Chin augmentation can be achieved by either implanting a prothesis or by performing a sliding osteotomy (cut) of the jaw bone. The implant method is generally preferable as the operation is less invasive and recovery is quicker. Preoperatively chin augmentation can be visualized using computer simulation software. Chin augmentation is often combined with a rhinoplasty or face lift in order to achieve better facial harmony or balance. For example, a more prominent chin can improve a perceived nasal disproportion.
Artificial implants include Medpor (plastic) or silicone. These are milled to particular shapes and the optimal implant can be selected for your desired chin profile. The implant is inserted via a small incision under the chin or via an incision through the mouth. The implant is often retained in its pocket by 1 or 2 small screws.
There are very few complications associated with these implants although they can include implant malposition or displacement, infection and extrusion. If they are mal positioned, they can be easily re sited or removed.
Cheek prominence is important in the concept of the facial triangle and aesthetic ideals. Cheek bones can be made more prominent by implanting artificial shapes via intraoral or eyelid incisions. They are often combined with eyelid surgery. Your surgeon will help you select the most appropriate size and shape of implant. Complications are few but can include malposition or displacement, extrusion and infection. They can be readily removed if they are causing a problem.
Chin and cheek augmentation have increasingly been superseded by soft tissue augmentation with semi-permanent injectables. These have the advantage of being a relatively low cost procedure that can be performed on an outpatient basis. The disadvantage is that their effect is not permanent.
Generally it’s best to recuperate at home where things are familiar and you can access help. Some people elect to go away for their recuperation and that’s fine as long as you have adequate access to wound care and help with daily chores.
Following your surgery you will be prescribed pain medication which may be an analgesic or an anti-inflammatory or sometimes a combination and this prescription is given to you by your anaesthetist . Should you have concerns about post-operative pain relief then you need to address these with your anaesthetist.
Plastic surgeons undergo extended rigorous training which involves at least 7 years post graduate study. As part of that program they learn about cosmetic surgery. Under current legislation anyone can call themselves a cosmetic surgeon provided they are a doctor. However, unless you have a higher specialist qualification in plastic surgery you are not allowed to call yourself a Plastic Surgeon. Dr Cooper is a qualified Plastic and Reconstructive Surgeon who performs cosmetic surgery.