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Chin Augmentation and Reduction

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Chin augmentation and reduction – A balanced facial appearance depends partly on the shape and size of your chin in relationship to your nose. Chin surgery can reduce (mentoplasty) or augment (genioplasty) the chin to give your face a more balanced appearance. Chin surgery is usually performed in an outpatient surgical center or hospital. The procedure may be performed under local anesthesia (sedated, numbed, and awake). For more complicated cases, general anesthesia may be used (asleep). Patients usually return home within hours of the procedure. Some patients require an overnight stay. Depending upon the extent of the case, time in surgery may be one or more hours.

To decide how to proceed, the surgeon will examine your chin and jaw, and weigh factors that could influence the outcome of surgery, such as your age, skin type, and whether you are psychologically prepared for treatment. During mentoplasty surgery, the surgeon makes an incision in one of two possible locations:

› under the lower lip inside the mouth

› under the chin in an inconspicuous location

The surgeon will then use an electrical instrument (a bone burr or a drill) to reduce and reshape the bone to create a more natural appearance. The surgeon will stitch the incision closed and apply tape to the chin area.

Genioplasty can be performed by the use of silicone implant to augment a receding chin, or by the surgical advancement of the bone itself. Once you and your surgeon decide whether to use a silastic chin implant or to advance your own bone, the incision will be chosen.

If you choose a chin implant, the incision is in one of two possible locations:

› under the lower lip inside the mouth

› under the chin in an inconspicuous location

The implant is placed in an appropriately sized pocket. Sizers are used to achieve the best appearance; then the actual implant is carefully placed and the incisions are closed.

If you choose to advance bone in the chin, the surgeon makes an incision under the lower lip inside the mouth using a powered saw with a special blade to separate the edge of the chin bone. The surgeon moves the separated chin-bone tip forward and positions it with wires or special bone plates and screws. Finally, the surgeon stitches the incision closed and applies tape to the chin area.