Part of an attractive, balanced face is a chin that is neither over-projected nor under-projected. A well projecting chin is a generally desirable trait that suggests strength and authority. An under-projected, or weak chin, can be corrected by a chin implant or by cutting and repositioning the chin prominence of the jawbone. This operation is often performed in conjunction with rhinoplasty to enhance facial harmony.
Besides a chin implant, repositioning of the chin prominence or the entire jawbone can produce a more projecting chin. In addition, the chin can be more defined by removing the fat under the chin by liposuction in St. Louis or by direct excision. Many people who want to enhance the look of their chin also may want to considering a St. Louis rhinoplasty procedure to revise the appearance of their nose. An overly large nose sometimes can make the chin appear weaker than it really is.
The initial consultation will begin at our office in St. Louis, Missouri, with a complete medical history and exam. Particular attention will be paid to your facial bone structure, teeth alignment and overall facial harmony. Click here to Request Your Consultation at Genesis Cosmetic Surgery and Laser Center.
You should tell Dr. Jones if you have other medical conditions that might make you less likely to tolerate a chin implant, such as rheumatoid arthritis, lupus or severe dental disease. You may be asked to look into a mirror and point out those areas that you would like to see improved. You should be very frank in discussing what you hope to achieve with surgery. This will help us understand your expectations and determine whether they can realistically be achieved. Other options available to you will be discussed along with risks and limitations. The location where the surgery will take place, the estimated duration of the procedure, the type of anesthesia required and the costs of the surgery will be explained. “Before and after” photographs of patients will be available for your review. Your photograph will be taken and can be viewed with the computer imaging system if you wish. You will be able to view samples of implants and see the different sizes and shapes.
You should consider this type of procedure if:
While an under-projected chin can be corrected by a chin implant or by moving the chin prominence forward, an over-projected chin can only be corrected by repositioning the chin prominence backward. In situations where the teeth do not fit together properly or there is a more severe disproportion of the facial bones, repositioning of the jawbones may be preferable to a chin implant.
Significant complications from chin implant plastic surgery in St. Louis are infrequent. Every year, many thousands of people undergo successful chin augmentation with implants and experience no major problems. However, anyone undergoing any type of surgery must be aware of both the benefits and the risks. The philosophy of Genesis is to keep you well-inside and out. For some patients with medical conditions, we may ask you to have a complete preoperative medical exam by your primary care doctor.
As with any surgical procedure, there are risks of bleeding and infection. Both of these complications are infrequent. Antibiotics are used before and after surgery to minimize the risk of infection. If an implant becomes infected, it will need to be removed. The implant can be replaced three months later. Improper positioning or shifting of the implant may require a second operation to correct. The details and frequency of occurrence of these potential problems are best discussed with Dr. Jones in person. You can help minimize certain risks by following their advice and instructions both before and after your surgery.
If you are a smoker, you will be asked to stop smoking well in advance of surgery. Certain medications, such as aspirin, anti-inflammatory drugs and many vitamins and supplements, can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. If surgery is to be performed on an outpatient basis, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery. The week before surgery, get the medications and supplies you will need after the surgery so that you will have them at home. These will be provided by the Genesis staff.
Chin implant surgery may be performed safely in an office-based surgical suite, an outpatient surgery center or a hospital. The surgery can be performed under general anesthesia-in which case you are completely asleep-or local anesthesia with sedation, in which case you remain awake, but drowsy and relaxed. You will not feel pain, but you may notice some gentle tugging.
Chin implants can be placed through incisions inside the mouth or under the chin. Dissolvable sutures are used if the incision is inside the mouth. The surgery takes one to two hours. If only chin implants are placed, patients return home after the procedure. If other procedures are combined and the surgery time lasts longer than five hours, we usually recommend that you stay overnight.
Genioplasty patient shown before surgery with receding chin. In one approach, the lower section of bone is moved forward and wired into position.
Genioplasty patient shown before surgery with receding chin.
In one approach, the lower section of bone is moved forward and wired into position.
An alternative approach involves inserting an implant between the bone and chin tissue through a short external incision under the chin or through an incision made in the mouth between the lower lip and the gum. Similarly, in some cases the cheekbones may be built up by placing an implant over them as shown.
The postoperative patient with balanced profile and slight scar under the chin.
An alternative approach involves inserting an implant between the bone and chin tissue through a short external incision under the chin or through an incision made in the mouth between the lower lip and the gum. Similarly, in some cases the cheekbones may be built up by placing an implant over them as shown.The postoperative patient with balanced profile and slight scar under the chin.
Many people are looking for a slightly fuller shape for their chin. Just a touch of additional volume can make an enormous difference, giving the face a fuller or more defined appearance.
Injected into the skin, Restylane and Perlane correct deep folds and lift the skin from the cheeks and chin, giving a new shape to the facial contours.
There is surprisingly little pain from the procedure. In fact, it is common to have some numbness of the lower lip. Of course, you will be provided with pain medication in the postoperative period. You should keep your head elevated 45 degrees for the first three days to help relieve the swelling. Cold compresses used 10 minutes every hour while awake for the first three days will help reduce swelling. Avoid a heavy compress. A Ziploc bag filled with frozen peas works well. In addition, we will prescribe supplements that will help minimize the bruising and swelling. If the implants are placed through the mouth, Dr. Jones will also prescribe an antibiotic mouthwash and antibiotics to take by mouth. There will be bruising and swelling around the mouth and in the neck, which will start to improve after three days. You may start wearing makeup within the first few days after surgery. The stitches inside the mouth will dissolve in 10 to 14 days. Stitches under the chin will be removed in seven days. Most people will face the public in a week.
You may resume non-strenuous activities within the first week. You should avoid straining, bending and lifting during the early postoperative period, the first seven to 10 days. You will be advised to wait two weeks before resuming strenuous activity and exercise. You will be placed on a liquid diet for the first few days. You will then be allowed to gradually progress to your normal diet.
Chin implant surgery is very gratifying and the most predictable way to augment an under-projecting chin. An added benefit of the chin implant is that it will also improve the neckline.
The results of chin implant surgery are long lasting. Due to the swelling from the surgery, it may take three to six months before the maximum definition is achieved. Since chin implants are made from synthetic material, it is possible that they may need to be revised in the future. However, unlike breast implants, most people do not have to have these replaced in their lifetime.