Chin Implant

Chin Implants

Attractive faces are “balanced” and “harmonious” in proportions. Aesthetically, the face is described as being equally divided in 1/3’s vertically and 1/3’s horizontally. This 1/3 “rule” has actually been used by artists for thousands of years to create attractive works of art. Although most faces don’t fit perfectly into the 1/3’s rule, the rule is an excellent way to assess the face and plan for surgical improvement as appropriate.

The chin contributes to the proportions of the lower 1/3 of the face in three dimensions. The chin has projection, width, and vertical height. The chin may be deficient in any or all of these dimensions. When deficiencies occur, it may cause the lower face to appear too short, the chin to appear pointy, the face to be round, and the lower jaw to lack definition. Overall, an unbalanced face detracts from its potential attractiveness.

A weak chin or jaw line may be caused from a short lower jaw, an underdeveloped chin, poor occlusion (the teeth don’t come together correctly), a neck fat pad, other neck structures, or combination of the above. Each cause must be assessed prior to surgery.

It is important to remember that a chin implant is chosen to add volume and shape as needed. Implants come in many sizes, shapes, and proportions, and additionally, they can be sculpted to meet the unique needs of each patient. As such, the implant will restore balance to the face and improve the attractiveness by augmenting the chin. The implant will NOT correct a short lower jaw, poorly occluding teeth, or unaesthetic neck structures.

Although in many cases, additional procedures may be necessary (braces, jaw surgery, liposuction, etc.) to achieve an optimal result, patients frequently opt for the implant alone.

Who is the Best Candidate for this Procedure?

The best candidates for this procedure have a deficiency limited to the chin alone, and do not require complicated jaw surgery or orthodontia. Patients with a fat deposit in the neck region with good skin elasticity are also excellent candidates, especially when liposuction is performed concurrently.

The best candidates for this procedure are those who are generally in good health, with no major illnesses (diabetes, severe obesity, lung diseases, etc.), and who don’t use tobacco products. However, each patient is assessed for appropriateness on an individual basis.

What are the Risks?

All surgery carries some uncertainty and risk. The risks of this procedure are low and will not be experienced by most people. Most patients do experience some swelling and bruising for about 10 days to two weeks. Risks usually associated with any surgical procedure apply.

Generally the risks associated with this procedure include wound healing problems, numbness of the lip, and weakness or even paralysis of the lip muscles. Most of these complications are uncommon, mild, or self-correcting.

Rarely, implant migration or erosion of bone or even tooth damage has been reported. These complications tend to be associated with the use of a smooth surfaced silicone implant. Textured implants such as the Medpor™, do not tend to migrate, they tend to encourage tissue integration, and have an excellent record for not getting infected.

You may also have additional risks of complications depending on your health and other factors.

How do I Prepare for Surgery?

It is best to stop smoking and smokeless tobacco products prior to the procedure (about two weeks before and two weeks after). Discontinue non-steroidal anti-inflammatory agents such as Motrin, aspirin, Advil, Aleve, etc. for two weeks prior and two weeks after surgery to minimize bleeding and bruising. Also, you’ll require help for several days after surgery. Wear a button up or zipper up shirt to surgery for ease and comfort postoperatively. Dr. Kasden may also give you additional instructions.

Where Will the Surgery be Performed?

This procedure is performed in a hospital or outpatient center.

What Kind of Anesthesia Will be Used?

This procedure is performed under general anesthesia under the direction of a Board Certified Anesthesiologist. You will be “asleep” during the procedure and your vital functions will be carefully monitored. During the procedure, local anesthesia will used in the operative site so that you will wake up comfortably.

What is the Process?

The procedure is performed through an incision either on the inside of the lip, or under the chin. The chin bone is surgically exposed, and a pocket is created to allow the implant to fit properly. The implant is then sculpted to achieve optimal cosmetic result. It is important to note however, that since the implants are not custom made, this sculpting allows for “customization” to the patients individual needs.

The implant is fixed to the chin/lower jaw bone, and the wound is closed in layers. If the “intraoral” approach is used, the sutures dissolve. If the external approach is used, the sutures are removed several days after surgery.

What is it Like After Surgery?

This procedure has been described as “ouchy” rather than painful. The worst post-operative discomfort is during the first several days after surgery, but some tenderness will persist for many weeks. You should expect to feel a bit groggy for a day or so after surgery. You may also notice some numbness and stiffness of the lower lip which may last for several weeks.

How Long Before I am Back to Normal?

After a few days, you should be back to normal. You should expect to have some bruising, swelling, and tenderness however. Patients usually love their new appearance immediately, and are able to be in “the public eye” within a week or so. Some bruising may persist for a couple of weeks or so but this can usually be concealed with makeup. Most of the swelling will be gone in a few weeks; however, a small amount of swelling usually persists for up to a year or longer. This means you should expect continued improvement for a long time after surgery.

What Will I look like?

You should expect the chin implant to restore fullness and balance in vertical, horizontal, and anterior-posterior dimensions, depending on what is needed. The chin and jaw lines should be strengthened and better defined. Overall, your face should be in better overall balance and your attractiveness should be enhanced.

Disclaimer

Although it is usual that your operation and recovery will go well, and that you will be happy with your outcome, complications do occasionally occur. Although we have attempted to anticipate and avoid problems, healing can be at times unpredictable. Therefore, no guarantees or warranties either expressly or implicitly regarding your results are made.

I have attempted to portray this information honestly, fairly, and accurately. If you find any errors, or would like to provide feedback, please contact me at: scottkinfw@msn.com.

Chin Implant

Chin Implants

Attractive faces are “balanced” and “harmonious” in proportions. Aesthetically, the face is described as being equally divided in 1/3’s vertically and 1/3’s horizontally. This 1/3 “rule” has actually been used by artists for thousands of years to create attractive works of art. Although most faces don’t fit perfectly into the 1/3’s rule, the rule is an excellent way to assess the face and plan for surgical improvement as appropriate.

The chin contributes to the proportions of the lower 1/3 of the face in three dimensions. The chin has projection, width, and vertical height. The chin may be deficient in any or all of these dimensions. When deficiencies occur, it may cause the lower face to appear too short, the chin to appear pointy, the face to be round, and the lower jaw to lack definition. Overall, an unbalanced face detracts from its potential attractiveness.

A weak chin or jaw line may be caused from a short lower jaw, an underdeveloped chin, poor occlusion (the teeth don’t come together correctly), a neck fat pad, other neck structures, or combination of the above. Each cause must be assessed prior to surgery.

It is important to remember that a chin implant is chosen to add volume and shape as needed. Implants come in many sizes, shapes, and proportions, and additionally, they can be sculpted to meet the unique needs of each patient. As such, the implant will restore balance to the face and improve the attractiveness by augmenting the chin. The implant will NOT correct a short lower jaw, poorly occluding teeth, or unaesthetic neck structures.

Although in many cases, additional procedures may be necessary (braces, jaw surgery, liposuction, etc.) to achieve an optimal result, patients frequently opt for the implant alone.

Who is the Best Candidate for this Procedure?

The best candidates for this procedure have a deficiency limited to the chin alone, and do not require complicated jaw surgery or orthodontia. Patients with a fat deposit in the neck region with good skin elasticity are also excellent candidates, especially when liposuction is performed concurrently. The best candidates for this procedure are those who are generally in good health, with no major illnesses (diabetes, severe obesity, lung diseases, etc.), and who don’t use tobacco products. However, each patient is assessed for appropriateness on an individual basis.

What are the Risks?

All surgery carries some uncertainty and risk. The risks of this procedure are low and will not be experienced by most people. Most patients do experience some swelling and bruising for about 10 days to two weeks. Risks usually associated with any surgical procedure apply. Generally the risks associated with this procedure include wound healing problems, numbness of the lip, and weakness or even paralysis of the lip muscles. Most of these complications are uncommon, mild, or self-correcting. Rarely, implant migration or erosion of bone or even tooth damage has been reported. These complications tend to be associated with the use of a smooth surfaced silicone implant. Textured implants such as the Medpor™, do not tend to migrate, they tend to encourage tissue integration, and have an excellent record for not getting infected. You may also have additional risks of complications depending on your health and other factors.

How do I Prepare for Surgery?

It is best to stop smoking and smokeless tobacco products prior to the procedure (about two weeks before and two weeks after). Discontinue non-steroidal anti-inflammatory agents such as Motrin, aspirin, Advil, Aleve, etc. for two weeks prior and two weeks after surgery to minimize bleeding and bruising. Also, you’ll require help for several days after surgery. Wear a button up or zipper up shirt to surgery for ease and comfort postoperatively. Dr. Kasden may also give you additional instructions.

Where Will the Surgery be Performed?

This procedure is performed in a hospital or outpatient center.

What Kind of Anesthesia Will be Used?

This procedure is performed under general anesthesia under the direction of a Board Certified Anesthesiologist. You will be “asleep” during the procedure and your vital functions will be carefully monitored. During the procedure, local anesthesia will used in the operative site so that you will wake up comfortably.

What is the Process?

The procedure is performed through an incision either on the inside of the lip, or under the chin. The chin bone is surgically exposed, and a pocket is created to allow the implant to fit properly. The implant is then sculpted to achieve optimal cosmetic result. It is important to note however, that since the implants are not custom made, this sculpting allows for “customization” to the patients individual needs. The implant is fixed to the chin/lower jaw bone, and the wound is closed in layers. If the “intraoral” approach is used, the sutures dissolve. If the external approach is used, the sutures are removed several days after surgery.

What is it Like After Surgery?

This procedure has been described as “ouchy” rather than painful. The worst post-operative discomfort is during the first several days after surgery, but some tenderness will persist for many weeks. You should expect to feel a bit groggy for a day or so after surgery. You may also notice some numbness and stiffness of the lower lip which may last for several weeks.

How Long Before I am Back to Normal?

After a few days, you should be back to normal. You should expect to have some bruising, swelling, and tenderness however. Patients usually love their new appearance immediately, and are able to be in “the public eye” within a week or so. Some bruising may persist for a couple of weeks or so but this can usually be concealed with makeup. Most of the swelling will be gone in a few weeks; however, a small amount of swelling usually persists for up to a year or longer. This means you should expect continued improvement for a long time after surgery.

What Will I look like?

You should expect the chin implant to restore fullness and balance in vertical, horizontal, and anterior-posterior dimensions, depending on what is needed. The chin and jaw lines should be strengthened and better defined. Overall, your face should be in better overall balance and your attractiveness should be enhanced.

Disclaimer

Although it is usual that your operation and recovery will go well, and that you will be happy with your outcome, complications do occasionally occur. Although we have attempted to anticipate and avoid problems, healing can be at times unpredictable. Therefore, no guarantees or warranties either expressly or implicitly regarding your results are made.

I have attempted to portray this information honestly, fairly, and accurately. If you find any errors, or would like to provide feedback, please contact me at: scottkinfw@msn.com.

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