Chin Augmentation – Chin Implant – Fort Worth, Texas
A strong chin is considered cosmetically pleasing, but in some people the chin is small or retruded, or “weak.” Chin augmentation can improve the overall balance of your face by bringing the chin in line with your other facial features so that it does not appear small or retracted. Recessed chins can be seen in a variety of medical conditions and is also evident in many normally developed people. People with prominent noses and shorter necks often seek chin augmentation surgery to improve facial harmony.
Dr. Kirby will examine your facial structures to help you determine which procedures are right for you. Procedures commonly performed with chin augmentation include rhinoplasty, neck liposuction, neck lift, and cheek augmentation. Occasionally, the jaw and tooth relationship is off and may require consultation with an oral surgeon prior to cosmetic surgery. Fillers can be used to temporarily correct the chin to see if the results are pleasing prior to planning surgery.
What type of implant will I have?
Surgical enhancement of the chin can be performed several different ways. An augmentation procedure utilizes artificial implants placed above the bone in the chin. There are several types of implants available and the choice will depend on your specific anatomy. The main types of implants used are Medpor (porous polyethylene) and silicone chin implants.
Alternatively, the bone of the chin can be cut and repositioned to a more pleasing position without the use of an implant. This is called a sliding or advancement genioplasty. The bone is secured using titanium.
What kind of anesthesia will I have?
Chin augmentation is performed under intravenous sedation or general anesthesia. The choice will depend on your specific surgery and any other procedures performed at the same time.
Where will my incisions be?
The procedure can be performed through an incision in the mouth or under the chin. A pocket is created above the bony surface of the chin to insert the implant. The implant is positioned and is stabilized using a screw that provides stability to the implant during the healing phase. The screw is left in place permanently. The size of the implant and the amount of augmentation is decided ahead of time during consultation with Dr. Kirby. Sliding, or advancement, genioplasty is performed through an incision inside the lower lip. The titanium is left in place permanently to secure the new position of the chin. This will help to provide a natural balance and proportion to your face.
How long is the surgery?
This procedure usually takes approximately one hour, but will depend on your specific surgery plan. Chin augmentation surgery alone is performed as an outpatient. You will be able to return home several hours after your procedure on the same day.
What are the risks?
Incisions located inside the mouth usually heal without problems. These incisions should not be visible. External scars typically heal well also, hidden under the chin. The scars are rarely problematic. Nevertheless, you should be aware that all scars are permanent and their height, width and final color are unpredictable. As with any surgical procedure, small sensory nerves to the skin surface may be cut when the incision is made or when skin is lifted. Parts of your face will feel numb or have less than full feeling. The sensation in these areas gradually returns, usually within 2 to 3 months as the nerve endings spontaneously heal. During the healing process the skin of the face may become hypersensitive for a period of time. Some diminished sensibility may last indefinitely. Other possible complications of surgery include infection, shifting of the implant, bleeding, asymmetry, and nerve injury.
How do I prepare for surgery?
Prior to any procedure, it is necessary to review medications you are taking that may affect your surgery. You may be asked to stop or adjust some medications you are on. As always, it is important to include supplements on your list of medications. Aspirin and aspirin products (Alka-Seltzer, Carisoprodol, Excedrin, Goody’s, Midol), anti-inflammatory medications (except acetaminophen, or Tylenol), and herbal supplements must be avoided for 10 days prior to your surgery. For more details about which medications and supplements to avoid, click here. Dr. Kirby will discuss your medications with you.
Depending on your medical condition, you may be asked to get lab testing or a medical checkup prior to your surgery.
Tobacco products impair your body’s ability to heal. You will be asked to stop smoking for 6 weeks prior to any surgery. Tobacco step-down products such as chewing gum and Nicoderm continue to provide your body with tobacco and must be stopped as well. Please ask Dr. Kirby if you will need assistance with quitting.
Be sure to arrange for a responsible adult to drive you to and from your surgery. You will need someone to stay with you the night following your surgery as well.
You will receive specific instructions for your surgery day from Dr. Kirby’s office.
What is my recovery from surgery like?
There is minimal discomfort associated with chin augmentation. There will be a moderate amount of swelling around the chin area with associated numbness of the chin for a few days. The swelling typically peaks at 48 to 72 hours after surgery and then starts to subside. Crushed ice applied to the chin will help during this time. Most of the visible swelling will disappear by about 2 weeks. There may still be a feeling of numbness, which means that some swelling is still present. It will take several weeks before the last bit of swelling has resolved. You should not sleep on your face for at least 6-8 weeks following surgery. Oral pain medication is used to control your post-operative discomfort.
The incisions in the mouth are closed with stitches that dissolve. You should be able to brush your teeth after surgery but be sure to turn the toothbrush vertically and watch yourself brush each individual tooth to make sure you do not disrupt the fresh gum line incision. Your diet should be liquids (juices, milk, shakes, broths, etc.) the first 24 hours then you may start a soft diet. You should not eat foods that are hard or sharp (chips, Doritos, etc.) for 6-8 weeks after surgery. Mouthwash and antibiotics are routinely prescribed. A chin dressing or tape may be placed around your chin after surgery