Chin surgery–also known as genioplasty–is performed in order to reshape the chin, usually to increase or decrease the chin projection. Genioplasty can also be done to alter chin prominence or lack thereof. With sliding genioplasty, the chin bone is surgically moved from the bottom (forward or backward) to reposition the chin in a way that better complements your facial features.
Chin surgery is used to alter the shape of the chin by either inserting alloplastic implants (such as silicone rubber, Goretex, Teflon, or Acrylic) or by moving the bone of the chin. Implants are generally used for less severe cases than those that indicate sliding genioplasty. The decision as to which procedure will be used is based largely on the patient’s iindividual anatomy.
To alter the chin through sliding genioplasty, the surgeon cuts and repositions the chin portion of the jaw. This piece is moved forward or backward to create the desired aesthetic improvement, and the bone is secured with titanium screws or wires.
Individuals who suffer from microgenia (small chin) or macrogenia (prominent chin) that throws facial proportion out of balance may be candidates for chin surgery in North Carolina. Of these individuals, those whose condition is too severe to be assisted by implants may benefit from the sliding genioplasty. In either case, it is important that candidates are psychologically stable and that they understand the risks and limitations of the surgery.
The incision for chin implants may be made either inside the mouth or below the chin. Once the incision is made, the surgeon will create a pocket for the implant inside the chin. The implant is then inserted, just in front of the jawbone. Soft sutures are used to close the incision.
For the sliding genioplasty, the incision may be made inside the mouth or below the lower lip. The surgeon then cuts the chin bone with a special saw, taking care to minimize trauma to the soft tissue. The bone piece is then fixated in its new position with titanium screws or wires, and sutures are placed to close the incision.
Both procedures are typically conducted in an outpatient setting with general anesthesia.
After chin augmentation, you should closely follow the postoperative instructions from your surgeon. It is often advised that patients adhere to a soft diet for a period of time until you heal. It is also important that you practice good oral hygiene, rinse frequently with saline solution, and refrain from touching your chin.
In order to ward off infection, you will most likely be prescribed antibiotics and pain medications for the first week after surgery. After approximately one week, the sutures can be removed. Recovery time is estimated at 10 days.
Please call us here at the UUNC Aesthetic, Laser & Burn Center office in Chapel Hill if you are interested in receiving a consultation on the benefits and risks of chin surgery. Our board certified plastic surgeons are committed to supporting their patients through the entire process – from patient education to surgery and aftercare.