Chin Reshape

Indications

You may be unhappy with the side profile of your face due to the chin being undershot compared to the upper jaw, or if the chin is too protruding. In either case, cosmetic surgery can be undertaken to improve the side profile.

Anesthetic

The operation is normally performed under general anesthesia.

chin implant

Technique

Undershot Jaw
There are two ways of treating an undershot jaw. One is to use an inert implant. This may be inserted in a pocket made via an incision either through a skin crease on the under-surface of the jaw or through a tissue between the lower lip and front teeth.

The implant is inserted into the pocket and the incision closed. The position of the implant may be helped by inserting a suture through the skin which is removed during the first 4 days. The suture inside the mouth normally uses dissolvable sutures. If an external skin crease incision below the chin is used, sutures may well be removed at 5 days or dissolvable sutures may well be used.

The alternative method of improving the contour of an undershot jaw is by removing the lower part of the jaw-line and moving it forward. This is a more invasive procedure and is normally done using the incision underneath the jaw. The removed bone is then plated in position and the incision closed. This is usually more painful and is associated with more swelling than insertion of the inert implant.

Chin Reduction
If the chin is jutting out too far the lower part of the jaw may be removed to improve the cosmetic contour. This again is normally done by an incision in the skin crease on the under surface of the chin. Sutures are normally inserted.

Length of Operation

Both operations normally take between anything from 30 minutes to 1½ hours.

Time in hospital

You are normally kept in hospital overnight. During the first few days, there will be some swelling and bruising which normally settles over the next few weeks.

Time off work

It is normally recommended that you take 7-10 days off work. It is important if an implant has been inserted to avoid any undue pressure or disturbance on the chin as this may well cause the implant to move.

Risks and Complications

There might well be some temporary numbness of the lower lip and chin after surgery in this region. Very rarely, this will turn out to be permanent. There may also be some weakness of the muscles around the angle of the mouth. If excessive bone has been removed, some loosening of the teeth may occur.

Rarely the implant can be rejected by the body and be forced out. An allergic reaction to the implant may occur and this is very similar to an infection in that the operated area becomes very tense, red and painful. In this case it is important to remove the implant to allow the infection to resolve. The implant may well be inserted at a later date as long as there is no evidence of allergy.

It is important both prior to the surgery and afterwards that you follow good hygiene standards for the mouth as this is often the source of any infection.

Outcome

Most people are satisfied with the improvement although it is important to have realistic expectations for any form of cosmetic surgery. The use of photographs pre-operatively may well help for reassurance that the operation that you are about to have is in your best interest.