Plastic Surgery of the Chin

Chin plastic surgery is performed to either make the chin larger or to make the chin smaller.  The chin may be enhanced or made larger in projection, length, or both.  Similarly, the chin may be made smaller in projection, length, or both.  A variety of techniques may be used to accomplish your goals.

Chin Augmentation Techniques

Fillers – The chin may be made larger by adding fillers.  Facial fillers, such as Juvederm, Restylane, or Radiesse, may be injected into the chin to add temporary volume to the chin.  The fillers may last 6 months to a year.  Chin augmentation fillers do not require surgery and have no significant downtime.  There may be limits to the amount of projection that can be achieved with non-surgical fillers.

Fat Transfer – Fat may also be added to the chin.  Chin augmentation through fat transfer is performed by harvesting fat from another part of the body, such as the abdomen, and then injecting the fat into the chin area.   This procedure can be performed under local anesthesia or general anesthesia.  Not all fat that is transferred will survive, however the fat that does survive will last for years.  Fat transfer may also have limitations on the amount of increased projection that can be achieved.

Chin Implant – Chin implants may be placed to enhance chin projection.  Dr. Bray, Jr. uses silicone implants that are placed on top of the bone to increase the projection of the chin.  The chin implant may be placed surgically through an incision inside the mouth or an incision under the chin.  Chin implants come in a variety of shapes and sizes.  Dr. David Bray, Jr. will help you select the right size to accomplish your goals.

Osseous Genioplasty – The chin may be enhanced by making cuts in the bone and repositioning the bone in a more projected position.  This procedure requires plates and screws to secure the bone in its new position.  The procedure allows for increased projection and lengthening.

Chin Reduction

Osseous Genioplasty- Chin reduction surgery may be performed by making cuts in the bone and repositioning the bone in a less projected position.  The reduction may involve reducing projection, reducing length, or both. This procedure requires plates and screws to secure the bone in its new position.  In some cases the bone can be reduced by simply shaving down the bone with a drill.

There are many techniques used in chin surgery.  It is important to have a thorough consultation with a board certified plastic surgeon like Dr. David Bray, Jr.  Dr. Bray, Jr. will perform a detailed analysis of the face and chin.  This analysis will help determine the best treatment to achieve your goals.