Chin augmentation is the insertion of biocompatible implants in order to improve facial aesthetics and bring the chin into balance with other facial features. These implants may be silicone, polyethylene, or Gore-Tex. The operation usually takes one to two hours, and is performed as either an inpatient or outpatient procedure, depending on the extent of the work that needs to be done. It is almost always done under local anesthesia.
The procedure itself is quite simple and the actual insertion of your new silicone chin only takes about half an hour. Your surgeon will make a small incision just under the chin or inside the mouth and slide the implant into place.
As an alternative to chin implants, some plastic surgeons may suggest a procedure called sliding genioplasty, or “chin advancement.” This procedure involves cutting the chin bone horizontally and rotating it to make your chin straighter. Sliding genioplasty can also make your chin longer or shorten it vertically.
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Who is a candidate?
Candidates for chin augmentation are physically healthy. They should be realistic about the range of cosmetic outcomes that are possible with the use of chin implants. They should also consider the range of other cosmetic options available which are less invasive, such as dermal fillers and Botox.
Patients who choose to have cheek augmentation typically are bothered by their facial proportions, either due to aging or genetics, and wish to improve their self-image and facial profile. They may consider their chin small, “weak,” or recessed.
Who is not a candidate?
Patients who may experience adverse reactions to general or regional anaesthesia are not good candidates.
Like other surgeries, a chin augmentation requires certain general surgery procedures such as preoperative blood testing, medications, and cessation of smoking or use of pain relievers and anti-inflammatory drugs. Going on a diet is not suggested, as changes in diet may interfere with healing. Alcohol consumption should be limited in order to reduce the risk of increased bleeding during the procedure.
Recovery is relatively quick, although there may be some swelling in the first 24 hours after the procedure. Some patients may require pain medication for the first week, but generally, patients are fully functioning and capable of performing strenuous activities after a month.
As with any surgery, there is risk of complications related to infection or reaction to anesthesia. A proper assessment of every patient, along with complete lab work, will help in the prevention of postoperative complications. After healing, scars are handled with special treatments to help in the minimization of their appearance. Chin augmentation is a relatively low-risk and simple procedure compared to other cosmetic surgeries, but proper precautions should still be taken.
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