Implanting chin fillers will give your face a more symmetrical appearance. It can be done under local anesthesia, and there are no stitches or scars to deal with afterward. Have you ever looked in the mirror and not liked what you see? If so, chin implant therapy is an option worth considering.
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Is chin implant worth it
Also called mentoplasty, chin implant surgery can enhance the lower face in a variety of ways. It can:
- Increase the chin’s size. “A chin implant can add vertical height, lateral (side) augmentation, projection, or it can be customized to add more laterally than centrally,” says Dr. Mike Majmundar, a facial plastic surgeon in Alpharetta, Georgia.
- Improve the definition of the jawline.
- Enhance a weak chin (microgenia).
- Create better facial harmony and balance.
- Reduce a double chin caused by a small chin bone (especially when combined with chin or neck liposuction, to remove excess fat).
Some patients opt to combine this procedure with rhinoplasty (a nose job) or jaw implants, reshaping their entire facial profile.
What are the pros and cons of a chin implant?
- RealSelf members give chin implant surgery an 85% Worth It Rating, and studies show that 85–90% of patients are satisfied with their results.
- Chin augmentation balances facial features, creates more jawline definition, and reduces a double chin.
- The implant size and shape can be customized to your anatomy and desired result.
- This relatively quick outpatient surgery is typically performed under local anesthesia.
- Chin implant scars are usually unnoticeable, since the incision is hidden under the chin or in the mouth.
- Results are considered permanent, though the implant can be easily removed if you ever decide you don’t want it.
- Some RealSelf members say they had more discomfort during recovery than they expected.
- Patients may feel a tightness in their chin for about three weeks while their skin adjusts to the implant.
- It can take up to three months to see your final results, due to swelling. Some female RealSelf members say their jawline looked masculine until the swelling subsided.
- Possible side effects include infection, implant shifting, and (rarely) bone remodeling.
Who makes a good candidate for chin implant surgery?
Good candidates are nonsmokers in good health who want a stronger, more defined chin and jawline.
“Patients whose chin profiles are weak but who have normally functioning jaws are good candidates for chin augmentation,” says Dr. Larry S. Nichter, a plastic surgeon in Newport Beach, California. “Many of these candidates have already used injectable fillers in the past, to strengthen the protrusion of their chins, but are looking for a permanent solution.”
Your facial plastic surgeon will assess your facial skeletal and tissue structure at your initial consultation, evaluating not only the shape of your face but also your teeth, for aesthetic and medical reasons. They’ll also ensure that you’re not allergic to any components of the implant.
This procedure isn’t recommended for children under the age of 16 (they’re still growing, so their chin may change) or elderly patients with significant bone loss in the area.
Is chin implant surgery safe?
When it’s done by an accredited, board-certified facial plastic surgeon, chin implant surgery is considered safe. That being said, any surgery carries risks such as hematoma, bruising, scarring, and side effects from anesthesia.
A study from 2013 notes that the most common chin implant risks include infection, swelling, and implant migration (where the implant shifts), while a 2018 study warns of possible bone remodeling and resorption.
Your surgeon should explain these risks during your consultation.
THE PROBLEM WITH CHIN IMPLANTS.
Chin implants are typically used in chin surgery (genioplasty) to improve a “weak” or nonexistent chin, or within the context of Asian V-Line surgery. The popularity of chin implants has grown over the last few years and has become one of the fastest growing procedures in plastic surgery. Unfortunately, chin revision surgery (revision genioplasty) is also one of the most popular revision surgeries we perform due to the often unsatisfactory results or resultant medical complications of using chin implants.
CHIN IMPLANTS ARE PROBLEMATIC AND OFTEN CAUSE COMPLICATIONS.
Although chin implants are an option in some cases, and occasionally used, we believe that placing a foreign object (an implant) into your own body is counterintuitive and often problematic when there are much better ways to reshape and augment the chin.
Often chin implants are placed by inexperienced or unskilled surgeons and sold to the patient as an “inexpensive” or simple solution. This, of course, is so often untrue, due to the frequency of need for chin surgery revision procedures! Instead of one operation, the patient needs another one — often at an increased cost because a secondary procedure is always more complex than a primary one — not to mention the suffering, stress and mental anguish over the first, failed procedure.
CHIN IMPLANTS OFTEN CAUSE COMPLICATIONS, WITH THE MOST COMMON BEING:
- The implant shifting from its original location,
- The implant eroding into the roots of the anterior teeth,
- And, most commonly a squaring of the chin which in females, in particular, can have an undesired masculinizing effect that is altogether unsatisfactory.
It is our belief, that a far better option in our experience, is to reshape the underlying skeleton or foundation of the chin by altering or repositioning the bone. In fact, there are several non-implant options for genioplasty surgery: the chin may be moved forward, down, centered, widened, or narrowed — depending on the desired outcome. In these cases, outcomes are improved because there are more “degrees of freedom” for the surgeon to reshape the chin into an aesthetically pleasing shape that is in harmony with other facial features.
THE RISKS, COMPLICATIONS AND SIDE EFFECTS OF CHIN IMPLANTS.
Apart from the obvious risk of choosing an unskilled or inexperienced surgeon to insert a chin implant – that the aesthetic result will not be a satisfactory one – there are several other serious medical complications and side effects to be aware of:
- Damage to the marginal mandibular nerve — leading to permanent loss of movement in the lower lip
- Damage to the mental nerve (a sensory nerve which provides sensation to the front of the chin and lower lip as well as the buccal gingivae of the mandibular anterior teeth and the premolars)
- Implant is placed in the superficial tissues — not under the periosteum (the dense layer of vascular connective tissue enveloping the bones) leading to implant movement under the skin
- The wrong sized chin implant is used resulting in a chin looks out of sync or inharmonious with other facial features
- Injury or damage to the teeth, gums, or surrounding nerves
- Permanent loss of sensation, and/or scarring.
- Slow healing, infection, or internal bleeding leading to removal of implant
- Inadvertent masculinization of the female chin
- Unsightly deepening of the labiomental crease (the deep groove underneath the lower lip)
How Painful Is A Chin Implant?
A chin augmentation at lake norman oral and facial surgery or implant is a procedure that increases the size and shape of the chin. The procedure is typically completed using an implant, however, a chin augmentation can also be performed adjusting the bones of the chin.
When a patient’s profile is viewed, the projection of the chin plays a critical role in balancing out the forehead and nose. A smaller chin can the nose the appearance of being large. Conversely, a larger chin can give the nose the appearance of being smaller. From the front, a short or small chin gives the face the appearance of being top-heavy.
It is common for a surgeon to perform a chin implant on its own. Some patients, however, chose to have the procedure done alongside other surgeries. Patients who receive a chin implant rarely come to the surgeon specifically requesting the procedure. They may come with the complaint that their jawline or neck looks weak in their profile. They may also think that their nose looks out of proportion for their face. Determining the issue with the patient’s chin often occurs at the consultation. Many patients who receive chin augmentation also want to have a facelift or a neck lift. Some patients who have a double chin will also receive liposuction of their neck. In addition, some patients who initially visit the plastic surgeon to treat a bump on their nose, end up having their nose done along with the chin.
Chin Augmentation And The Appearance Of The Neck
When the projection of the chin is increased, the neck has the appearance of being more angular, leaner, and more youthful. Some patients who initially believe that they need a neck lift, are better suited for a chin implant. This can either be performed alone or in addition to a neck lift procedure. As the skin of the neck is distracted forward even slightly by a chin implant, the skin underneath the jaw becomes tighter.
The chin plays an important role in giving the face symmetry and balance. While men who have stronger and squarer chins are considered more attractive, a symmetrical and balanced chin is important for both men and women. People who have weak chins do not appear as healthy, fit, or energetic. Strong chins give patients a better overall appearance and improve their self-confidence. The role of the chin in balancing the nose and forehead are critical in achieving ideal facial proportions.
The nose and the chin both balance on top of the lips. A large nose can make an otherwise normal chin look small and a small chin can make an otherwise normal nose appear too big.
Chin Augmentation Anesthesia
Chin augmentations is typically performed using local anesthesia, local anesthesia with IV sedation, or under general anesthesia. Even though the patient does not actually experience pain, it can be unnerving to feel the implant being placed along the jawbone during surgery. A majority of chin augmentation patients undergo the surgery under a light general anesthesia. Patients typically wake right up immediately after the procedure and do not experience nausea or other side effects from the anesthetic.