Beverly Hills Chin Implants
Helping Patients Achieve a Defined & Balanced Profile
The chin is the most important aesthetic feature of the lower face. Together
with the nose, it determines the shape and profile of the entire face.
As aging occurs, bone density diminishes, and soft facial tissue support
weakens, causing the jaw to slowly recede, which creates the appearance
of a smaller, or’ weak’ chin. A weak chin can make the nose
and upper teeth seem more prominent, and the jaw and neckline appear undefined;
however, chin implant surgery is a way to remedy these problems by increasing
or changing the size and projection of the chin.
We proudly provide patients with Beverly Hills chin implants, also referred
to as chin augmentations or mentoplasty. These procedures are performed
to strengthen the chin and jowl line, making them symmetrical and proportionate
to the rest of the face, and producing a more defined appearance of the
chin and jawline for the profile and frontal view. The goal of chin augmentation
is to improve one’s profile by creating a better balance between
the chin and the rest of one’s facial features. At Gabbay Plastic
Surgery, Dr. Gabbay and his team will walk you through the chin enhancement
procedure from start to finish—ensuring that every question and
concern you have is addressed and that your surgery is specifically tailored
to meet your specific needs.
Men and women with underdeveloped chins are excellent candidates for chin
implant surgery. A receding chin disrupts the balance of a facial profile,
and this imbalance is amplified if the nose is generously sized because
this makes the chin appear even smaller. An underdeveloped chin can result
in crowding of the underlying neck structures, thereby creating an appearance
of fullness under the chin, obscuring jawline definition, and leading
to an inaccurately plump facial appearance. Chin implants have become
increasingly popular because they offer predictable and permanent results
and a variety of benefits: they maintain their shape, they perfect patients’
profiles while maintaining a natural appearance, they do not suffer from
re-absorption, and they restore symmetry and balance to the face. Your
chin implant can be performed alone, or with other facial surgeries, and
is one of the most efficient procedures to help you obtain a total rejuvenation
of your face.
Male and female patients alike have sought out Dr. Gabbay’s surgical
expertise after having undergone chin augmentation procedures elsewhere
that did not give them the desired results they hoped for. Dr. Gabbay’s
years of extensive training and experience enable him to assess each patient’s
needs, and efficiently determine exactly what needs to be done to make
rectify the problems previous surgeries were unable to correct, and to
ensure each of his patients’ aesthetic goals come to fruition.
Enhance Your Facial Features with a Single Procedure
With recent technological advances enabling plastic surgeons to use new
materials, which are accepted by the human body, the safety of the chin
implant procedure has increased. A small or receding chin (microgenia)
can be augmented with a wide variety of chin implant options. Dr. Gabbay
will work with you to find the implant option that will best meet your
needs. Just as faces come in a variety of shapes and sizes, chin implants
come in several pre-formed styles and are able to accommodate a wide range
of aesthetic requirements. Each implant is available in several sizes,
thicknesses, and projections, and after measuring the dimensions of your
mandibular bone, Dr. Gabbay will select the perfect implant to match the
existing contour of your chin and give you the profile you desire. Dr.
Gabbay will not rest until you are completely satisfied with the results
of your chin implant surgery and can make any and all adjustments necessary
to ensure your every aesthetic goal is met.
The entire chin implant operation takes approximately 30-45 minutes unless
other procedures are planned in addition to your chin implant surgery.
Chin augmentation surgery is usually performed on an outpatient basis.
Anesthesia for chin augmentation surgery may be in the form of general
anesthesia or a combination of local anesthesia and intravenous (IV) sedation.
Mentoplasty incisions are typically placed either inside your mouth at
the intersection of your gum and lower lip, or under your chin in the
natural crease line where it will be hidden. Your incisions will be closed
with sutures, and bandages may or may not be applied to the closed incision.
Some sutures will dissolve on their own after a few weeks, while others
may need to be removed by Dr. Gabbay during your follow-up visit.
After your procedure, it is advised that you have someone stay with you
for the first 24 hours. If the incisions were placed in your mouth, you
will be restricted to a soft diet for a few days following surgery and
you will need to rinse your mouth thoroughly after eating in order to
keep the incision and sutures clean. The recovery from chin implant surgery
is relatively simple; however, total recovery time depends on the surgical
approach used, whether or not other procedures were performed at the same
time, and your body’s unique capacity to heal itself. If you would
like more information about chin implant surgery, please contact Gabbay
Plastic Surgery and we will be happy to answer any and all of your questions,
and to schedule an initial, complimentary consultation with Dr. Gabbay.
You may also click the link below to read a more in-depth description
of the chin implant procedure.
Anatomy of the Chin
The chin is the centerpiece of the lower third of the facial structure
and plays a large role in determining facial shape and aesthetics. The
mandible (lower jawbone) is the largest and strongest bone of the face
and is responsible for providing the alignment of the upper and lower
teeth and for the foundation of the soft tissues surrounding the face
and neck. With age, gradual and progressive bone reabsorption results
in decreased mandibular height and reduced chin projection, thereby causing
the surrounding soft tissues to become lax, and creating the appearance
of a double chin.
Is Chin Augmentation Right for You?
Along with the nose, the chin has a prominent role in establishing facial
symmetry, and in determining facial balance in relation to one’s
facial profile. A receding chin changes the balance between the lower
third and upper two-thirds of the overall facial structure. One way to
assess whether your chin position is out of balance with the rest of your
facial proportions is to look at your profile in a mirror and draw an
invisible line directly down from your upper lip to lower lip. If your
chin falls behind the line, it is an indication of retrogenia (receding
chin), which can be corrected with chin implant surgery.
Chin implant surgery is performed on both male and female patients, and
can be undertaken to correct:
- A chin that appears too small for the face
- A chin that has lost definition due to the natural aging process
- Asymmetry of the jawline
- Jawline irregularity caused by congenital defects or trauma/injury
- Fatty deposits under the chin
- Inadequate bony support in the chin, preventing the soft tissues of the
neck from draping smoothly
- The appearance of a double chin
- The imbalance between the upper and lower facial areas (ie. Strong upper
facial definition but “weak” lower facial appearance)
- Premature aging of the lower face and neck
Chin clefts result from the soft facial tissue and are not a function of
the bone itself, so a cleft may remain even after a chin implant. For
cleft removal, a fat grafting procedure may be used to soften chin contours.
During your chin implant consultation, Dr. Gabbay may take a series of
x-rays to analyze the structure of your jaw and to look for any dental
or bony pathology that may affect the surgical outcome. He will then take
calibrated measurements to determine the degree of chin projection required
and reveal possible asymmetries and will use digital imaging analysis
to establish the degree of desired projection in relation to your facial
shape, size, and gender.
After digital imaging analysis is completed, Dr. Gabbay will discuss his
recommendations for implant size and type based on your unique facial
structure and aesthetic preferences. Dr. Gabbay uses advanced materials
and up-to-date placement techniques in order to ensure that your chin
implant will look as natural as possible.
About the Procedure
Modern-day chin implants are generally created using a number of non-biologic
(alloplastic) materials with high biocompatibility, such as silicone,
Gortex, or high-density porous polyethylene (Medpor). Gortex and silicone
are two of the most common implants because research has proven that they
achieve optimal re-contouring results. Medpore implants may be the better
choice when a large implant is desired because Medpore implants have a
porous texture, which allows for tissue growth and prevents shifting of
the implant, which can occur with traditional silicone-based implants.
Chin implant options include:
Central Chin Implants: offered in the original chin implant shape and provide various degrees
of chin projection.
Anatomical Chin Implants: provide chin augmentation in conjunction with mild to moderate contouring
of the front part of the jaw. Two wings positioned at 45-degree angles
allow the implant to contour to the front portion of the mandibular bone,
which provides better stability and smoother lines.
Extended Anatomical Chin Implants: the anatomical implant’s wings are extended in length to provide
further enhancement of the jawline, and to create a more angular or square
jawline structure. The wings taper along the lower mandibular ridge in
a “wrap-around” design for better restoration of the mandibular
buttress, and can also be used to correct the appearance of jowls.
Mandibular Implants: used to augment the angle of the jaw and to increase the width and jawline
definition. This type of implant is often used in conjunction with anatomical
implants to facilitate a complete re-contouring of the jawline structure.
Custom Implants: For reconstructive chin surgery, a patient’s CT scan can be used
to design a customized three-dimensional implant (custom implant) to correct
any mandibular defects or asymmetries.
Chin implant surgery generally takes 30-45 minutes (if performed alone),
and is performed using general anesthesia or local anesthesia with sedation.
The chin implant can be inserted either through your mouth (intra-oral
positioning), or below your chin (sub-mental positioning). During your
chin augmentation surgery, Dr. Gabbay will make an incision and design
a pocket to accommodate the implant directly over the bone along your
lower jaw. Solid silicone implants can be placed through a small incision
under the chin; however, with other rigid biocompatible materials (ie.
Medpor), an incision will be made inside your mouth.
When using a silicone-based implant, the implant does not need to be fixed
to the mandibular bone, as it is sufficiently secured within the narrow
by the bone. For reconstructive surgeries using high-density polyethylene
implants, fixation of the implant to the mandible is often required to
ensure stability, allow refinement of the implant shape, prevent displacement,
and eliminate any gaps between the implant and mandibular bone.
When surgery is completed, Dr. Gabbay will close your incision and apply
tape to your skin to assist in holding the implant in position during
the temporary post-surgical swelling. After two weeks, the implant will
be in its permanent position and stable. For incisions made inside your
mouth, no external scar will be visible, and incision sites under the
chin will rapidly heal and become nearly inconspicuous.
If a patient’s goal is to improve overall facial symmetry and structure,
two or more procedures performed together may produce optimal results,
and enhance the results of the individual procedures. Rhinoplasty (nasal
reshaping surgery), facelifts and neck lifts are three of the most common
procedures patients elect to have performed together with their chin implant
surgery, as the results of these procedures all contribute to overall
facial harmony and balance.
For patients seeking temporary chin augmentation results, soft-tissue injectables
and dermal fillers may be utilized to enhance the size of the chin region.
Patients experiencing only mild tissue and volume loss around their chin
as a result of aging may elect to use the technique of fat grafting as
a means to re-contour and rejuvenate the lower portion of their face (fat
grafting is not, however, ideal for achieving augmentation in chin projection).
Recovering from Beverly Hills Chin Implant Surgery
The extent of the chin augmentation recovery period depends upon the surgical
approach utilized, and whether or not other procedures were performed
with your chin surgery. It is likely that you will have temporary swelling
and moderate bruising in your chin area, and occasionally along the bottom
of your lower front teeth. Keeping your head elevated will help resolve
the swelling, which usually peaks within 1-2 days, and you should be able
to return to work and your general daily activities after one week (although
you will need to avoid physical activities such as sports until your chin
has fully healed).
Pain medication will be used to ameliorate any post-surgical soreness,
and you may need to wear a chin strap around your face (day and night)
for one week. Following the initial week, Dr. Gabbay will evaluate your
healing progression and will determine if you need to wear the strap for
an additional two weeks (only at night). If your incision is inside your
mouth, the stitches will usually dissolve within ten days. It is important
that you refrain from eating tough foods for the first week or two, as
softer foods are easier to chew and will cause less strain on the incision.
Potential (although rare) risks and complications of chin implant surgery
include temporary or permanent changes in chin sensation, shifting of
the chin implant, infection, and hematoma (bleeding).
If you would like a stronger jawline and a well-balanced profile, our Beverly
Hills plastic surgeon has decades of experience to help you feel more
confident in your appearance. Call Gabbay Plastic Surgery today at (310) 928-2558
to schedule your consultation!