Well defined facial features are the most important traits of physical beauty. Visible contours and natural angles that are proportionate all create balance in your face and a more attractive appearance. Facial aesthetics is based on proportions and a balance between the forehead, nose and chin such as the ‘Rule of thirds’. The chin therefore plays an important part in the facial equation.
It has been considered for centuries that these facial features like a strong appealing chin provide perfect balance and distinction to one’s look.
Dr. P. K. Talwar
Senior Plastic and Cosmetic Surgeon Director
Cosmetic Laser Surgery Centre of India
E-34, Greater Kailash – I, New Delhi – 110048
Phones: +91-11-29236550, 29236912
E-mail – email@example.com
Website : www.drpktalwar.com
Importance of Facial Structure
In defining facial beauty, facial structure is just as crucial as the color of your eyes or the fullness of your lips. It can play a more prominent role than you realize. Facial features that are perfectly angled, well-defined, and equally balanced enhance facial attractiveness. If your chin is poorly defined, it may be limiting your overall facial attractiveness. Chin implants can be used to create a more elegant chin, better-defined profile, and stronger facial contours.
The Chin’s Role in Facial Beauty
A beautiful chin is well-balanced with the rest of the facial features. The chin should fit together with the nose, cheeks, forehead, and rest of the face. From the front and side view, the chin should appear neither overly prominent nor receding but be perfectly in between. A receding chin causes the lower face to look small and weak, and this affects not only your perceived beauty but also other characteristics. Historically, having a weak or receding chin has also been perceived as having a weak or unlikable personality.
The Nose and Chin
Many people who are unhappy with their noses may not realize that the nose could be accentuated by a receding chin. A sizable percentage of individuals who desire rhinoplasty could be helped by getting a chin implant as well. Placing a chin implant can restore facial balance so that the chin and nose fit together. Chin augmentation and rhinoplasty are frequently performed together to accomplish this.
Male vs. Female Chins
Male and female faces are structured in slightly different ways, and this affects our perception of their attractiveness. On a male face, a strong chin and jawline are considered desirable. The character Gaston in Disney’s “Beauty and the Beast” is a classic caricature of a man with a strong chin that others find handsome. However, the same prominent chin on a female face would be seen as overbearing and unattractive. A woman’s chin should be smaller but should not recede, as an overly small chin is also disproportionate. It should be defined and balanced in proportion to the nose.
What is Chin Augmentation
Chin augmentation is called Genioplasty in the medical lingo and is one of the most common cosmetic surgery done on the face along with Nose correction or Rhinoplasty. Chin Augmentation (Genioplasty/Mentoplasty) is surgical procedures designed to provide a more vibrant and attractive look of distinction as it can bring balance and better proportion to the structural appearance of your face. It defines your face by increasing projection and creating more distinct features. While any area of your face can be augmented with cosmetic surgery, the chin and jaw are the most common sites for augmentation. Combining chin enhancement with cosmetic nose surgery may provide the ideal solution to perfecting one’s profile while maintaining proper relationship between facial structures.
Cosmetic chin surgery is an excellent option for anyone who feels that their chin is not shaped right in relation to the rest of the face. Popular among men and women, chin enhancement can be accomplished via facial implants for chin enlargement or advancement, or via chin reduction surgery for those who would like their jaw to appear less prominent in profile.
People with weak jaw line or with a receding chin can now get a chin implant to give a more distinguished look. Chin implant can be done along with strengthening the jaw if the person is also experiencing a weak bite. A receding chin can be corrected by a Cosmetic Surgical procedure and a chin implant of the shape and size required is inserted so that the profile of the person becomes more attractive.
Chin augmentation using a chin implant is a safe surgical procedure that can involves creation of a pocket in the soft tissue of the chin and inserting an implant of appropriate size and shape. The implant is usually made of silicone which is an insert and sterile material. The chin is kept in a bandaged state that supports the chin for about a week or ten days.
A chin implant is considered after ascertaining that the chin is really receding. A chin is considered normal if it extends about three to four fingers below the lower lip. The side profile of the person should show a projection of the chin out of the lip line. It is important for the person himself to feel the need for chin augmentation because chin implant does not serve any other purpose than cosmetic.
The size and the shape of the implant depends completely on the person choice and wish of how one wants his appearance to change, however, there is one requirement to be able to do a chin augmentation operation. There must be bone where the implant can rest.
Care should be taken that the chin augmentation surgery actually creates harmony in the facial features and makes the person look better and feel more confident.
Chin augmentation adds proportion to the chin and provides balance to other facial features. A weak chin makes the neck appear fleshy. It accentuates the size of a normal nose and makes a large nose seem especially big. Chin enlargement through chin implant surgery brings the facial features into harmony and balances the overall facial structure.
The placement of chin implants, though largely overshadowed by other, more popular surgeries, can be an excellent solution for individuals who wish to augment the size and shape of their chin.
Silicone : Silicone chin Implants are one of the most commonly used implants for chin augmentation. They are soft, smooth, flexible and come in different shapes and sizes. They do not incorporate (stick) to the surrounding tissues, so the pocket must be made precisely. They usually stay in place, but may move, buckle and cause bone resorption where they contact the mandible in some cases. Since they are smooth, they can also be removed easily.
Polyethylene : Polyethylene chin implants, brand name Medpor, are hard, porous, slightly flexible and come in various shapes and sizes. The do incorporate, as the surrounding tissues can grow into the pores of the material. This fixes the polyethylene chin implants in place, and provides a blood supply to help prevent infection. It also makes these implants much more difficult to remove.
Polytetrafluoroethylene : Polytetrafluoroethylene, brand name Gore-Tex, is used in plastic surgery and other operations is known by an abbreviation of its chemical name, ePTFE (expanded polytetrafluoroethylene) or Gore S.A.M. (subcutaneous augmentation material.). Because ePTFE is flexible and soft but very strong, it is inserted during operations in trimmed sheets and carved blocks and held to the bone by titanium screws. But because the material is porous, the force that really holds the implant in place is soft tissue and bone growing through and into the implant.
The above artificial materials are used in medicine because they are biocompatible and have a low incidence of causing problems inside the human body. They are abundant, FDA cleared and can be used “off-the-shelf”, without a donor site injury to the recipient.
Acellular Dermal Matrix : ADM’s are another chin augmentation implant material. Commercially known as AlloDerm and known to physicians as acellular human cadaveric dermis, AlloDerm comes from tissue donors Just after death, technicians remove a layer of skin, remove the epidermis, and treat the remaining dermis with antibiotics and other substances to remove the donor’s cells and DNA that would cause rejection. The graft that emerges is often used to cover chin implants.
Other implant materials include Supramid, a braided nonabsorbale synthetic suture material in polymer shell and Mersiline, a mesh-like material that provides a scaffold on the bone.
Types of procedures
Surgical Chin Augmentation : The most common type of surgical chin augmentation uses a chin implant. There are many types of chin implants, and many are described in the previous section. Chin augmentation with a chin implant is usually a cosmetic procedure. An incision is made either under the chin or inside the lower lip, a pocket is made and the implant placed into the pocket. Some chin implants are fixed to the mandible, while others are held in place by the pocket itself.
Another surgical chin augmentation uses the lower prominence of the mandible as the “implant.” Known as a sliding genioplasty, the procedure involves cutting a horseshoe-shaped piece of bone from the lower border of the mandible known as an osteotomy. For chin augmentation, the piece of bone is advanced forward to increase to projection of the chin. The piece can also be recessed backward for a chin reduction. The new position is held in place with a titanium step plate using titanium screws. The bone segment can also be fixated with 26 or 27 gauge wires and IMF (wiring the jaw shut) for 3-4weeks. This type of surgery is usually performed by an oral and maxillofacial surgeon or a plastic surgeon.
More involved Orthognathic Surgery may be required in cases where the chin is small and a significant overbite co-exist. While the procedures above may improve the cosmetic appearance of the chin, they will not improve dental occlusion. Mandibular advancement surgery can be used to correct the alignment of the teeth and improve the projection of the chin.
Non-Surgical Chin Augmentation : Another method of chin augmentation uses an injectable filler. Most fillers are temporary with results lasting months to years. Common temporary fillers include hyaluronic acid and calcium hydroxyapatite preparations. Permanent fillers, like “free” silicone, have fallen out of favor due to the risk of migration, chronic inflammation and infection, which can permanently disfigure the chin.
Chin Implant Candidates
Chin augmentation surgery offers many aesthetic benefits. Good candidates for the procedure include those who have a:
8 Recessed chin
8 Pointed or squared chin
8 Prominent nose
8 Fleshy neck
Cosmetic chin surgery adds definition to the jaw and balances the appearance of a large nose. Chin implants are often used in conjunction with rhinoplasty for maximum aesthetic effect and may be used with cheek implants and lip augmentation for overall facial balance.
Candidates for chin augmentation surgery should not:
8 Be in poor health
8 Have unreasonable expectations about the outcome of the surgery
8 Have taken Accutane® in the past six months (the medication can affect bone growth and cause keloid scarring)
8 Suffer from cardiac problems or hypertension
8 Take anticoagulants
What Do Chin Implants Look Like?
The look of chin implants varies according to the material used to manufacture the products. Preformed chin implants, such as those made of silicone, are shaped a little like the narrow chin guard of a sports helmet. The cosmetic surgeon may further carve the implant to adjust the shape for a custom fit. Once in place, the chin implant should create a strong, natural-looking jaw line. Some plastic surgeons can demonstrate the cosmetic benefit that chin implants provide through computer imaging, which allows patients to see what they will look like after their surgery.
Chin Surgery Complications
One of the questions asked most often by those considering getting a chin implant is: “Are chin implants safe?” Although rare, chin implant surgery complications do occur. Bruising and swelling that can last up to six weeks should be expected after the procedure.
When your procedure is finished, bandages or dressings may be applied to keep the surgical site clean and to support the position
of the reshaped bone or implant during initial healing. There will be some initial swelling around your chin area which will subside in a week or two. Preoperatively cessation of smoking and use of alcohol recommended for 2 – 3 weeks. Postoperatively must follow the same as well as avoid any strenuous activity, gym workout and any contact sports for a period of 4-weeks. Post operative medications will include a short course of antibiotics and pain pills as and when needed. You can resume light activity on the day of surgery and would be able to return to work and your usual activities within 5 – 7 days.
You will be given specific instructions to follow during your recovery from Surgery as: How to care for the surgical site, medications to apply or take orally to aid healing and reduce the potential for infection, mouth gargles, specific concerns to look for at the surgical site or in your general health, and when to follow up with the plastic surgeon.
The results of the Genioplasty/Chin Augmentation surgery are immediate and lasting for whole life as it is a permanent way to achieve a strong appealing chin. The overall results can be appreciated after approx six weeks to six months. t
Dr. Talwar is one of the leading cosmetic and plastic surgeon in India. Since 1996 he has been running Cosmetic Laser Surgery Centre of India. He was also associated with Indraprastha Apollo Hospitals, New Delhi (India) as a Senior Consultant, Cosmetic Surgeon. His clientele includes Top Models and Film Stars from neighbouring countries, Sport Stars and a lot of foreign tourists.
Cosmetic Laser Surgery Centre of India, E-34, Greater Kailash – I, New Delhi – 110048
Phones: +91-11-29236550, 29236912
E-mail – firstname.lastname@example.org