Facial and Chin Implant / Augmentation Surgery
Dr. Mussman has used facial implant and other chin surgery techniques to create symmetry among your facial features by establishing balance and proportion. Your procedure may be performed alone, or as a complement to other facial contouring procedures such as face lift, neck lift, cosmetic nose surgery (rhinoplasty) or other procedures.
Am I candidate for facial implant and chin surgery?
Facial implant surgery is completed through the insertion of specially formed solid, biocompatible materials designed to enhance or augment the physical structure of your face. The precise type and size of facial implants best suited for you require an overall evaluation of your goals, the features you would like to change and your surgeon’s judgment.
Chin surgery, also known as mentoplasty, aims at reshaping the chin by enhancement with an implant, by cutting the boney chin and moving it forward (genioplasty), or by reduction of the chin bone. It’s not uncommon for chin surgery to be performed in addition to other facial surgery procedures to give the best overall facial balance.
Facial implant and chin surgery are highly individualized procedures, with the best results achieved by a thorough consultation with Dr. Mussman. Dr. Mussman will be able to recommend the best facial implant and chin surgery approaches for your needs.
Good candidates for facial implant and/or chin surgery include:
- Individuals whose facial bones have reached physical maturity, which generally occurs in late adolescence
- Individuals who are bothered by a small chin, weak jaw or lack of facial contour
- Healthy individuals who have no major medical conditions
- Individuals with a positive outlook and specific goals in mind for their facial implant and/or chin surgery.
How do I prepare for facial implant and chin surgery?
Preparing for your facial implant and/or chin surgery procedures may include:
- Lab testing or a medical evaluation
- Taking certain medications or adjusting your current medications
- Stopping smoking well in advance of surgery
- Avoiding aspirin, anti-inflammatory drugs and herbal supplements due to increased risk of bleeding.
How are facial implant procedures performed?
Implant surgery is generally performed on an outpatient basis. Our experts offer a variety of options, including:
Cheek implants are inserted beginning with an incision inside the mouth or along the lower eyelid into which the implant is inserted. If another cosmetic procedure is being performed at the same time, such as a facelift or eyelid surgery, the implants may be inserted through those incisions. Cheek implant surgery generally takes about an hour.
Chin implants involve inserting the implant into a pocket in front of the jawbone. The incision is made either along the lower lip inside the mouth or just below the chin area. Inserting a chin implant can take between 30 minutes to one hour.
Genioplasty is a procedure that can be an alternative to the chin implant as no implant is required. The chin bone is cut using an incision inside the mouth and the chin is moved forward or lengthened vertically in patients with small chins. The advanced chin is held in place with a small metal plate and tiny screws. The surgery does not move teeth or affect occlusion. This operation takes approximately one hour to complete.
Lip augmentation can be completed using fat injections, fillers (Restylane®, Juvederm®, and other hyaluronic acids)
Lower jaw implants are incorporated through incisions made inside the mouth on either side of the lower lip where the implant is inserted. Jaw implant surgery takes about one to two hours.
How is chin surgery completed?
There are many different ways to achieve symmetry of the chin area, including:
Chin augmentation, which is completed through a small incision inside the mouth or underneath the chin, in addition to creating a small pocket above the chin bone and the below the chin muscle. A customized implant is then inserted into the pocket. Augmenting the chin can also be completed through an incision made inside the mouth through which the surgeon takes a portion of the chin bone, moves it slightly forward and secures it into place. After surgery, the chin may be taped to hold the implant in place until it is firmly in its new position.
Correction of a Double Chin (submental lipectomy), which treats excess skin, fat or muscle beneath your chin by making a small incision underneath the chin through which liposuction removes fat in this area. The muscles that cause bands in this area can also be cut or sutured together. Correction of a double chin is often performed along with a standard neck lift or cheek lift. A chin implant may also be recommended to compliment the overall basic shape and balance of the face.
What results can I expect?
The results of your facial implant procedure are visible almost immediately. Initial swelling will subside over the first week with the use of cold compresses, and continue to subside for the following two to four weeks. Swelling from facial implants should go away fully in one to two months as your final results appear.
After chin surgery, your chin will be swollen, firm and possibly bruised. Using cold compresses in the first 48 hours will significantly lessen the swelling, as will keeping your upper body elevated when resting. If cosmetic injectables were used as the primary treatment for your chin augmentation, the swelling and bruising may be less.
Final results from both facial implant and chin surgery procedures takes time. The best way to ensure your overall results is through follow-up consultations with Dr. Mussman.
What is involved in recovery?
Cheek implants: Cheek implant surgery recovery may include some discomfort and swelling, and possible difficulty moving your mouth and lips for several days. Your stitches will be removed within about a week. Stitches used inside the mouth dissolve on their own.
Chin implants: Following chin implant surgery, you may experience some pain, swelling and bruising. Your stitches will be removed within about a week. Stitches used inside the mouth dissolve on their own.
Chin surgery: Recovery from chin surgery involves some swelling, bruising and numbness for several weeks following surgery. You’ll have incisions in your mouth, increasing the risk for infection from the bacteria that normally reside there, so be especially attentive to caring for your mouth (oral hygiene) according to your surgeon’s instructions. During the recovery period, you’ll need to eat only soft foods and protect your face from bumps and other injuries.
Lip implants or lip augmentation: Most lip enlargement techniques cause post-surgical swelling that can last for approximately one week. After that time, the lips may still be swollen, but presentable.
Lower jaw implants: Lower jaw implants may cause some discomfort and significant swelling. You may also find it difficult to move your mouth and lips for several days. Although most of the swelling will subside within several days, it may take several months for all of the swelling to go down. Stitches used inside the mouth dissolve on their own.
Are facial implant and chin surgery procedures safe?
All surgical procedures carry some risk.
Possible complications from facial implant and chin surgery include:
- Unfavorable scarring
- Bleeding (hematoma)
- Poor healing of incisions
- Anesthesia risks
- Change in skin sensation due to nerve injury
- Excessive scar tissue formation
- Firmness around the implant
- Shifting of implants and pressure on surrounding structures
- Skin contour irregularities
- Skin discoloration and swelling
- Skin sensitivity
- Allergies to tape, suture materials and glues, blood products, topical preparations or injected agents
- Deep vein thrombosis, cardiac and pulmonary complications
- Blood clots
- Possibility of revisional surgery
Is this procedure covered by health insurance?
Facial implant and chin surgery procedures are not usually covered by health insurance unless they are being completed for reconstructive purposes. Dr. Mussman’s staff will help find a financial solution to fit your budget.