Chin Augmentation (Genioplasty) is a procedure that reshapes or enhances the size of the chin to achieve facial harmony and chin projection. The facial profile can be balanced by extending the chin in relationship to the nose. Two different surgical approaches are available. One is an incision made in the mouth, and the other is an incision in the natural chin crease. The implant is then placed on top of the bone. It’s not uncommon to combine a chin implant with a “nose job” or a procedure on the anterior part of the neck to create a more youthful contour (like liposuction).
Dr. Caridi's Take
This is a powerful and impressive technique to enhance a small chin and facial symmetry and balance. I have had tremendous success with the POREX implants as they adhere to the surrounding tissue and bone very well and they rarely displace. Patient satisfaction is very high as long as the implant is not too large when used in females. Males who request a chin enhancement must be questioned carefully as their expectations can be very difficult to manage (often there are other issues besides a small chin). A chin implant works to change the appearance of the entire face and not simply the chin. Rhinoplasty (nose job) and chin implants work well together in many patients.
General or IV Sedation.
Risks and Benefits:
There is a risk of numbness on the chin if the nerve is compressed. This is typically temporary but in rare cases is permanent. Infection with implant removal is a possibility as is implant migration or displacement. Some patients can palpate their implant. There is some post-surgical discomfort and soreness, which is easily controlled by medication. A liquid diet may be advised for a day or two. The benefits are an enormous yet subtle improvement in your facial harmony. Profile views are in balance. Loose skin below the chin area is tightened. The neck contour looks more youthful. The mandibular border is more defined and sculpted.
Light activity can resume the same day as surgery. Return to work and usual activity is allowed within 2-3 days. Talking should be limited for several weeks to minimize movement in the area. Numbness in the area recovers after several weeks. It takes several weeks for most patients to “adjust” to the chin implant and their new look.