Chin and Cheek Augmentation

Chin and cheek augmentation is achieved by inserting facial implants into the desired area. Chin augmentation, also known as “genioplasty” or “mentoplasty,” improves the facial profile by increasing the chin’s projection. Cheek augmentation, or “malar augmentation,” provides a fuller, more sculpted look to the cheeks. Both of these procedures can enhance the overall appearance structure of the face.Facial implants provide a permanent and predictable result while bringing the chin and/or cheek bones into balance with the rest of the face.
Many who desire a more defined facial structure seek one or both of these surgeries.The implants used for these procedures are made of either a solid or semi-solid material. Dr. Chiu will recommend which type of implant is best for you based on many factors, including your facial structure and proportions.

Types of Facial Implants

Facial implants are specially formed solid, biocompatible materials designed to enhance or augment the physical structure of your face. The precise type and size of implants best suited for you requires an evaluation of your goals, the features you wish to correct and your surgeon’s judgment.
Chin implants can increase the size and projection of a chin that does not project in proportion with the forehead and mid-face. A small or recessed chin can also be described as one that seems to disappear into the neck of an individual of normal weight, rather than appearing as a distinct facial feature.
Jaw implants increase the width of the lower third of your face. Much like the chin, a weak jaw can be thought of as one that is not well-defined and distinct from the neck, or one that slopes rather than angles from the ear to the chin. In some cases, both the chin and jaw can contribute to facial imbalance.
Cheek implants increase the projection of the cheekbones. They add volume to areas which may be recessed or flat.
Cheek implants come in various shapes and sizes, and most can be custom shaped to a particular facial structure. Cheek implants that are made of hydroxyapatite, integrate with natural bone tissue in the face and therefore become part of the cheek structure. In contrast, cheek implants that are made from silicone can be removed at a later date, as they do not integrate with the facial tissue.

Candidates for Chin and Cheek Augmentation
Ideal candidates for both chin and cheek augmentation should:

  • Be in good physical and psychological condition

  • Understand the limitations of the surgery

  • Have realistic expectations and goals

  • Not be allergic to the implant material

Chin Augmentation
Chin augmentation surgery is usually performed with general anesthesia. There are two approaches to increasing volume and adding contour to the chin. The first method involves an incision inside the mouth and requires moving the chin bone. The second, more common method involves inserting an implant. With this method, incisions are made inside the mouth or on the underside of the chin. The implant is inserted, and sutures are used to close the incision. The entire procedure can take from 30 minutes to one hour to complete.Chin augmentation surgery is often paired with nose surgery, or “rhinoplasty,” to achieve a more harmonious appearance.

Chin-Cheek-Augmentation-1

Chin-Cheek-Augmentation-2

Cheek Implant Surgery
Cheek implants are most often used to restore sagging midfacial soft tissues, thus postponing the need for a facelift. However, this procedure can also be performed in conjunction with a facelift to better define the enhancement. When paired with a facelift, eyelid lift or forehead lift, the cheek implants can be inserted through incisions made for those procedures. Otherwise, incisions are made inside the upper lip or lower eyelid. This procedure is also usually performed under general anesthesia.

Chin-Cheek-Augmentation-3

Recovery
Depending on the patient’s overall medical condition following surgery, Dr. Chiu may recommend an overnight stay at an aftercare or hospital. You will experience some discomfort after surgery, and you may experience limited movement or difficulty smiling and talking. Swelling and bruising may also occur. Dr. Chiu will inform you of special dental hygiene instructions, diet restrictions, and any activity restrictions following surgery. Stitches used inside your mouth will usually dissolve within 10 days.
Risks
As with any cosmetic procedure, complications are always a possibility. A second operation may be necessary if a facial implant shifts slightly out of place. If infection occurs, the implant may have to be temporarily removed and replaced at a later time. Other less serious and less common risks can be associated with certain implants.
Results
Final results with chin or cheek augmentation may not be seen for several weeks, or perhaps months. However, you should see improvements gradually as you heal. Dr. Chiu specializes in natural-looking surgical results. Most people won’t notice you’ve had facial implant surgery – only that you look better!
After Surgery
  • Relax and sleep with your head elevated using at least two pillows under head and shoulders for at least the first 72 hours. Sleeping in a reclining chair is good as well. This will help minimize facial swelling by keeping your head above your chest.

  • Apply ice packs or frozen peas/carrots to area in ½ hour intervals for the first 72 hours. Use a thin washcloth or gauze between the plastic and your skin. Don’t leave on for more than ½ hour at a time. Intermittent icing will help reduce swelling and bruising.

  • Take your pain medication every 6 hours, only if needed. Always take narcotic pain medicine with food to decrease nausea. If you have no pain, do not take the medication.

  • For minimal pain, take only Extra-Strength Tylenol. DO NOT take aspirin or aspirin-like products such as ibuprofen.

  • If you experience extreme pain, swelling or temperature elevation, call the office immediately.

Occasionally, a compressive head dressing may be placed for 2 days. Once the dressing has been removed (or if one was not used), the sutures under the chin should be cleaned, using a cotton swab soaked with hydrogen peroxide then patted dry. This is followed with the application of antibiotic ointment 3 times a day. The sutures will be removed around 7 days after surgery. Do not allow crusts to build up on the sutures.

Other Instructions

  • You can expect bruising and swelling about the chin and mouth area. This should subside within 2 weeks.

  • Your chin and lower lip may be numb after surgery. The local anesthetic should be gone within 6 hours. Your chin will still feel slightly numb. This will gradually disappear.

  • Because of your lip and chin numbness, you should use extreme caution with foods/beverages that are very hot or very cold. Check food/beverage temperature before placing in your mouth.

  • You may have an elastic bandage taped across your chin area (uncommon). This provides support and pressure to the chin. Remove this when directed by the doctor.

  • Normal activities may be resumed 48 hours after surgery but NO straining or strenuous activities for 1 week. Avoid activities in which there could be a blow to the chin for 4 weeks.

  • Limit talking, laughter, and mouth movement as much as possible for 3 days.

  • You may bathe, shower shampoo your hair, and resume sexual activities 48 hours after surgery. Use caution when brushing teeth.