When the chin projection is poor or “weak”, chin augmentation itself will improve the patient’s profile. Chin augmentation can create favorable changes in the patient’s overall skeletal profile. This will aid in the appearance of other aspects of the anatomy by producing better balance and harmony in the facial appearance. Many times chin augmentation will contribute to overall balance and harmony when combined with rhinoplasty surgery. Similarly, the correction of the skeletal profile will enhance the result produced by a facelift or neck lift.
It is not unusual that during consultation, Dr. Fedok may recommend that his patient undergoes chin augmentation. This may be recommended as an essential aspect of many kinds of facial surgery including rhinoplasty or a facelift. This occurs because Dr. Fedok does not consider the face by only considering isolated facial features, but by considering how each feature makes up the entire facial anatomy and appearance. In evaluating each aesthetic proportion of the face, he can appreciate its contribution to your overall look.
The ideal candidate for chin augmentation is someone with a weak or underdeveloped chin, asymmetry, or facial imbalance. In addition, you need to be in good health and have realistic expectations. Occasionally, Dr. Fedok will recommend consultation with an oral surgeon who is trained to align the whole jaw and teeth. It may be that more is required than simply augmenting the chin. In general, when looking at your profile in the mirror, the chin should approximate the imaginary vertical line drop from the edge of the lower lip. Many patients desiring rhinoplasty or other facial procedures are unaware that their chin is relatively small or out of balance with the rest of their face.
With these benefits, you may find that chin augmentation is the right choice for you!
The material used to build up the chin is a medical-grade synthetic implant. This implant is used to increase the skin projection by supporting the soft tissue overlying the mandible (lower chin/jaw bone). This type of material has been widely accepted by surgeons because of its years of proven success and safety. Within a short time following surgery, the implant becomes incorporated into the tissues and acquires nearly the same consistency as the surrounding tissues. For a majority of patients, the surgery is performed under “twilight” anesthesia.
Normally, Dr. Fedok places the implant through an incision designed under the chin since submental fat removal or a neck procedure may be performed at the same time. The vast majority of patients remark that over time the chin implants feels and looks like their native tissue.
Alternatively, some patients may be better served by the performance of a genioplasty. In this procedure, a small portion of the chin bone is advanced forward and secured in place. Dr. Fedok may refer you to an oral surgeon if this is needed.
After surgery, a dressing may be placed around the chin, overlying some tape, until the morning following surgery. At that time, the dressing is removed.
In chin augmentation, as in any surgery, such elements as infection, rejection of the implant, paresthesias (sensations of prickling, tingling or creeping of the skin), and swelling can occur, and a patient must be willing to accept these risks. However, the procedure carries a very high rate of success and adds the finishing touch in reconstructing facial harmony. The results are often dramatic and very gratifying for the patient.