Chin Augmentation
Typical Timing/Age
19-60 years old
Problem
The primary deformity in most patients seeking genioplasty is a small, weak or receding chin. A “receded” chin can give the face a convex profile from the side. From the frontal view, a weak chin can create the illusion of a large nose.
Procedure
A genioplasty can be performed using an implant or using the existing chin bone. Chin implants are made of silicone or high-density porous polyethylene. They are placed on top of the chin bone between the bone and the overlying soft tissue. An osseous (bone) genioplasty or “sliding genioplasty” uses the patient’s existing chin bone. A sliding genioplasty is done by accessing the chin bone through an incision inside the mouth. The bone is then cut horizontally below the teeth and slid forward and/or downward into the desired location and held there with a plate and screws. Each technique has its advantages and disadvantages. Dr. Butler, Dr. Patterson, or Dr. Leveque can help decide which technique is best for you.
Goal
To improve the appearance of the chin and overall facial harmony.
Facility
Surgery Center or Hospital
Preparation
Patients should be certain that they have no future plans to get orthognathic surgery.
Anesthesia
General anesthesia in a surgery center or hospital or in the office under oral and local anesthesia.
Recovery
Hospital stay
Patients go home after surgery and do not require a night in the hospital.
Positioning
After chin augmentation, you should sleep with your head elevated above your heart for a few days to help reduce the swelling.
Assistance
You will be able to walk around, feed and bathe yourself. Depending on your pain medication requirements, you may not be able to drive or care for others.
Walking After Surgery
You are encouraged to walk around as much as possible to help reduce the risk of DVT and thromboembolism.
Showering
You may shower immediately following surgery.
Exercise
1 week for light exercise. 2 weeks for regular exercise. Avoid pressure and trauma to the chin area for 6 weeks.
Sex
Wait 1 week because you don’t want to increase your blood pressure during the early healing period.
Work
You may be bruised for 1-2 weeks. If you have a desk job you can return to work as soon as you are comfortable doing so. Most people take 1-2 weeks off work.
Swelling
Usually greatest around 3 days after surgery from which time it starts to subside. Some patients remain a little swollen for 2 months.
Bruising
Usually subsides by 1 week.
Risks & Complications
Chin numbness, asymmetry, bleeding, infection, prolonged swelling, complications related to the implant, need for revision, complications related to anesthesia.
Performed by: Dr. Butler, Dr. Leveque, Dr. Patterson
