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Chin Augmentation - Facial Implants

Bone structure is essential to an important part for an attractive, balanced face. Chin implants can improve this underlying structure, and better balance the facial features for a dramatically more attractive look.  This operation is often performed at the time of rhinoplasty to help to balance the facial proportions. It may be combined with facelift, liposuction or other facial implants as well.

Chin implants are made in various shapes and sizes. They are made out of different synthetic materials that have been used successfully for years.

Although the results can be dramatic, the implants look very natural. Many people have reported that after their chin implant surgery, people tell them that they look better, but they can’t tell exactly why. 

If you're considering a chin augmentation surgery, the following information will provide you with a good introduction to the procedure. For more detailed information about how this procedure may help you, we recommend that you schedule a consultation with Dr. Kremer / Dr. Zettl. 

 What are some of the most common benefits of this surgery?

Chin implants may augment the jaw to correct problems and improve the shape and balance of the face. 

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 What will happen at the initial consultation?

During the consultation, you and Dr. Kremer / Dr. Zettl will discuss the changes that you would like to make in your appearance. He will explain the different options available to you, the procedure itself, and its risks and limitations. He will also explain the kind of anesthesia required and the surgical facility. Dr. Kremer / Dr. Zettl will then examine your face, its skin and its bony structure.

Be sure to ask all the questions you have about the surgery. Learning everything you can about your options, risks and benefits is the key to making an informed decision.

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 How is a chin augmentation performed?

Most often, an incision is made inside the lower vestibulum/sulcus of the mouth. An implant of the desired size and shape is then placed inside the chin. If the incision is under the chin, it is closed with stitches that later need to be removed. If the incision is within in the mouth, removable sutures are used. At the end of the surgery, the chin is often taped to minimize swelling. 

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 How long does the surgery take?

The procedure generally takes between 30 and 60 minutes. 

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 Will I need to stay in a hospital?

If you have no medical problems, the procedure can be performed on an outpatient basis. You may be allowed to return home within a few hours of the surgery, and spend the night in the comfort of your own home. If you’re having other concurrent procedures, or a lengthier procedure performed under general anesthesia, it may be necessary to spend the night in the hospital so that your recovery process can be monitored by a medical staff. 

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 How much pain is there?

If local anesthetics and sedation are used, pain usually is minimal. You may feel light pressure or movements. The amount of pain varies from person to person as well. No pain is felt during general anesthesia.

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 What can I expect after surgery?

Some swelling and perhaps bruising can occur, but this will be helped by application of a tape or other material. This tape is removed about a week after the surgery is performed. Pain and discomfort last for several days following the procedure, but this can be eased by an oral pain medication. Some facial movements, such as talking and smiling, may be difficult for several days following the surgery. It is important that you follow all of Dr. Kremer / Dr. Zettl’s instructions to minimize risks, and help speed your recovery. 

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 What is the recovery period like?

Stitches inside the mouth will resorb within 2 weeks. Most people return to work within a week following the surgery. At first, you should avoid strenuous activities, but exercise can be resumed in about two weeks. If incisions are made inside the mouth, you may be placed on a liquid diet for several days until there is adequate healing to allow for chewing and food particles to come in contact with the stitches.

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 What is the long-term outcome like for most people?

The surgery has a high rate of satisfaction. The scar is generally not noticeable, and problems related to unevenness are relatively uncommon. 

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 Ideal candidate:

In general, the best candidates for chin augmentation are:

• In good physical health
• Psychologically stable
• Informed about limitations
• Free of known allergies to the implant material
• Realistic in their expectations for the outcome

The above is only a partial list of the criteria that Dr. Kremer / Dr. Zettl will consider in determining whether or not this procedure is appropriate for you. Be sure to ask Dr. Kremer / Dr. Zettl if he considers you an ideal candidate for chin implants. 

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 Other Important Information:

Sometimes chin augmentation is performed in conjunction with other procedures, particularly cheek implants, lip augmentation, and rhinoplasty. 

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 Risks:

Significant complications from chin implants are infrequent. As with any surgical procedure, however, there is always a possibility of infection, or reaction to the anesthesia.

When infection does occur it is generally treated with antibiotics, but in some cases the implant must be removed and later replaced. Another risk is improper placement. In some cases, implants shift so that a second operation is necessary for repositioning.

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 Be sure to:

• Tell Dr. Kremer / Dr. Zettl about any allergies you have (to foods, drugs, environmental elements)
• Tell Dr. Kremer / Dr. Zettl about all medications, herbal supplements or natural supplements you are taking (both prescription and non-prescription)
• Carefully follow any instructions Dr. Kremer / Dr. Zettl gives you regarding eating and drinking and smoking.
• Avoid aspirin and aspirin-containing medicines for two weeks prior to surgery.
• Arrange for someone to drive you home after surgery or after discharge from the hospital.
• Please inform Dr. Kremer / Dr. Zettl immediately in case you should experience fever or symptoms of an infection after surgery.
• Please use a cooling mask or ice packs to reduce swelling an discomfort after surgery.
• Refrain from strenuous physical activities during the first days after surgery.

The information on this web site is only intended as an introduction to this procedure and should not be used to determine whether you will have the procedure performed nor as a guarantee of the result. 

The best method of determining your personal options is to schedule a personal consultation with Dr. Kremer / Dr. Zettl. He will be able to answer specific questions related to your situation.

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