Many people have a small chin- one that recedes or is not prominent enough. A small chin can make a person 5 nose appear more prominent than it really is, whereas a chin that is more in harmony with other facial features can draw attention away from the nose and give the entire profile a more pleasing balance. Building up a small chin also can improve dramatically the results of a facelift. On the other hand, a chin may protrude excessively, either because of an abnormally large chin button” or because of a too-long jawbone.
Chin augmentation is an operation that changes a person’s profile by bringing out the chin. It often is performed at the same time as nasal surgery.
Chin reduction surgery, which involves removing excess bone from the chin button, may provide an improvement when the chin protrudes excessively.
If the problem is not the chin itself, but rather excess skin that has collected under the chin, a facelift may be necessary rather than chin surgery.
In cases where the teeth do not fit together well or there is a severe underbite or overbite, consultation with an oral or maxillofacial surgeon may be necessary.
Deciding on an operation
Anyone interested in chin augmentation or chin reduction surgery should consult an experienced facial plastic surgeon. During the initial visit, the surgeon makes a thorough evaluation of the face and neck to determine whether surgery is indicated. He will then discuss any questions and concerns related to the surgery.
In addition to the skill of the surgeon, the patient’s realistic expectations about the results of the surgery and his general emotional state are important considerations. Mental attitude is as important as the ability to heal in evaluating candidates for facial plastic surgery.
Once surgery is agreed upon, preoperative photographs are taken to help the surgeon plan the operation.
These photographs usually are compared with similar ones taken sometime after surgery and serve as a permanent before-and-after record of the results.
How chin surgery is done
A small incision is made either inside the mouth or just underneath and behind the most prominent part of the chin. A sterile surgical material that has practically the same consistency as the soft tissues of the chin is secured just in front of the jawbone to bring out the chin.
The skin overlying the implant retains its smooth contour, and the implant itself becomes virtually undetectable after a short time. The chin augmentation is designed to make the new chin look as natural as possible.
This operation can be combined easily with the removal of fat and a small amount of skin from underneath the chin. This procedure, called a submental lipectomy, eliminates a double chin and can improve the overall effect of chin augmentation. Chin reduction is accomplished by using an instrument much like a dental drill, through a small incision in the fold beneath the chin.
Where surgery is performed
Chin augmentation and chin reduction surgery can be performed in a hospital, an ambulatory surgical care center, or an office surgery center, depending on the patient’s and the physician’s preference. It can be performed safely on an outpatient basis, but the doctor may recommend a short hospital stay.
Keeping the patient comfortable
Preoperative medications to relieve tension and local anesthetics to numb the chin during surgery commonly are administered. These should keep the patient comfortable and free of pain. If desired, general anesthesia can be administered.
The immediate after-effects
After the operation, some swelling and bruising can be expected. Most of the swelling usually subsides within the first week, the bruising within a couple of weeks. There may be some mild discomfort for a short time after surgery, but this usually is controlled easily with medication. Significant pain is uncommon.
The results to expect
Significant improvement should be noticed immediately following surgery. The chin will look even more natural and attractive as the swelling subsides in the weeks after surgery. Just how much improvement is achieved depends on the individual’s physical characteristics and the extent of surgery.
There are inherent risks in any surgical procedure, and these should be discussed thoroughly with your facial plastic surgeon. Hundreds of successful chin augmentations are performed each year.
The procedures within the scope of mentoplasty:
Reconstruction of the chin with implants, rasping, and tissue transfer are within the scope of mentoplasty. These procedures help the chin appear more aesthetical. Most of the mentoplasties are performed for aesthetic purposes. Some of them can be performed in collaboration with the orthodontists when necessary.
Chin tip surgery:
The type of the operation to be performed at the tip of the chin will be determined based on the structure of the lower jaw. The surgery is planned according to the facial structure of the person. Some people presenting with the wish of undergoing nose or facial aesthetics have not recognized yet that the main problem lies in the chin. The intervention targets the structure of the chin in these individuals. Surgery planning is aims to correct the problem at the tip of the chin.
This is the most commonly performed type of mentoplasty. It is performed to reduce the long and wide jaw structure. However, it is more practical to perform in individuals, whose lower jaws are not too long. This operation is performed through an intra-oral incision in the operating room when the patient is under general anesthesia. Patients should exercise care about their diet after the surgery. The recovery will be complete almost in a month and patients can see the final configuration of their chins.
A variety of techniques can be used in mentoplasty/genioplasty. If necessary, the tip of the jaw can be augmented with filling material or screws can be applied to small-size chins. Protrusion of the chin can be intervened with special rasps.
What will the new appearance of the chin appear the mentoplasty?
Mentoplasty (chin aesthetics) is performed using several procedures; including rasping or filling to accentuate the configuration of the chin to achieve a well-proportioned facial appearance. The procedures to be performed are planned before the surgery, designing the new shape of the chin in advance to get it conform to the general architecture of the face. After the operation, a natural and proportionate facial appearance is obtained.