A well-defined chin is the cornerstore for an attractive face. A small or retruded chin can cause your forehead to appear too prominent, your nose too big, and reduce the definition in your cheeks and neck. On the other hand, a large or elongated chin detracts from the entire face, creating a focal point of attention in the lower third of your face.
The size and shape of your chin contributes not only to facial attractiveness but also to gender-typical characteristics of a face. Men typically have a wider chin with a flatter base, giving them a “square” look, whereas women’s faces are characterised by a softer and narrow chin contour.
Chin surgery, also known as genioplasty or mentoplasty, improves the contours of your chin either by enhancement with an implant > CHIN AUGMENTATION SURGERY, or reduction surgery on the bone > CHIN REDUCTION SURGERY.
What is the goal of chin augmentation surgery?
Chin augmentation surgery is based on placing a custom-fit implant around your existing chin bone, in order to improve the size and shape of your chin.
What are the benefits of chin augmentation surgery?
Chin augmentation surgery provides definition to the lower third of your face, improving lower facial contours which leads to a balanced and well-rounded appearance. Depending on the shape of the implant, a strong, well-defined chin can also help create a more defined appearance of the face. Another great benefit of chin augmentation is that the incision is made inside the mouth, meaning no visible external scars.
What is the goal of chin reduction surgery?
Key to chin reduction surgery is to reduce projection and height of your chin, creating a softer, better-balanced contour. Sculpting of your chin is performed in a three-dimensional approach and tailored to your personal aesthetic expectations.
What are the benefits of chin reduction surgery?
Gaining a softer, better-balanced contour to your lower face increases confidence and self-esteem. This procedure can be done as a day case under general anaesthetic through an incision inside the mouth. This means there is less downtime and no visible scarring.
Before your procedure
Everybody’s anatomy is unique and requires a detail-oriented approach. During your consultation we will review your medical history and assess your area of concern. In order to assess your candidacy for a chin surgery Mr. Bran will examine the characteristics of your face, neck and chin. Apart from a physical examination in order to analyse your anatomy and your facial proportions, we put great emphasis on understanding how you feel about your face and what kind of an improvement you are most comfortable with. Appreciating your personal aesthetics and managing your expectations is key to any surgical planning for Mr. Bran. Based on clinical findings and your expectations he then be able to elaborate realistic goals. During your consultation photograph will be taken for your medical record. Mr. Bran will then be able to show you the expected improvement of your chin using computer assisted simulations of your photographs.
You will have a discussion about how the procedure is performed, possible risks of surgery, and what to expect during your recovery period. Mr. Bran will answer any other questions you may have.
Preparing for your chin surgery
Preoperative assessment is critical in order to select appropriate patients for chin surgery. Apart from a physical examination you will have a discussion about your current and past medical history, and any medication you are currently taking or have recently taken. You will be asked about allergies, particularly drug allergies. If required, an anaesthetist will see you before your surgery. Depending on your medication, you may be asked to stop or change certain drugs for a duration of time.
You should refrain from taking Aspirin, or non-steroidal anti-inflammatory drugs such as Ibuprofen in the week before your surgery.
In order to optimise your healing, we strongly advise all our patients to stop smoking at a minimum of 2 weeks prior to your surgery and refrain from cigarettes or any other nicotine containing products for 2 weeks after their procedure. Smoking significantly impairs your post-operative recovery and doubles the risk of complications such as delayed wound healing, poor scars or altered results.
RISKS OF CHIN SURGERY
RISKS In accordance with the Montgomery judgement, the following risks and side-effects are associated with chin surgery:
|PAIN||Moderate discomfort is expected; suitable pain medication will be provided.|
|BRUISING||Occasionally, may last for 2-3 weeks. Avoid Aspirin / Ibuprofen.|
|SWELLING||Swelling will occur. It can take 6-12 months to fully resolve.|
|BLEEDING||Rarely haematoma formation (blood collection – risk is less than 0.1%), may require re-operation or drainage.|
|INFECTION||Occasionally, mild infection. Rarely serious infection. If required, appropriate antibiotics will be prescribed. Possible removal of the implant (Chin augmentation) may be required. (Risk less than 0.1%).|
|Some diminished sensation is expected around the scar. Can also affect the chin and mouth area. Can take 6-12 months to return to normal.|
|FIRMNESS||Initially the chin is swollen and firm. Uncommonly the firmness persists or recurs some months post-operatively. This may alter the softness or the shape of the implant, or cause discomfort.|
|DISPLACEMENT||Rare. May require re-operation – best avoided by rest in the first 2 post-operative weeks and adherence to post-operative instructions.|
|It may be possible to feel the edges of the implant, particularly with larger sized implants. With any incision there is a risk of delayed healing and poor scarring, which can lead to hypertrophic scarring or keloid formation.|
|Rare. Caused by compromised blood flow to the bone. Immediate review by your surgeon is required.|
|This is a clot that forms in the deep veins of the lower limbs causing pain, inflammation, and swelling. This will require immediate medical attention.|
|This is a clot which has travelled to the lungs causing chest pain and shortness of breath. This will require immediate medical attention.|
You may consider yourself a good candidate when you have:
- realistic expectations
- reached physical maturity (your bones are not growing any more; 17 and older)
- a small chin or a weak jaw Chin augmentation
- an elongated or over-projected chin Chin reduction
- looking for improvement of the neck and jawline
- unrealistic expectations
- your facial skeleton is still growing (generally until late adolescence; 17 and older)
Both chin reduction or chin augmentation, can be performed using a scar-less approach, accessing your chin through the inside of your mouth. This approach is usually offered as a day case procedure, performed under general anaesthetic.
Chin augmentation can also be performed under local anaesthetic through a small incision underneath your chin. This procedure is offered as a day case in our practice.
Usually most of the chin surgery procedures take less than 1 hour to perform, however if you have additional procedures, operating time will increase accordingly.
Chin surgery leads to a long-lasting result, that you will be able to enjoy for many years to come. While the aging process will affect the appearance of your face and neck in various ways, your enhanced chin contour will not change. Like with any facial implant, there is a slight risk that trauma to the face could damage your implant and require another surgery to replace it.
Minimal discomfort is expected. This includes swelling of the operated area and minimal bruising. Any bruising will resolve within approximately 10 days. The swelling of the chin requires several weeks to settle.
We advise our patients to plan enough time for their recovery. In the first week you should expect swelling around your chin and reduced movement of your lower lip. In order to keep discomfort at a minimum, we advise our patients to consume a liquid-only diet for a day or two after surgery, and continue with soft diet for up to a week after. Mouth-care is also very important if you have an incision in the mouth; use of alcohol-free mouthwash after every meal or sugary drink is recommended. Patients can go back to their daily activities within 7-10 days after surgery. Discomfort is usually minimal and easily controlled with adequate pain medication. We advise our patients to avoid strenuous exercise, avoid bending over and to sleep in an elevated position of the upper body in order to control post-operative swelling and protect your healing incisions.
After chin surgery there will be some swelling around the chin. Results look close to final after approximately 6 weeks, and are considered final after about 3-4 months., when residual swelling has subsided.
Depending on the technique chosen, there will no scar (incision placed inside your mouth) or a small incision (approximately 1 to 1.5 cm) underneath you chin. This scar will be visible for the first months after surgery. As the scar continues to mature it becomes less noticeable. Mr. Bran has a particular interest in scars and the management of them. He continuously improves his surgical techniques in order to create the least noticeable scars.
What can complement chin surgery?
In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.