Genioplasty / Chin Augmentation or Reduction
The chin plays a prominent role in facial aesthetics. When the chin is unbalanced in relation to the rest of the face it can create disharmony. A strong chin can convey a sense of masculinity. A week chin that is set back can cause poor neck contours and premature aging. Genioplasty is frequently combined with other procedures such as a lower face and neck lift where it helps improve neck contour and soften the transition from the jowl to chin. It is also often combined with rhinoplasty when the nose appears to strong in relation to the chin. Dr. Nizam’s unique background as a maxillofacial surgeon allows him special expertise when reshaping the facial skeleton. He was recently invited to author a step by step guide on this very procedure in the Atlas of Operative Craniofacial Surgery. The procedure is typically performed under general anesthesia and talks approximately an hour and a half.
Augmentation genioplasty or increasing the size of the chin is typically performed with a silicon implant. Small asymmetries can also be corrected with this approach. If a large asymmetry or specific look is desired a custom silicon implant can be created. A small incision is placed under the chin in a nonvisible area. The implant is then placed through this and sites on top of your existing bone. If the implant needs removal or a size change it can be easily done through this approach at a later date, making the procedure completely reversible.
Reductive genioplasty is preformed with an incision through the mouth and typically involves cutting making a cut through the bone and either sliding the chin back of removing a portion of the chin. The chin bone is then secured using plates and screws back into place. The above approach of actually cutting and moving the bone can also be used in place of a silicon implant. At Alabama Surgical Arts Dr. Nizam will determine which approach is best for you at your consultation.
Social downtime is typically 7 days. Tape remains on the chin after the operation for approximately 3-5 days. Sutures are removed at 7 days if an incision was made under the chin. If it was made inside the mouth the sutures dissolve on their own. For the first 4-6 six weeks movement of the chin muscles and sensation of the lip may be diminished.