What is Chin augmentation?

Chin augmentation is an aesthetics or plastic surgery procedure which alters the size of the chin. This can be done with either implants, fillers or genioplasty (the medical term for plastic surgery involving the chin bone). This is usually done to correct a weak or recessed chin or to create a more defined, sharper jawline.

Why chin augmentation?

The size and shape of the chin and jaw has marked effects on the general proportion and appearance of the face. A well-defined jawline is considered one of the most attractive features on the face, male and female alike. Hence, many born with small chin bones may want to augment the chin and achieve better facial proportions.

A lacking or disproportionate chin can make the nose appear larger than it actually is. In this case, chin augmentation can reduce the apparent size of the nose, making it more proportionate. In this case, rhinoplasty and/or alarplasty (different types of nose plastic surgery) is commonly performed together as a face contouring combination for improved overall results.

A receding and weak chin may also make the fats around the neck more prominent, giving the appearance of a short neck or the infamous “double-chin”. By augmenting the chin, these fats can become hidden, giving a more pleasant head-to-neck ratio and concealing the double-chin. Neck liposuction can be performed together here to complement the effects and give a more defined jawline.

Different types of chin augmentation

Sliding genioplasty

Sliding genioplasty generally involves making some modifications to the chin bone and adjusting the chin structure. In this case, the chin bone is cut horizontally and shifted per required. Sliding genioplasty is also able to reduce the size of an overly large chin, which is unable to be achieved by fillers or implants.

Chin implants

Chin augmentation can also be achieved with chin implants. These are usually made of medical-grade silicone, which are inserted into the chin via an incision. Once inserted, the implants are indistinguishable from regular chin bone by touch. Chin implants provide the most long-term results, but are the hardest to reverse if results are undesirable.

Chin fillers

A quick and easy way to augment the chin is via chin fillers. This is done using an injection of hyaluronic acid (HA) into the chin. HA is a naturally occurring substance in the skin and will not react negatively with the body. The filler directly provides structure while simultaneously improving hydration and regenerative processes, providing immediate results which improve over time.
Fillers can also be easily digested with an injection of natural enzymes if the results are unsatisfactory.

On the other hand, fillers do not last as long as other chin augmentation procedures as HA can be naturally broken down by enzymes in the skin. Filler procedures usually last around 6 to 12 months depending on the individual.

Procedure of chin augmentation

The surgeon and patient will first discuss the expectations of the surgery during a consultation session. The patient’s facial features are analysed and the surgeon will recommend the most suitable procedure.

Chin Fillers

Fillers are typically injected under the skin at specific points on the chin. The doctor may massage the chin to distribute the filler evenly after the injection. This is usually done with topical anaesthesia and will typically take less than an hour.

Chin Implants

For chin implants, the surgeon will make an incision either in the mouth in front of the lower gums or under the chin behind the lower jaw. The implants are then carefully inserted in front of the chin and moulded into shape. Finally, the incisions are closed with absorbable sutures. Chin implants can be performed under local or general anaesthesia.

Sliding genioplasty

Similar to chin implants, the surgeon makes an incision in the mouth in front of the lower gums to expose the chin bone. A vertical mark is usually made on your chin bone at this stage to ensure that it stays straight after the adjustment. A horizontal cut is made on the chin bone to detach it from the rest of the jaw and the rest of the soft tissue. The chin bone is then reattached with a gap between the rest of the jaw to enhance the chin, or shaved/cut down in the case of a chin reduction. A metal plate may also be inserted here to ensure that the bone remains in place. Finally, the incision is closed with absorbable sutures. Sliding genioplasty is usually performed under general anaesthesia.

Possible risks and complications

Chin augmentation procedures are generally safe, with low risk of complications. In rare cases however, some of the following might arise:

  • Infection and inflammation
  • Injection of filler/fat into blood vessels, clogging them and leading to necrosis
  • Spreading of fillers into undesired places
  • Damage of nerves, leading to temporary or permanent numbness/loss of sensation
  • Asymmetrical jaw/chin

Most of these can be avoided with good technique and post-care. Hence, it is important to consult a skilled and experienced doctor/surgeon for your chin augmentation procedure.

Call us today at (65) 6532 2400, Whatsapp us at (65) 8318 6332 or email us at thecliffordclinic@gmail.com to book an appointment or enquire on any of our cosmetic services and treatments.

FAQ

How long does the procedure take?

Chin fillers usually take less than an hour to complete.
Chin implants may take about 1 to 2 hours.
Sliding genioplasty may take 1 to 3 hours

Is the procedure painful?
Topical, local or general anaesthesia will be administered as required for all chin augmentation procedures so there will be minimal discomfort.The incision wound/injection site might feel sore and swell slightly after the procedure, which will usually subside in a few hours or days. The doctor can prescribe painkillers to help alleviate this.
Is there any downtime?
There will be no downtime for chin fillers and patients can resume daily activities immediately after the procedure. For chin implants and sliding genioplasty, patients are advised to rest at home for at least 1 to 2 days post-surgery. Sedentary work can resume immediately after that, but strenuous activities should be avoided for about 7 to 10 days.
What should I take note of before the procedure?
Convey your expectations clearly to the doctor during the consultation to help him achieve the best results. Also inform the doctor of any medication and/or supplements you are currently on. Unless you are considering only HA fillers, you may be asked to stop certain drugs like blood thinners before the procedure to reduce the risk of complications.
What should I take note of after the procedure?

Avoid consuming spicy/irritating foods for a few days to facilitate the healing process, especially if implants are inserted with in-the-mouth incisions. Also, avoid pressing/putting excessive force on the chin to reduce the chances of deformation.

For sliding genioplasty, you may need to consume a soft foods only diet for several days until your jawbone is sufficiently healed.