The average cosmetic patients, when trying to identify problems on their face, most cases focus on the problems around the nose, eyes, reduced skin tone, etc. However, with most patients, the problem seems to be on the lower third of the face, which consist of the lower lip and chin.
In general, when looking at one’s profile in the mirror, the chin should approximate the imaginary vertical line drop from the edge of the lower lip. Many patients desiring rhinoplasty are unaware that their chin is small or out of balance with the rest of their face. Of course, there are individuals who require chin augmentation, but also have no need for rhinoplasty surgery.
Doctor Akbari ‘s approach to chin reduction surgery typically involves a combination of reduction of the boney chin and soft tissues overlying the bone. The incision is hidden in a natural crease under the chin. This procedure typically involves burring down of the bone (drill) and a reduction of the soft tissue component of the chin. The underlying mentalis muscle may require shortening and special sutures are used for softening the of the chin tissues over the newly sculpted chin.
Chin reduction surgery ultimately has a transformative effect on one’s appearance and create more aesthetically pleasing proportionate features.
Chin reduction surgery improves the appearance of chin by:
• Reducing the size of large chin
• Providing a harmonious balance to your facial features
• Defining the jawline and refining the neckline
• Genioplasty: Chin Augmentation
There are two possibilities to enhance and give better definition to a chin. The first option is to relocate a bone fragment to a more forward position. To achieve this, a piece of the lower side of the jawbone in the chin region is removed and repositioned. This enables a change in the length as well as the elevation of the chin at the same time. While the bone-muscle connection is preserved in the fragment, this chin section is then firmly anchored into the desired jawbone location using a metal plate and screws.
A further option for the augmentation of a chin is to implant bone or cartilage material from the pelvic bone, for example, in front of the lower jawbone. A sterile synthetic implant can also be used to augment the chin. The implant is inserted into an incised pocket under the chin.
If you have a medical condition such as high blood pressure, it must be controlled before you can undergo this procedure. For at least two weeks prior to surgery, you must stop taking any blood-thinning medications and herbal supplements. After you have scheduled a surgery date, you will make an appointment for pre-admission testing and a physical exam. The surgery should take place within 2 weeks after the results of these tests have been returned. You will receive guidelines on eating and drinking, taking vitamins and medications, and smoking. Smoking should be stopped 2-3 months before the operation because it reduces the blood supply to tissue. In fact, some surgeons will refuse to perform elective surgery on smokers due to this risk. You should arrange for someone to drive you home from our Cincinnati offices after your surgery and to help you out for a few days if needed.
The procedure is performed in about 1-3 hours (depending on extent of enhancement) as an outpatient surgery in is performed under general anaesthesia or using local anaesthetic with sedation. A small incision is made in the natural crease line under the chin or inside the mouth where the lower lip and gum meet. If a “double chin” requires reduction, an incision is made underneath the chin for liposuction. The surgeon stretches the tissue to create a pocket for insertion of the implant or synthetic paste, which is then molded and sutured in place. If the chin size is being reduced, the bone of the chin is sculpted. Very fine sutures are used to close the incision(s). Screws or plates are not usually necessary.
After surgery, patients typically experience some temporary bruising and swelling, and a stretched or tight sensation around the chin. There is relatively little pain, which can be controlled with prescription medication. Protective dressing is worn over the chin for 2-3 days. A liquid and soft food diet is recommended for the first few days to avoid chewing. Sutures are removed within 1 week (unless they are self-dissolving sutures). Patients can usually return to work and normal activities in about 7-10 days after surgery, but should avoid any bumping or jarring of the face for 6 weeks. Most of the swelling will fade within 6 weeks, and the complete enhancement will then be apparent. If the incision was made inside of the mouth, no scars will be visible. For incisions made under the chin, the small scar is well-concealed in the natural crease of the chin and will fade even more as time passes.
• Adverse reaction to anesthesia
• Decreased sensation in lips
• Implant shifting, requiring additional surgery
• Rejection of implant by body, requiring removal