and placement of the chin implant. The surgeon will also go over the risks of chin augmentation surgery, what you can expect during recovery, and the cost of the procedure.
4. How is chin augmentation surgery performed?
The chin augmentation operation is usually performed using light sleep anesthesia or, if combined with other procedures, general anesthesia. This procedure takes from one to two hours to perform. The incisions will be placed as inconspicuously as possible, either inside the mouth (intraorally) or under the chin (extraorally). The implant may be screwed into the jawbone to attach it firmly and permanently.
5. What is a sliding genioplasty?
A sliding genioplasty, or chin advancement, is a surgical procedure that entails cutting a piece of bone from your lower jaw, sliding it forward and reattaching it to the jawbone. The incision for a sliding genioplasty is made within the lip.
6. What should I expect postoperatively?
Immediately following your chin augmentation surgery you may feel some mild to moderate discomfort which should be controlled with prescription painkillers from your surgeon or approved over-the-counter painkillers. Due to the increased volume of the implant and natural swelling from the surgery, your chin may feel tight; this should abate within two weeks. Your surgeon may apply tape to hold the implant in place and control swelling after surgery. If your stitches are inside your mouth, your diet may be limited to soft foods and you may be required to rinse with mouthwash for several days following the procedure. Your new chin should be fully apparent in about three or four weeks.
7. When will the sutures be taken out, and does this hurt?
The sutures will be removed in approximately three to five days. The removal itself should not hurt, although you may experience some discomfort when your surgeon feels around for the implant through your swollen facial tissues.
There may be scarring. The degree of chin augmentation scarring depends on the incision technique used. If the incisions were made inside your mouth, the scars will not be visible. If external incisions were made, they should be hidden under the chin.
9. How much downtime is required for this procedure?
You can expect to resume regular activities in about one to two weeks, and can usually return to work within a week.
10. When will I be able to see the results?
The results are immediate. At first you may think the implant is too big due to the swelling, but give it time. You may also need to adjust to the overall look of your new chin.
11. What are the risks of chin augmentation?
There is a chance of hematoma (blood pooling), seroma (build-up of fluid under the skin), numbness from nerve damage, hyperpigmentation (permanent discolorations), implant shifting, asymmetry, and general dissatisfaction with the final results. Some complications may require revision surgery.
12. How long does a chin implant last?
The silicone chin implants are made to last your lifetime, especially if the implants are the harder variety and are screwed into place.
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Gregory Dumanian, MD
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Mohammed Alghoul, MDNorthwestern Plastic Surgery
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