It is well recognised that high cheekbones and a well-defined jawline are features of beauty and youth. Those with a receding or small chin are often unhappy with their facial profile, notably the appearance of a weak jawline and thick neck. A weak chin can also create the illusion of a disproportionately large nose and it is important to evaluate the chin when considering a rhinoplasty.
For women and men who have flat cheekbones and/or weak chin, facial profile and contour can be greatly enhanced with cheek and chin augmentation. Augmentation of these areas can also address facial asymmetry and restore balance and proportion.
Mr Karri often performs cheek and chin augmentation in conjunction with facelift.
Chin Augmentation (Genioplasty)
Altering the shape of the chin (also known as genioplasty) may be required to make the chin more or less prominent, change the height of the chin or correct asymmetry between the right and left side of the chin.
Mr Karri performs 3 methods of chin augmentation
- Chin implants
- Sliding or advancement genioplasty
- Fat grafting
Each method has pros and cons and during your consultation with Mr Karri, he will explain which method is most appropriate for you depending on your anatomy and aesthetic goals.
In this procedure, a silicone implant is placed in front of the chin bone. The pocket in which the implant sits is created by making an incision inside the mouth or through the skin below the chin.
The most obvious advantage of making the incision inside the mouth is that there is no visible scar. The advantage of making the incision under the chin is that optimal placement of the implant is easier to achieve.
Although chin implant surgery is easier to perform than sliding genioplasty, implants should not be considered lifetime devices and the long-term appearance is less predictable than sliding genioplasty.
Chin implants are available in a variety of shapes and sizes and prior to surgery Mr Karri will determine which one is most appropriate for you.
Sliding or Advancement Genioplasty
In this procedure, a small incision is made inside the mouth to access the ‘chin bone’ which is then cut horizontally. The resulting bone segment is moved forward and held in place using a small metal plate or wires. Moving the bony chin in relation to the rest of the jawbone results in a change of the chin contour.
This method of chin augmentation is particularly suited for patients who require both horizontal and vertical lengthening of the chin.
To calculate the correct degree of advancement required, special x-rays of the jaw are performed prior to surgery.
In this procedure, fat is injected into specific areas around the chin. This method is ideal for correcting ‘witch’s chin’ deformity (as shown below) or specific areas of soft-tissue atrophy.
Examples of witch’s chin deformity
Deflated cheekbones are a common sign of ageing and restoring their volume either with implants or fat grafting, can create a youthful, balanced facial profile.
Cheek augmentation using fat is by far one of Mr Karri’s most popular procedures. Fat grafting allows precise placement of fat to contour and volumise the cheekbone. For some patients, a combination of fat grafting of the cheekbones and lower eyelid-cheek junction, has a powerful rejuvenating effect on the midface.
Cheek implants can be inserted through an incision inside the mouth or through an incision in the lower eyelid, just below the eyelashes. Cheek implants can also be used in conjunction with facelift, inserted using the facelift incision.
How Long Will I Need to Stay In Hospital?
Following implant surgery, most patients return home the same day but with sliding genioplasty, an overnight stay is recommended.
Am I Good Candidate for Chin / Cheek Augmentation?
The best candidates for a chin / cheek implant are those who;
- Require enlargement of a small or recessed chin to improve facial proportions
- Require lengthening of the jaw to improve the neck-jawline angle
- Require enhancement of deflated cheeks
- Are generally healthy and do not have a medical condition that could impede healing
- Do not smoke
- Have realistic expectations of the results and willing to follow all pre-op and post-op instructions
What Will Chin / Cheek Implants Not Do?
Although cheek/chin implants can produce a dramatic change in facial contours, they do not stop further loss of volume from the face as ageing continues.
As with any surgical procedure, risks should be considered, and the decision to undergo calf implant surgery should not be made hastily. Risks include;
Scars / poor scarring – in the vast majority of patients, the incision behind the knee heals very well. In some patients however, the scar may become red, raised or asymmetric (appear different on each leg.
Bruising and swelling – bruising and swelling is expected but rarely, can persist for several weeks.
Bleeding and haematoma formation – it is possible, though unusual, to experience a bleeding episode during or after surgery. Should post-operative bleeding occur, emergency treatment may be necessary to drain the accumulated blood.
Infection – should an infection arise then treatment with antibiotics or further surgery may be necessary. The risk of infection is rare.
Delayed wound healing – the incision made in the crease at the back of the knee may take longer than expected to completely heal.
Asymmetry – there is always a risk of asymmetry whenever surgery is performed on both sides of the body. It is important to understand that nearly everyone has some pre-existing asymmetry e.g. the right calf muscle (gastrocnemius) may be naturally larger than the left.
Altered sensation– one should expect some altered sensation around the legs and this will usually resolve by 6-12 weeks after surgery.
Implant displacement – displacement of the implants can occur in the early post-operative phase. This is prevented by avoiding pressure on the legs or excessive movement.
Capsular contracture – a thick scar may form around the implant, distorting the shape and causing pain.