Frequently asked Questions
Q1.What is a chin augmentation?
A1.A chin augmentation is a procedure that increases the projection of the chin as well as the height of the chin. It is usually done with an implant, but a chin augmentation can also be done by moving the bones of the chin.
Q2.Why would someone get a chin augmentation?
A2.When viewed in profile, the projection of the chin plays a very important role in balancing the forehead and nose. A small chin can make a nose look large; a large chin can make a nose look smaller. In the front view, a short chin results in the face looking "top-heavy".
Q3.Is it obvious when someone has a chin augmentation?
A3.A chin augmentation is a very common procedure. When was the last time you saw someone and thought they had a chin implant? While plastic surgeons may overdo breast implants, the same probably cannot be said about chin implants. The results of a chin implant are subtle but profound.
Q4.Will a chin augmentation change the appearance of my neck?
A4.By increasing the projection of the chin, the neck looks more angular, lean, and
youthful. Some patients who think they need some sort of a neck lift really are best served with a chin implant, either alone or with some type of a neck lifting procedure.
And as the neck skin is distracted forward even a little bit by a chin implant, there is a greater amount of tightness noted in the skin underneath the jaw.
Q5.Why does a chin implant make such a big difference in appearance?
A5.The chin plays a critical role in setting up balances in the face and in the neck. While
men are typically considered more attractive when their chins are stronger and squarer than the chins in women, an attractive and balanced chin is important for both genders. People with weak chins simply do not look as healthy, fit, and energetic. A strong chin creates a greater appearance of strength and self-confidence. Its role in balancing the nose and forehead are very important in creating ideal facial proportions.
Q6.Can a chin implant move?
A6.Once everything has healed, a chin implant will stay in position. But sometimes in
the early weeks after surgery and before everything has completely healed, the chin implant can move out of position. This is very uncommon, but correcting it does require returning to the operating room to put it back into position.
Q7.If I don’t like my chin implant, can it be removed?
A7.Yes it can be removed by a simple procedure.
Q8. How long does a chin implant last?
A8.A chin implant never needs to be replaced. Unlike a breast implant, a chin implant is
solid; there is nothing to leak out of it. Most people have one chin implant and it will last them a lifetime.
Q9.Are the results of a chin augmentation permanent?
A9.The chin will look augmented as long as the implant remains in place.
Q10.What material is a chin implant made out of?
A10.Most chin implants today are made out of solid silicone. Implants have also been
made out of GoreTex as well as an artificial bone. But those are rarely used, if at all.
Q11.Are there different shapes of chin implants?
A11.There are many different shapes of chin implants. Some wrap widely around the
jaw bone and others are very narrow and only project at the very front. Chin implants can be thin, augmenting only along a narrow area, or they can be tall. And they can wrap around the jawbone to varying degrees. They can have more of a pointy shape or a square shape.
Q12.What is a sliding genioplasty?
A12. A sliding genioplasty is an operation in which the jaw bone is cut and the lower portion is slid forward and held into place with screws. It is an alternative to a chin implant.
Q13.Is a sliding genioplasty better than a chin implant?
A13.A chin implant mostly increases projection. It can only increase the height of the
chin by a small amount. But a sliding genioplasty can increase the height by as much as is necessary in addition to increasing projection. It also does not involve any sort of implant. But it is a bigger operation.\
Q14.What kind of anesthesia is necessary for a chin augmentation?
A14.The vast majority of chin augmentation patients opt to do it with a light general
anesthesia. The anesthesia is short-acting, so patients wake right up after the procedure and do not develop nausea or other similar anesthetic issues that day.
Q15.What incision is used for a chin augmentation?
A15.A chin implant can be inserted through an incision inside of the mouth or under
the chin. While it is attractive to hide a scar inside of the mouth, the under the chin incision is essentially invisible, and more people than not have a small scar there anyhow from a fall as a child and will tell you that the scar is never noticed. The key point is that the underneath incision gives the surgeon clearer visualization and probably less pain. When using longer implants that taper gradually out to the sides, insertion can be problematic from the mouth. The mouth incision also involves working around nerves that supply sensation to the lip, and stretch injury to those is less common with the underneath incision. It is also important to reduce bacterial contamination of any type of implant because of infection concerns, and the underneath incision reduces that risk.