Chin Augmentation – Sliding Genioplasty in Melbourne –
for patients with a retruded chin or weak chin
There are TWO main Types of Chin Surgery: Chin Augmentation using Chin Implants or a Sliding Genioplasty Surgery (Chin Advancement)
In most cases, the appearance of a recessed chin or lower mandible can be improved with a chin prosthesis, also known as a chin implant or facial implant, that is typically inserted through the mouth.
Chin implants may be suitable for adults of any age, who either suffer from Retrogenia (a retruded chin) or who want a more pronounced chin or stronger looking jawline.
- Chin Augmentation is suitable for healthy adults of a wide age range.
- Sometimes the chin implants will need to be custom-made.
- You must discuss your appearance preferences ith your surgeon; images and photographs may be of assistance during a consultation.
More severe cases of retrogenia may benefit more from a sliding genioplasty surgery, rather than just a prosthetic enlargement, but this is a more intensive surgery with longer healing times and potentially higher risks.
At Coco Ruby, we know that every patient is different and therefore we know that in order to meet your preferences in terms of improving the appearance of your lower jawline we need to tailor our Chin Augmentation options. Depending on your needs, we may recommend additional 3D imaging or scans, and design of custom chin implants, or a pre-manufactured medical prosthesis, to help you gain a stronger looking, shapely chin to suit your chin enlargement preferences.
- Augmentation using custom made or pre-manufactured medical-grade chin prosthesis (implants) are the primary method of augmenting the chin area to improve the appearance of the face and jawline.
- There are also other surgical alternatives, such as orthognathic surgery to lengthen the jaw itself.
- Remember, however, that everyone is different; and results can vary from person to person.
Who is a Good candidate for Chin Augmentation?
Like all surgeries, a healthy patient with realistic expectations, who understands the procedure, recovery time and risks, is going to have a better experience with surgery than a patient who has unrealistic expectations about what having a stronger chin and jawline will achieve. Be sure you discuss this with your Surgeon and that you understand what surgery can, and cannot, accomplish. 3D Imaging can help you anticipate what the benefits of your chin augmentation procedure might look like.
Ask your Surgeon to show you before and after photographs of chin augmentation patients; and to show you drawings or adjusted photographs of what a chin implant can attain for your facial appearance from both the front and side profile views.
For the right candidate, a chin augmentation can significantly improve facial contours. A strong jawline, along with a nicely shaped chin, can also help;
- balance out your facial features.
- Enhance your smile and overall facial appearance.
- Chin augmentation (facial implant) surgery can also have a positive impact on the perceived attractiveness of a face, regardless of gender.
Surgery to augment the chin on people who have a weak-looking chin, can:
- drastically improve, balance and enhance the appearance of a person’s face from both the front and side
- enhance the appearance of the smile and jawline and give the face a more vertically balanced appearance
- improve facial expressions by harmonising the upper and lower jaws or upper and lower lip positions
Chin and Jaw Exercises won’t help a receding or weak chin
Exercising the chin or jawline is usually futile to remedy a physically retruded or weak-looking chin and jawline. This is because the bone and soft tissue structures of the face are not amenable to significant alterations by exercises alone.
Exercising your chin and jawline will NOT tend to help reduce a weak-looking chin or receding chin. Unfortunately, in general, exercising your chin or jaw will not remedy a physically small or receding chin. Moreover, it is unlikely to help improve your appearance the way an augmentation or chin implant can.
What Is Sliding Genioplasty surgery?
Sliding Genioplasty also known as an Osseous Genioplasty is a cosmetic surgical procedure of reshaping bony structures of the chin to correct various chin abnormalities and asymmetry of the face. It is a more intensive surgery when compared to implant placement surgeries to correct the receding chin, However, it is more beneficial in correcting severe cases of receding chin where the chin is too far back in comparison to the rest of the face.
Am I a Good Candidate for Sliding Genioplasty?
Sliding Genioplasty may be the procedure for you if you have:
- An overly receded chin and want to increase chin projection.
- A severely protruding chin.
- Either, a too tall or too short chin
- Or a chin with transverse asymmetry.
- A chin that is out of proportion to the rest of your facial features.
- Realistic expectations about what the surgery can do for you.
- Issues relating to poor self-image and self-confidence as a result of the facial asymmetry.
- Good physical and mental health.
- Non-smoker or are willing to avoid smoking before and after the surgery.
What are the Benefits of Sliding Genioplasty surgery?
Sliding Genioplasty surgery can help;
- Correct receding, protruding, or misaligned chins, giving a more aesthetic look.
- Contribute to restoring facial harmony.
- Give a proper definition to your jawline
- Improve facial contour.
- Correct facial asymmetry.
- Results following the procedure are permanent.
- The surgery will be done under local or general anaesthesia; based on both your choice and your surgeon’s recommendation.
- Cuts are made below the teeth of your lower jaw, this is done by pulling your lower lip downwards to get access to the bones in your chin.
- The incision will be made carefully on the inside your mouth. This prevents visible scarring after the procedure.
- Cuts are then made on the chin bone to align it as per your needs.
- A saw will be used to cut a small vertical line in your chin to ensure the chin bone stays straight when it is moved during the procedure.
- Horizontal cuts are then made along the chin bone.
- While moving the chin backwards a wedge of your bone will be cut out, after which the bone is slid forward or backwards.
- If you want to add prominence to the chin, the wedge of the bone cut is reattached with a gap between the rest of the jaw and your chin.
- This gap will be filled over time by the growing bone.
- If your requirement is making the chin shorter; the removed wedge of bone is not reattached, rather the chin bone is directly attached to the rest of the jaw.
- After the issue has been corrected and the jaw is in place it will be held with the help of plates and screws.
- The incision site will then be stitched using absorbable sutures.
- Compression tapes will be placed on the outside of your mouth to protect your chin and mouth and reduce swelling in the area.
Recovery after a Sliding Genioplasty Surgery
You might require an overnight stay in the hospital after the surgery for observation. Swelling, bruising, pain, and tenderness are present immediately after the surgery. However, these will gradually fade over the coming weeks. Your surgeon will advise you to take liquid to a soft diet during the first week following surgery. You will also receive a prescription for pain medications and antibiotics by your surgeon. Antiseptic mouthwashes after each meal are nessassary to ensure mouth hygiene and prevent infection.
Wound dressing and compression tape can be removed approximately 5 days after the procedure. Avoid strenuous activities for at least three weeks following the surgery, however, you may resume light activities a day or two of the surgery. Depending on the nature of your job, you can return to work after about a week if your surgeon clears you. It might take up to 6 months to fully recover after the surgery. Thanks to the use of Absorbable stitches to seal the incision site, you won’t have to get them removed. You should strictly avoid smoking and drinking alcohol during the recovery period as these interfere with the normal wound healing procedure.
Risks and Complications associated with Sliding Genioplasty
When comparing Chin Augmentation with implants with Sliding genioplasty the later (sliding Genioplasty) is not only the more invasive surgery but it also carries more risk. You must fully understand these risks and possible complications before you undergo surgery. A good Surgeon will thoroughly brief you on these complications to ensure you fully understand.
Potential risks and complications of sliding genioplasty include:
- Excessive bleeding.
- Infection at the incision site.
- Non-union of the bony wedge during reattachment.
- Lip drop.
- Injury to the mental nerve that can lead to temporary or permanent loss of sensation.
- Damage to teeth in the lower jaw.
- Persistent facial asymmetry due to under or overcorrection.
Seek immediate assistance if you feel something is not right. If you are considering a sliding genioplasty for correcting abnormalities of your chin, always seek a board-certified plastic surgeon for the best results and to significantly reduce the chances of potential post-operative complications.
The Sliding Genioplasty Patient Journey
- The first step in your journey is to have a consultation with a fully qualified Specialist Plastic Surgeon.
- Here you will have an in-depth discussion about the procedure and your surgeon will see if you meet the criteria to undergo the procedure.
- They will also take an in-depth medical history.
- Your surgeon will ask you about your goals and what outcome you desire, it’s important, to be honest, and reasonable about your expectations.
- You will discuss;
- Options and choices in regards to a Sliding Genioplasty
- Alternatives; this may include suggestions by your surgeon about an operation they feel you are more suitable for.
- As well as the potential risks and complications that your surgery may have.
During this time we encourage you to be inquisitive and verbalise any queries, questions or doubts.
If you decide to proceed with the procedure you will be told the following;
- Avoid aspirin and other blood-thinners, this helps prevent excessive bruising.
- Avoid smoking for at least 3 weeks before and after the surgery. Nicotine has adverse effects on the body not only before surgery but during the recovery period as well.
The chin surgery procedure
- This is the second phase of your journey.
- During your operation, you will be under either local or general anaesthesia. This depends on both; your condition and your surgeon’s recommendation.
- The whole procedure takes about 2 hours to complete.
- You might require staying in the hospital for a day after the surgery for monitoring.
- For the surgery, your surgeon will make cuts below the teeth in your lower jaw by pulling your lower lip downward.
- Because the incision is inside your mouth, you will not have external, visible scarring.
- Through the incision, your surgeon will assess the chin bones, cut and reposition them as per your requirements.
- Plates and screws will be used to hold the new changes in your chin position.
- After the correction has been achieved, the incision site will be sealed with absorbable sutures.
- Your surgeon will put compression tapes on the outside of your mouth to protect your chin and mouth during the early stages of wound healing.
- Swelling, bruising, pain, and tenderness are present immediately after the surgery. These will gradually fade over weeks.
- Your surgeon will advise you to take liquid to a soft diet during the first week following surgery.
- Your surgeon will give you a prescription for pain medications and antibiotics.
- Use Antiseptic mouthwashes after each meal to ensure oral hygiene.
- You will be able to remove wound dressings and compression tape about five days after your procedure.
- Avoid strenuous activities for at least three weeks following the surgery
- However, you can generally resume light activities a day or two post-surgery.
- Depending on the nature of your job, you can resume it after about a week of the surgery as per your surgeon’s advice. It might take up to 6 months to fully recover after the surgery.
- Thanks to the use of absorbable stitches, you won’t have to get your stitches taken out. They will dissolve on their own.
- Avoid smoking and drinking alcohol during this period for a smoother recovery.
How much does a sliding genioplasty cost?
- The cost of the surgery varies from person to person and therefore depends on their requirements.
- The net cost of the surgery is inclusive of the anaesthetist, surgeon, and hospital fees.
- Since this is a cosmetic procedure, in most cases your insurance will not cover you.
- However, at your consult, your surgeon can give you a quote estimate on how much your procedure may cost.
Will Medicare cover Chin Surgery?
You may be eligible for Medicare coverage and Private health insurance subsidy if you meet strict criteria.
- Medicare Item Number 52378 covers Genioplasty surgery
- Medicare Item Number 52321 covers Chin implant
Frequently Asked Questions (FAQs)
Is sliding genioplasty permanent?
The results following a sliding genioplasty are generally permanent however slight changes in the profile can occur due to age-related change in bone and soft tissue component of the jaw.
When will the results of the procedure be visible?
You will be able to notice changes in your chin position immediately after the surgery, unfortunately, swelling present after the surgery can mask these changes. As the swelling subsides over the first week’s post-surgery the results will become more apparent, however, it may take between 3 months up to a year for your face to ‘settle’ into its new norm.
Is sliding genioplasty safe?
Sliding genioplasty is an invasive surgery and as a result, it has certain risks. You can minimize these risks and potential complications by undergoing the procedure with an experienced Board-certified plastic surgeon.
Potential risks of the surgery include:
- Excessive bleeding from the incision site
- Infection at the incision site
- Non-union of the bony wedge during reattachment
- Lip drop
- Injury to the mental nerve which can lead to temporary or permanent loss of sensation.
- Damage to lower jaw teeth
- Persistent facial asymmetry due to under or overcorrection.
Can you reverse sliding genioplasty?
Generally, a sliding genioplasty is a permanent solution. However, you can reverse the results by recutting the original osteotomy line and setting or sliding the bones of the jaw back to their original position.
Is sliding genioplasty worth it?
Sliding Genioplasty is a cosmetic surgical procedure of reshaping bony structures of the chin to correct various chins abnormalities and asymmetries of your face. If the shape and position of your chin or lack of facial symmetry is causing you to have issues related to self-image and want a permanent solution for it, sliding genioplasty is worth your time and money.
Book a consultation with a chin surgeon now and find out how you can benefit from a sliding genioplasty.
Further Reading and Medical References:
- Osseous Genioplasty for Chin Deformity – Procedure Overview, Cost, Recovery, Before & After | AEDIT
- Genioplasty: Types, procedure, and recovery (medicalnewstoday.com)
Schedule a consultation with a Specialist Chin Surgeon to assess your suitability for chin augmentation; ask a Patient Care Coordinator for an appointment
To find out more about your options for chin augmentation to improve your facial profile and front-facial appearance, phone 1300 264 811
and ask to see our chin augmentation expert, Dr Richard Sackelariou, a Specialist Plastic Surgeon in Melbourne and Sydney.