What is a chin augmentation?
Chin Augmentation is a surgical procedure performed to reshape and enlarge the chin. A chin implant may be recommended to patients having a Rhinoplasty (nasal surgery) in order to achieve desired facial proportion. The size of the chin can magnify or minimise the perceived size of the nose and help balance facial features.
Who is a good candidate?
Chin Augmentation is ideal for someone concerned about:
- Imbalance in facial features
- Prominent nose
- Inadequate chin projection
Who is not a good candidate?
Chin Augmentation is not ideal for someone who has:
- Unrealistic expectations
- Significant facial skeletal abnormalities
- Major lower jawline deficiencies and asymmetries
Dr Oates performs Chin Augmentation procedures at our government-licensed Academy Day Hospital, under a combination of local anaesthetic and twilight sedation. General anaesthetic is also available (where you are fully asleep) if requested. Chin Augmentation is a day procedure and takes approximately 60 minutes.
The incision is usually placed in the natural crease under the chin or inside the mouth. A small space is created immediately over the chin bone and an anatomically shaped silastic implant is inserted. Fine sutures are used to close the incision. The incision heals very well and scarring is rarely a problem.
How long will I need off work?
Approximately 1-2 weeks are generally taken off work by Chin Augmentation patients, depending on the level of physicality in their industry.
A stretched, tight sensation is not uncommon and will settle quickly. Normal activity, except for contact sport/exercise, can be resumed 7-10 days after the procedure. Some swelling may persist for up to 6 weeks. Skin coloured tape is used to help minimise swelling over the area for approximately 3-6 days. Sutures are removed 6 days post-op and a soft diet is recommended for the first few days.
Is there discomfort?
There may be mild to moderate discomfort due to the swelling, which can be managed with Panadol or Panadeine Forte.
Pre and post operative care
Your pre and post operative care is managed by our registered nurses and includes pre-operative assessment and post-operative wound management.
Risks and complications:
Chin implants are inserted via a small incision under the chin. It heals very well and most people already have a scar there from childhood trauma. It is possible to place the implant via an incision in the mouth, but there is a slightly higher rate of complications (malposition or changing the shape of the lower lip).
Overall risk of infection is low, however any foreign object placed in the body runs the risk of infection, with the highest risk being at the time of placement. The implant is soaked in antibiotics and antibiotics are given at the time of the surgery intravenously. After surgery oral antibiotics are taken for approximately 5 days.
The implant sits on the lower part of the chin bone, so the existing shape of the chin is the foundation and results with an implant can be limited because of this. Over time an implant can change shape due to excessive scar formation, however this is quite rare.
There is a nerve that comes out of the lower jaw bone on either side that gives sensation to the lower lip and chin. When making a pocket for the implant, it is possible for this nerve to be stretched. Numbness is an uncommon side effect when incising a chin implant and any numbness should resolve, however there is a possibility that some numbness can be permanent.
Swelling and bruising
The amount of swelling and bruising will vary from person to person. Although current techniques do help to minimise this, occasionally some patients will experience more. Ice packs (for at least 30 minutes each hour) will help to reduce swelling and most people find it is no longer a significant concern after 1-2 weeks. The swelling and bruising does not affect the final result.
It is possible for the jaw bone to be cut and planted (screwed) into a more aesthetic position. If the lower teeth need re-positioning then this is often a better alternative, however it requires Orthodontics (braces).
I’m interested, what’s the next step?
Your first step is an initial consultation with Dr Oates. If you have a GP referral you will be able to claim some of the cost of the consultation from Medicare. If Dr Oates decides you are a suitable candidate for Chin Augmentation and you want to go ahead, a booking for surgery and the pre operative care is scheduled. The usual waiting period is three to four weeks.
You may wish to speak with our nurse consultant prior to seeing Dr Oates. During this complimentary consultation, the nurse consultant can discuss both surgical and non surgical options to treat your concern(s).