What Is Chin Implant Surgery?
The part of facial reconstruction surgery in which the main focus lies in the use of surgical implants in order to enhance the chin is known as chin implant surgery. Materials such as titanium, silicone (most commonly used) and hard plastics can be the choice for the chin implants. These are usually cup shaped structures resembling the contour of the chin. Many factors need to be taken into consideration before beginning the chin implant surgery. As for example, the approach needs to be decided; whether intra oral or extra oral, the choice of implant and its size, since blood supply to the face is the richest, methods to control bleeding during the operative procedures becomes quite crucial. The procedure is also known by the names of genioplasty, mentoplasty or chin augmentation. A chin implant surgery can be done in isolation or clubbed with procedures such as rhinoplasty (nose corrective surgery) and/or neck liposuction surgery.
Causes of Chin Deformity:
- Trauma to the chin in cases such as road traffic accidents, forceful falls, fist fights/punch or blow on the chin
- Severe mandibular retrognathism such as in Treacher Collin syndrome
- In some cases, the lower jaw is smaller as compared to the entire face. This is majorly genetic and since birth. Since the chin forms a part of the lower jaw, it also remains behind as compared to the entire face.
Signs and Symptoms Of Chin Deformity:
- An obvious appearance of retruded chin; perceived as unaesthetic by many individuals
- Severely convex profile
- Nose tends to protrude from the mid face. This is an apparent or a relative finding which aggravates since the chin is quite behind the nose.
- A deep mentolabial sulcus; this is the depression that falls below the lower lip and joins the contour of the chin
- Increased submental angle; this also is seen as a bag of fats just below the chin.
- Appearance of a double chin
- Puckering of skin, creases seen over the chin area which yet again gives an unaesthetic look to the face
Diagnosis Required Prior To Chin Implant Surgery:
- Physical examination: The chin and the entire face is examined for various sizes and proportions. Angular and linear measurements are made over the chin so as to determine its degree of regression and plan the treatment accordingly.
- Photographs: The cosmetic surgeon takes photos pre operatively to study them and decide on how much advancement of the chin is needed. These pictures can also be preserved and compared post operatively.
- Cone Beam Computed Tomography CBCT: This gives a three dimensional view of the chin and the entire face. The exact location of defect on the chin can be determined as treatment planned accordingly.
- Digital softwares: They are used as prediction methods. These are softwares that enable to visualize the advancements of the chin and help the patient to decide what type of a look the patient will have post operatively. The exact amount of chin advancement in millimeters can be determined.
Treatment Procedures for Chin Implant Surgery:
- The chin implant procedure is done in general anesthesia and does not require an extensive hospital stay as such.
- Once all the measurements have been done on the chin and the amount of advancement and the choice of surgical implant decided, the next in line is the type of approach to be made for the implant placement.
- If an intraoral approach is to be made, the incision is made in the floor of the mouth and an opening is created through which the implant is inserted into the chin.
- If the approach is extra oral, the incision is made directly over the skin of the chin and an opening created through which the implant is placed.
- It becomes essential to control the bleeding at the time of implant placement and at the same time making sure the blood vessels are ligated properly so as to prevent internal bleeding in future.
- Once the placement has been done, it is made sure that it does not move or get displaced.
- The mucosal flaps (intra oral approach) and the skin, fascia and platysma (extra oral approach) are sutured back in place.
- It is common to see swelling in the chin area for a period of one to two weeks followed by heaviness and mild discomfort; this eventually will wither away with the help of medications.
- The patient can be discharged from the hospital on the same day or the next day after gaining consciousness
- A few regular visits are required to be made at the cosmetic surgeon’s clinic for evaluation after the surgical procedure and look for complications if any.
- If the chin implant surgery is clubbed with other cosmetic procedures such as rhinoplasty (nose job) or a neck liposuction, the hospital stay is as per the recovery of the vital signs.
- However in such cases too, a regular post operative follow up is mandatory.
Complications And Risk Factors Associated With Chin Implant surgery:
- Post operative infections, poor wound healing and scarring can be seen in some cases which concerns the cosmetic surgeon
- Side effects of anesthesia such as tingling sensations in the lower jaw
- Shift in implant position
- Hematoma; internal bleeding which can prove to be fatal
Am I Good Candidate For Chin Implant Surgery?
If you fit into any of the following criteria, you surely are an ideal candidate for chin implant surgery:
- You have an obvious deformity, be it due to trauma or a syndrome
- You feel your chin is recessed, lies well behind your nose and lower lip
- You are too much conscious about your double chin and neck fats
- You make lesser public and social appearances since you feel you do not look good and refrain from meeting people
Swelling in the chin area will persist for a period of 2 weeks at a minimum. This subsides with the use of cold packs and medications. It is quite common to experience blood drainage in the oral cavity for quite some time. However, if its lasts for more than a week, doctor’s appointment should be scheduled. Patient can start with his daily routine activities within three days of the surgery completion and keep visiting the cosmetic surgeon once every week for a regular follow up.
Chin implant surgical procedures are successful in 70 percent cases. There are 0.8 percent chances that an implant placement causes tissue irritation and infection and calls for a subsequent removal. Roughly around 28 to 30 percent cases may fail only when he patient is dissatisfied with the appearance after the implant placement.
Benefits of Chin Implant Surgery:
A chin implant surgery has the following benefits:
- Enhance your looks and facial appearance
- Give you a more confident facial expression
- Remove the appearance of double chin, enhance the jaw line and the neck line
A chin implant surgical procedure would cost you around 25,000 to 35,000 in India. This is approximately three fourth the amount you are expected to pay in the US/UK/Australia.
Why choose India:
MedcureIndia being one of the finest platforms for medical tourism, targets at achieving the overall proper health of its clients. The top most cosmetic surgeons dealing with the specialty of chin implant arena are our choice of recruitment to our patients seeking help for the same.
Frequently Asked Questions (FAQS):
• At what age can I get the chin implant surgery done?
You can go for a chin implant surgery after your growth completion has been done. This is like around after 18 years of age.
• For how long will I be in the hospital after the surgery has been done?
You will be in the hospital for a maximum of two days
• Will I feel heaviness in the lower part of the face after the implant has been placed?
No. It will be only mild discomfort owing to the presence of swelling. There is no heaviness as such in the lower face or the chin area.