I wanted to discuss the powerful aesthetic impact of inserting a chin implant to build out a weak chin at the time of a rhinoplasty. If a patient has a weak chin, inserting a chin implant along the border of the chin will build out the chin and make it more proportional with the nose as well as the lips. I will perform chin augmentation in about 20% of the rhinoplasties I perform. I will also do it as a standalone procedure or in combination with other procedures such as neck contouring.
The procedure is performed through a small incision well-hidden in the crease just below the chin. I will often perform this procedure under local anesthesia when done alone or with other procedures I perform under local anesthesia, such as neck contouring. Chin augmentation is a quick procedure to perform, the recovery is rapid and almost always painless.
In my experience, chin implants have been problem free. At the time of their insertion, I sew them in place so they do not move. These implants very quickly fuse to the jaw bone, then look and feel like a normal jawbone. You cannot tell the difference between one of my patients with a chin implant in place versus someone else with a naturally beautiful chin.
Chin implants are made of solid silicone and are not like breast implants. They do not get hard or break, never have to be changed and last a lifetime.
Injecting filler in the chin is a poor substitute for a chin implant. The chin and jawline are made of bone. Injecting a gelatinous filler into this area does not provide the same degree of structure and support as a well placed chin implant. It’s really just a gelatinous blob.
Here are two patients that are good example of what I am discussing.
This first patient had both a rhinoplasty and chin augmentation. Note the improved facial balance between her nose, lips and chin.
The second patient had a face and neck lift as well as insertion of a chin implant. Again, note the improved aesthetic the chin implant adds to the neck contouring and jawline.
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