Chin
Augmentation (shaping/implants)
A balanced bone structure is the framework for ideal beauty. Facial implants
are typically used to create the desired balance to the existing features of
the face. It is also used to correct asymmetries and congenital defects. The
most frequent types of implant procedures are performed in the cheek and chin
area. A chin implant may enhance the overall contour of your face. The use of
synthetic implants or reshaping is a safe and effective means of augmenting various
regions of the face to achieve a more youthful and attractive appearance. The
implants are made out of both solid and semi-solid materials that have been used
successfully for years. Chin augmentation is often performed in conjunction with
other procedures, such as a rhinoplasty, facelift or cheek augmentation to improve
the overall balance between the chin and other facial features.
 
How
is chin augmentation performed?
Chin
shaping can be performed with the implant inserted either through
a tiny incision underneath the chin, or through an incision inside
the lower lip. Your surgeon will explain prior to your surgery
which incision will be better for you. After the incision is
made, a small pocket will be created beneath the skin, fatty
tissue and muscle to hold the implant securely against the jaw.
If your incision is made inside the lower lip, it is closed with
dissolving sutures (stitches) that do not need removal. There
will be no visible scar. If your incision is underneath your
chin, regular sutures (stitches) will be used and are generally
removed within one week, leaving a barely noticeable scar. Usually,
the chin is taped after surgery to minimize swelling and discomfort.
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How
long does chin augmentation take?
Chin
shaping can take about one hour to perform.
What
type of anesthesia is used?
Chin
shaping is usually performed using local anesthesia along with
a light sedative to make you feel drowsy and relaxed. If you
are having additional procedures performed, you will receive
general anesthesia, which will cause you to be asleep during
the whole procedure.
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Where
is the procedure performed?
Chin
shaping is usually performed in a surgeon's office-based surgical
suite, an outpatient surgery center, or a hospital.
When
can I return home and resume normal activities?
Chin
shaping is done on an outpatient basis. However, it is necessary
that you have someone to pick you up after the procedure, take
you home and stay with you for at least 24 hours. Most individuals
return to their usual activities in one week.
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How
do I prepare for chin augmentation?
During
your initial consultation, your surgeon will discuss the changes
that you would like to make to your appearance. Since the appearance
of your chin is a matter of personal perception and preference,
you will need to discuss your concerns in detail so your surgeon
can determine the appropriate alternatives. Your surgeon will
evaluate and assess the position of your chin to determine facial
symmetry and balance. Your surgeon may also point out other problems
areas. For example, most people who consider chin augmentation
may also be a candidate for rhinoplasty, or cheek augmentation,
in order to create a more harmonious appearance. You also should
make arrangements ahead of time for someone to drive you to and
from your procedure and to assist you with your daily activities
during your recovery period.
Prior
to your surgical procedure, the surgeon will perform a complete
health history and physical. Knowledge of your allergies, medications
and previous surgeries should be brought to your surgeon's attention
at this time. Smoking cessation is advised for at least three
week prior to and two weeks after your surgery. Smoking inhibits
blood flow to your skin and may delay the healing process of
your incision areas. Specific instructions to assist you in preparing
for this procedure will be given to you after the health history
and physical is complete. Depending on your individual health
status, the instructions may include guidelines regarding your
diet, alcohol intake, smoking and which medications to take or
avoid. Your experience will be much smoother if you remain compliant
with your surgeon's instructions.
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When
can I return home and resume normal activities?
Chin
shaping is done on an outpatient basis. However, it is necessary
that you have someone to pick you up after the procedure, take
you home and stay with you for at least 24 hours. Most individuals
return to their usual activities in one week.
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What
are the possible complications after chin augmentation?
As
with any surgical procedure, small sensory nerves near the surface
of the skin may be interrupted and consequently, you may feel
some numbness or have less than full feeling. Sensibility returns
over several months, but some diminished feelings may last indefinitely.
Facial nerve injury with weakness of a part of the face can occur
on a transient or permanent basis, however is very rare. Other
complications not listed here, can occur but are exceedingly
rare. The shifting or imprecise of positioning of an implant,
or an infection around it, could require a second operation or
removal of the implant. Rarely, excess tightening and hardening
of scar tissue around an implant can cause an unnatural shape.
It is always important to be informed about the possible complications
before any surgery. Be sure to discuss any concerns you may have
with your surgeon.
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What
results can I expect after chin augmentation?
Upon
awakening from the anesthesia, you may experience some pain that
will be relieved with medication. If you experience continued
discomfort, you will be given additional pain medication. During
the healing phase, particularly during the first three to seven
days, your activities and diet will be restricted. Your ability
to smile and talk will be limited at first. Give your face an
opportunity to heal and you will be rewarded in time. You may
not be able to accurately evaluate your newly shaped chin for
several weeks or months. Give yourself the opportunity to get
used to your new look. Surprisingly, others may not even recognize
that you have had a procedure; they just think you look better,
more refreshed. Be sure to address any questions or concerns
about this procedure to your surgeon immediately.
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