Chin Aesthetics (Genioplasty)
Chin and tip of the chin is located in the lowermost part of the face and it is the transition from the face to the neck. Size of the chin is as critical as the nose for the facial profile. The chin supplements the facial profile. Having a too large or too small chin leads to a profile which impairs the aesthetic look of the face. Similar to all facial bones, development of the jaw bone ends around the age of 18. The aesthetic surgeries that involve the chin should, therefore, be performed after 18.
Orthodontic treatment (brace) before chin surgery is not required if the patient, who requests chin surgery, does not have an abnormal bite, which refers to a problem in alignment of lower and upper teeth.
A prominent (larger than normal) chin impairs aesthetic look of the face and leads to a rough and long facial structure; chin can be surgically reduced according to aesthetic principles. This procedure can be performed by removing the excess bones or shifting the chin backwards (if there is no bite problem). The chin that is shifted backwards requires fixation to its new position with plate or screw.
Recessed (small) chin is a more common deformity. The deformity becomes more severe if the nose is vaulted and large and individual’s face is characterized with bird-like appearance (bird face). In such cases, the sagging soft tissues beneath the chin also becomes recognizable more quickly as the support for the tissues beneath chin decreases and double chin deformity also occurs. A small chin is augmented through frontal shift of the jaw bone or placement of various implants (silicone, medpor, titanium) to the chin. Augmentation of the chin may also solve the jowl (double chin) problem.
Aesthetic surgeries of the chin are usually called Genioplasty. Facial scar formation is not likely, as the incision is made inside the mouth cavity. Removal of stitches is not required due to use of bioabsorbable sutures. Aesthetic chin surgery (genioplasty) is performed under general anesthesia and lasts for approximately 1 hour under normal circumstances. Patients are discharged to home after staying at the hospital overnight. The pain is usually mild and it is tolerated well with painkillers. Swelling in mouth and jaw disappears within a week on average. Consuming liquid foods for approximately 6 to 7 days is sufficient until the incisions in mouth cavity heal. Tying lower and upper teeth, even temporarily, after surgery is unnecessary for patients who undergo chin surgery (genioplasty).
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