Chin augmentation can be performed with chin implants and prosthesis. In Turkish society, one in every four patients who have problems with their nose also experience a number of problems with their chin. In the case of a receding chin where the chin projects backwards, a sliding genioplasty where the jawbone is slid forward, can be performed. These are genioplasty applications and can be performed by a qualified plastic surgeon successfully.
These types of applications are slightly different. In some cases, the problem with the jaw lies in the lower jaw (mandible), and in others, both in lower and upper jaws (mandible and maxilla). Therefore, an X-ray is taken to establish a diagnosis. An orthodontist makes a number of planning and determines whether the problem lies in the maxilla or mandible. However, patients who will have a chin enhancement surgery may not need such a major operation. If the problem is less complicated and more cosmetic, it can be eliminated in a much simpler way with only interventions to be made to the chin, without the need for a major surgery. For this purpose, chin enhancement fillers can be used to augment the patient’s chin.
This application is planned according to the expectations of the patient. In addition, fat transfer to the patient’s chin, i.e. fat grafting can also be applied. If the problem is more complicated, a silicone or a porous-bony material called Medpor is placed on the patient’s chin through an incision made inside the mouth or under the chin. In our center, this procedure is performed very quickly and safely with an intra-oral incision. In this way, it is possible to enhance the chin by moving it forward and slightly downward through a small intra-oral incision to achieve a more shapely and defined contour. Such procedures are performed in 20 to 25 minutes. Patients who seek to have a chin augmentation, go through a very comfortable and fast recovery period. Patients who are going to have such an operation should not take any blood thinners such as aspirin before the surgery and should be fasting on the day of the surgery. Chin augmentation is performed under general anesthesia and has a fast recovery period.
Patients do not experience post-operative pain and can quickly return to normal life. After the surgery, the patient uses only an oral antiseptic and can continue their normal life with the exception of switching to liquid food for the first few days. Patients perceive a drastic change in their facial features. With the help of this procedure, a round-shaped face is replaced with an oval V-shaped appearance and the patient’s chin gains a fuller appearance. And in this way, the problem in this area is reduced or eliminated.
When is a Chin Augmentation Surgery Considered?
A gummy smile, i.e. excessive show of upper teeth or gums when smiling, or misaligned upper and lower teeth when the mouth is closed, might be indicative of jaw deformities. Patients can undergo a genioplasty for aesthetic concerns as well as for the solution of health-related problems such as difficulty with chewing. It is a surgery preferred to get rid of the negative effects of the following conditions on daily life;
- Difficulty with chewing
- Large or small chin
- Protruding or receding chin
- Excessively pointy or square chin
- Congenital crooked jaw structure.
A crooked jaw structure can cause the patient to experience problems such as sleeping with mouth open, dry mouth, and gum diseases.
If this crookedness is visible from the profile, it can create a displeasing appearance. However, it is difficult for the patients or the ones in their close circles to recognize the source of the problem. A medical examination is essential to determine the source of the complaint correctly.
Why Do Patients Seek to Get a Chin Augmentation?
Chin augmentation is performed to achieve a youthful appearance and proportionate facial features, and to eliminate congenital jaw problems. The deformities in the jaw structure have a significant impact on the facial appearance. A small jaw may cause the face to appear larger or longer than it is, or depending on the individual’s facial structure, it may cause the face to look shorter or smaller. Jaw deformities can give a crooked look to the face. The ideal size for the jaw varies for men and women. In men, the jaw structure is slightly more pronounced, while in women, it is smaller in size and slender. In order to eliminate the jaw deformities, a chin augmentation surgery is performed. There are 2 different reasons for the application of chin augmentation. It is applied to individuals who experience bite and chewing problems due to deformities in the maxilla or mandible. This may lead to general oral problems, causing the patient to sleep with their mouth open at night. Another reason for the patients to seek to get this procedure is to have a more aesthetically-pleasing contour. When the upper teeth or gums are excessively prominent, it indicates a problem in the maxilla. If the lower teeth do not align with the upper teeth when the mouth is closed, it indicates a problem in the mandible. Patients who seek to get a chin augmentation procedure, usually have a receding or protruding chin.
Types of Chin Augmentation Procedures
Some structural problems may occur in the jaw area. In such cases, a genioplasty is applied to slide the chin forward or backward to bring it into prominence. The procedure is in great demand as it is a very practical and effective method. Before the surgery, the patient is examined to see whether they have a chewing problem and the operation is performed accordingly. Correspondingly, there are 5 types of chin augmentation surgeries.
- Genioplasty: It is performed under general anesthesia. No surgical scars are left.
- Mentoplasty: This is a type of surgery that varies depending on the patient’s jaw structure. This surgery should be customized to the patient’s facial structure. The application is determined depending on the structures of the mandible and maxilla.
- Chin reduction surgery: It is the procedure to eliminate the deformities of the jawbone. It is the most appropriate method applied to smooth out the deformities in the jaw and to get rid of the excess tissue in the tip and sides of the jaw.
- Fat transfer to the chin: It is applied to problem areas with reduced tissue volume. It is a quite safe procedure and gives long-lasting results. In this procedure, the fat is harvested from a part of the body and transferred to the targeted part.
- Non-surgical chin augmentation: It is the most commonly used chin augmentation method. With the help of this procedure, the tip and sides of jaw is augmented with dermal fillers. It is the ideal procedure for patients who do not wish to undergo a surgery. The results of this procedure last approximately 2 years. Fat transfer can be considered for patients who wish to extend the longevity of the results.
How is Chin Augmentation Procedure Performed?
A specialist in orthodontics and a plastic surgeon who specializes in genioplasty can perform chin augmentation procedures. First, the teeth must be aligned with the jaw. Depending on the patient’s problem, the surgery can be performed only on the mandible or the maxilla or on both at the same time. The procedure is performed under general anesthesia.
Chin augmentation procedures are divided into 2 categories:
- Orthodontic operations
- Orthognathic operations
Orthodontic treatment is also known as “dental brace treatment”. This form of treatment may not give the desired results in patients with advanced jawbone problems. Orthognathic operations are more comprehensive surgeries. They have longer recovery periods. The maxilla and mandible measurements of the patient are taken prior to orthognathic surgery. Based on these measurements, the shape to be modeled is determined. Prosthesis and implants can be used to enhance small jaws. The implant with an appropriate size that fits the patient is placed in the targeted area on the jawbone through an intra-oral incision. On the other hand, the area that lacks volume can be filled with fat transfer. In chin augmentation procedure, the operative time varies depending on whether the operation is performed on a single jaw or both. Chin reduction can also be applied to remove the deformities in the jawbone. It is a method preferred to remove excess tissue from the sides of the jaw. Operative time of this procedure is 1.5 to 3 hours.
Recovery Period After Chin Augmentation
There will be swelling and pain after the surgery. This pain is relieved by the medications prescribed by the doctor. The patient should consume liquid food during the recovery period. The recovery period of mandibular surgeries is 3 to 4 days. In other orthognathic operations, the recovery period lasts 2 to 3 weeks depending on the surgery. Full recovery takes longer.
What is the Age Limit for Jaw Surgeries?
The lower age limit for jaw surgeries is 18 for male patients and 17 for female patients. However, in unexpected circumstances such as injuries, surgery can be performed regardless of the age limit.