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A well defined chin helps give balance to the face and creates a major part of one's profile. When people look in the mirror, most focus on the size and shape of their noses, their ears, sagging jowls, or fine wrinkling of the skin.

But even though few examine their chins with the same discerning eye, having a weak chin is certainly not an asset. Chin augmentation is the use of synthetics (Mentoplasty) or biologicals (Genioplasty if with bone advancement) to augment, or make the chin more prominent.

It can give balance to an otherwise less defined face or further augment an already existent chin structure.Many times a cosmetic surgeon may recommend chin surgery to a patient having nose surgery in order to achieve facial proportion, as the size of the chin may magnify or minimize the perceived size of the nose The fleshy pad of the chin is normally from 8-11m thick.

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  • What is Chin augmentation surgery for? Originally chin implants were used for reconstruction for birth defects and trauma related incidents. Now, they are being applied aesthetically to enhance a person's chin or to create symmetry within the facial structure from a weak chin. With a chin implant, the face is transformed into a more aesthetically pleasing shape.
  • What are the chin implants made from? They are normally made from hard Silicone, although, many medical device companies are manufacturing newer types which are made from expanded poly-tetrafluoroethylene (ePTFE), rigid polyethylene, hydroxyapatite/hydroxylapatite (HA, processed coral or synthetic calcium phosphate ceramics), andMersilene mesh. Solid implants can be screwed into place to prevent shifting of the implant post-operatively. The (ePTFE) implants are designed to be porous so that the tissues can attach themselves to the implant to prevent shifting. There are like I said before injectable implants, injectable pastes and blocks of ePTFE and HA which can be carved, plus MMA paste (methylmethacrylate). Please refer to - Implant Options to read of these materials. Discuss with your doctor which implants he prefers and why.
  • What does a typical Chin augmentation consultation entail? Firstly, your doctor will discuss your goals with you and he will explain what can be achieved realistically. The usual goal of the typical patient is to correct a lacking chin. Discuss with your surgeon the goals and general result you would like to achieve. It is all individual. Your doctor will take into account your facial dimensions and natural face shape. There are not too many types of chin implants but enough to go over with your surgeon. The placement as well as the size of the chin implants will be determined by you and your doctor. Don't be afraid to speak your mind during this time.
  • How is Chin augmentation surgery performed? The chin augmentation surgery is most frequently performed using Light Sleep or General Anesthesia. Light Sleep Anesthesia is the use of medicines to induce a state of relaxation and a light sleep. General is more of a deep sleep and can either be in gaseous state (intubation) or intravenous. This procedure takes from 1 to 1 and 1/2 hours to perform. It may take longer if you choose to have cheek implants, as well. Depending upon your facial structure the incisions will be placed as inconspicuously as possible. For chin implants the incision can either where the mouth gums and lip/facial skin meet of under the chin. The risk of infection is higher if an incision is placed within the mouth area. Although a strict post-operative oral hygiene regimen can decrease this risk.
  • What are the different techniques in performing a Chin augmentation? There may be surgeons who only wish to use a certain implant type or a certain incision. surgeons would give you a choice. As the updated techniques are less scarring than the previous ones. The doctor may school an oral approach where the only incisions are placed within the mouth area. No visible scars are made and the oral incisions heal much faster. However, oral techniques sometimes are plagued by a higher rate of infection. Especially in those with problems with plaque build up or poor dental hygiene.There is also a procedure called a Genioplasty, also referred to as a sliding genioplasty. This surgery is the use of a bone saw to trim off a piece of the bottom of the chin and sliding it forward and then fastening it with titanium screws. This is a more invasive surgery, I hear it is very painful and the healing time is longer. Bone infection is a risk here.Additionally, there is the use of injectable Hydroxyapatite (HA, processed coral) paste. It should be performed over a course of a few months and the look is gradual and a long process. Some surgeons inject a lot of it at once but be advised that this is still a newer application for cosmetic reasons and reportedly the paste is still "moldable" for a few days. There is no osteoinduction/osification as it is not porous but there are reports of absorption. Check with your doctor on the preferred technique that he utilizes. He may very well prefer the traditional methods out of not being aware of the newer ones or he may very well offer only the newer ones, with the thought that the older techniques are simply, out of date. This subject varies with surgeon to surgeon.
  • What should I expect post-operatively? Although, there is normally no extensive pain related to chin implantation, pain medication is prescribed beforehand. Your surgeon may also suggest pharmaceutical grade Arnica montana or Bromelain to reduce swelling and bruising. You may feel a degree of numbness that should disappear within 1 to 3 months. You may continue to wear a support brace while you sleep to allow your tissues and implant to heal in the desired position and prevent shifting in the first few weeks, Don't be alarmed at the presence of bruising and swelling. The swelling will begin to disappear within the first 5-7 days. Many patients return to work with the help of camouflaging cosmetics at about 5 days post-op. The swelling resembles inflammation of wisdom teeth or their removal and sometimes this excuse is used at the office. Although please realize that the swelling may be apparent for months and the defined, chiseled look that you so desire may not become evident for quite a while. Things to be alarmed about that are not normal Temperature elevation greater than 101 degrees Sudden swelling or sudden discoloration Hemorrhage Increasing redness and tenderness of the wound edges indicating infection Allergic reaction to drugs Shifting of the implant
  • When will the sutures be taken out and does this hurt? The sutures, if any, will be removed in approximately 3 to 5 days. Your face will be swollen for the first few days -- this is normal. The removal should not hurt extensively although your surgeon may feel the implant through your facial tissues and this may hurt a little. The swelling should very much dissipate after the first two weeks.
  • When will the sutures be taken out and does this hurt? The sutures, if any, will be removed in approximately 3 to 5 days. Your face will be swollen for the first few days -- this is normal. The removal should not hurt extensively although your surgeon may feel the implant through your facial tissues and this may hurt a little. The swelling should very much dissipate after the first two weeks.
  • Will there be scarring? If so where will the scars be located? This depends on the incision choice by you and your surgeon. It is quite possible to have either one of these implants inserted with no visible scars whatsoever. Ask your doctor if he is familiar with the oral incision location and what he thinks about it.
  • Is there a lot of swelling involved with a chin implant? There will be some considerable swelling associated with the trauma to the tissues. Especially if there were screws involved. Bone trauma may hurt a little more than just tissue trauma so take this into account when you decide on the technique. Although, it is hardly enough pain to dissuade you from making an "incision decision." Please go into this surgery well informed because many re-operations or removals are due to patients not being able to handle the swelling. My nose was swollen forever it seems but I really couldn't tell in the photos. Then again, they took AWAY, they didn't ADD. You are adding with a chin implant -- be prepared for swelling.
  • How long is the "down time" for this procedure; how long should I expect to be out of work? You can expect to resume regular activities in about 1 to 5 days. Although exercising should be be reserved for after the third week. It really is individual but the swelling is quite pronounced involving a facelift. There is bruising and of course a support will be worn at night to alleviate tissue stress and to support the healing tissues correctly. I wouldn't make any plans to attend any weddings or other functions where you will be high profile for at least 4 weeks. Most patients return to work within a week or two due to the bruising and swelling.
  • When will I be able to see the results? The results are immediate, although you may think that the implant is too big at first glance. Give your mind time to recognize the difference in swelling and augmentation. most patients are very satisfied with the augmentation results. Remember this key: men sometimes think their chin after augmentation is too small where women tend to think there chin post-operatively is to large and pronounced.
  • What are the risks of a chin augmentation surgery? There is a chance of hematoma (blood clots), numbness from nerve damage and hyperpigmentation (discolorations of skin) caused by the bruising -- although there is rarely bruising with facial implants. There is the risk of implant shifting which results in additional surgery to reposition the implant. There is the chance of your disapproval which may result in a re-do or removal. There is also a chance of asymmetry from tissues healing differently.
  • How long does a chin implant last? The silicone chin implants are made to last your lifetime. More than likely you will take them with you to the grave. Especially if the implants are the harder variety and screwed into place, your risk of shifting is very minor. Although anything having to do with inserting metal into bone run the risks of infection and bone deterioration. Do be advised though pressure of the implant can cause bone resorption under the implant, especially which silicone implants. Then again, everything is dependent upon the individual and as you should know there is no "never" or "definite" in medical science.
*Disclaimer - Results may vary from person to person.