Chin Augmentation – Achieving Projection and Contour With or Without Surgery

Enhancing the chin for more projection, or addressing a weak chin has been a popular facial surgery as lacking projection in the chin transcends the aging process. A weak chin is primarily caused by the bone structure, when the position of the mandible or the lower jaw is further back compared to the upper the upper jaw. The traditional procedure for this has been chin implant surgery, usually made of silicone. However, with the introduction of longer lasting, more rigid facial fillers, and the evolution of filler placement techniques to add solid facial structure as well as volume, the look of a chin implant can be achieved conveniently and quickly without surgery.

chin implant surgery by Dr Amiya Prasad

The lack of chin projection, otherwise known as a weak chin, is caused by genetics, and traditionally treated with chin implant surgery

chin augmentation by Dr Amiya Prasad

Non-surgical chin augmentation is a recent alternative to chin implants with the introduction of thicker, longer lasting hyaluronic acid fillers

Chin Implant Surgery

Dr. Prasad prefers to do chin implant surgery via an incision under the chin, which is not visible in the face. A pocket is created between the chin bone, and beneath the muscles of the chin. A customized implant made of silicone is the preferred choice of Dr. Prasad, which is held in place with sutures or titanium screws. Dr. Prasad prefers to do this surgery with local anesthesia under LITE™ sedation so the patient is more comfortable, and heals and recovers more quickly after surgery. However, many other facial surgeons do prefer to perform chin implant surgery with general anesthesia, which involves longer recovery time for patients. Actual surgery time is 1-3 hours.

chin implant anatomical placement

Silicone chin implant position on the chin bone, which is held in place by a titanium screw and overlying muscles of the chin

chin implant surgery before and after

Profile view of chin before and after chin augmentation/chin implant surgery by Dr. Prasad.

Chin Augmentation with Cosmetic Fillers

The introduction of more rigid, longer lasting cosmetic fillers has changed chin augmentation to make it more convenient, faster, and cost-effective for patients. The same look achieved with chin implant surgery can be done in minutes without surgery in many cases, and reduced recovery time. A thicker hyaluronic acid filler like Juvederm Ultra Plus or Juvederm Voluma is injected with a blunt cannula on top of the bone, and beneath the muscle to hold it in place with Dr. Prasad’s technique called Structural Volumizing. These thicker fillers are designed to add facial structure, and last up to two years.

chin augmentation before and after photo

Results of chin implant surgery can be achieved in minutes with longer lasting hyaluronic acid fillers like Juvederm Voluma, placed at the bone level with Dr. Prasad’s Structural Volumizing technique

Hyaluronic acid fillers for chin augmentation are ideal for people who do not want to commit to surgery, or the permanence of a chin implant. Hyaluronic acid fillers are not permanent, so they do need periodic maintenance, but newer, thicker fillers can last up to two years. Hyaluronic acid is naturally found in the body, so these fillers are safely metabolized with time. If one changes their mind about the look, hyaluronic acid fillers can be dissolved without surgery using the enzyme hyaluronidase.

Limitations of Chin Augmentation

It is possible that lacking projection in the chin may be caused by a pronounced underbite that pushes the lower jaw back further than it should be. In such cases, cosmetic surgery may not be the best option, but rather oral surgery to set the chin and lower jaw forward. While this can be performed by some plastic or cosmetic surgeons, this is more the specialty of an oral surgeon as this has to do more with function rather than aesthetics.

Chin Dimpling and Creasing Treatment with Botox®

Chin dimpling treated with Botox® by Dr. Amiya Prasad

Chin dimpling due to an overactive mentalis muscle can be treated by relaxing the muscle with Botox or a similar neurotoxin

Dimpling of the chin, commonly called peau d’orange, orange peel skin, or even golf ball skin of the chin is caused by an overactive mentalis muscle. The excessive tightness of the mentalis muscle can also cause deep creases in the chin. Treatment for chin dimpling involves an injectable neurotoxin like Botox®, Dysport®, or Xeomin® to relax the mentalis muscle which reduces mentalis activity and smoothes the skin appearance of the chin, and decreases the depth of muscle-associated creases.

If you are considering improvement of your chin appearance, contact us at (212) 265-8877 in our Manhattan office, or (516) 742-4636 at Garden City, Long Island 24/7, or by filling out the contact form below, and we will get back to you.

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