Chin enhancement is a commonly performed procedure on both men and women, young and old. The chin is an important facial landmark which is fundamental in defining a person’s profile.  As we age, the chin helps to visually distinguish the face from the neck. Particularly in younger patients, chin enhancement is commonly combined with rhinoplasty, to help balance facial proportions. An important characteristic of the aging face is that the border between the face and neck becomes blurred. This is a result of overall skin laxity and the formation of jowls.

Chin enhancement can be performed surgically by placing an implant, or non-surgically with fillers. Chin enhancement can also be performed by reshaping the patient’s own jaw bone. Jaw reshaping procedures are more complex and are usually reserved for severe cases, or cases where the entire lower jaw, including the teeth, need to be advanced forward. Such surgeries are performed by orthognathic surgeons.

Chin implants are available in variety of shapes and sizes, and are manufactured from both solid and semi-solid materials. During your consultation, Dr. Rapaport will discuss your options for chin augmentation and will work with you to determine which implant best suits your facial proportions. With Dr. Rapaport’s expertise, chin augmentation surgery creates a dramatic improvement to the overall facial aesthetics while still appearing entirely natural.

Surgical Approaches for Chin Augmentation

Chin augmentation can be performed via two approaches. The classic approach involves a small incision (about an inch in length) under the chin, often in a naturally occurring crease. This approach gives direct access to the mandible (lower jawbone) and is very straightforward. Revisions of prior chin enhancements are typically performed through this incision.

Patients who prefer not to have any visible scar may opt for the approach that involves making an incision in the mouth. In this case, the incision is made near, but not in, the lower border of the lower lip. This approach has the advantage of no visible scar whatsoever. Dr. Rapaport has performed many successful chin enhancements using this approach. It does, however, require meticulous attention to oral hygiene for several days following the procedure. Details regarding post-operative care will be reviewed with Dr. Rapaport.

How Long Does Surgical Chin Augmentation Take?

Chin implant surgery generally takes between 45 and 90 minutes, and is done as an outpatient procedure in Dr. Rapaport’s fully accredited on-site surgical facility. Chin augmentation can often be performed under local anesthesia, or under local anesthesia with IV sedation. Most patients, if they have the operation on Friday, will be back at work on Monday.

Non-Surgical Chin Enhancement & Augmentation

For those looking for a more modest enhancement, or for those interested in a more gradual change, injectable fillers can often be used to increase the projection of the chin. Dr. Rapaport frequently uses both hyaluronic acid (HA) products such as Voluma, and the calcium based product Radiesse to perform such augmentations. Chin augmentation using injectable fillers is also ideal for those who do not yet feel ready to make the commitment required for placement of a permanent implant. By using injectable fillers, patients can explore the degree of projection which they are looking for, and can be assured that if for whatever reason they regret the enhancement, it will fade away in the course of a year, or can be immediately reversed (in cases where a hyaluronic acid product was used). Most injectable fillers such as Radiesse can be expected to last about one year. Voluma is unique in that its FDA indication states that it can last as long as two years. This, as well as the fact that it can be reversed with a simple injection, make Voluma an attractive injectable option.

If you have questions regarding treatment options, or would like to schedule a consultation with Dr. Rapaport, please call 212.249.9955 or email info@drrapaport.com.

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