Chin & Cheek Augmentation
The shape and proportion of the bones of the face are important in achieving a pleasing, overall facial harmony. In balancing the proportions, particularly of the nose, cheeks, chin and forehead can lead to a disharmony of facial appearance that some people find aesthetically unattractive.
An under or over developed chin and flat or overly prominent cheek bones can also result in disharmonies of facial proportion.
Many procedures are available to change the shape of the chin and cheeks and brow. In order to decide on the best treatment, it is usually necessary to perform an analysis of facial proportion. Often, this simply involves an analysis and morphing of digital photographs of the face which can be undertaken at your consultation. Occasionally, more complex bony disproportions require an x-ray or CT scan to show the shape of the underlying facial bones.
An overly prominent chin can often be reduced by removing some of the chin bone in a procedure called a reduction genioplasty. A recessive or underdeveloped chin can be built out either by inserting an implant or performing a sliding genioplasty to advance the existing bone of the chin. Each of these operations is carried out through an incision inside the mouth between the lower lip and gum.
More severe chin or jaw disproportions may require more complicated treatment and may involve orthodontics and surgery to re-align the teeth and jaws.
Flat cheekbones can be treated in a number of ways. Very mild flatness can be addressed by simply augmenting the soft tissue of the cheeks by fat transfer. More marked flatness requires the insertion of a cheek implant or occasionally bone grafts. Overly prominent cheekbones can be reduced through an incision inside the mouth.
“The shape and proportion of the bones of the face are important in achieving a pleasing overall facial harmony”
These operations are almost always undertaken under general anaesthetic and usually require an overnight stay. You can expect a moderate amount of soreness and discomfort in the first two days.
Surgery is usually performed under general anaesthetic and there is a small risk of chest infection, especially among smokers. Numbness of the lower lip or cheeks may occur depending on the area operated on and there is a very small risk of weakness of some of the muscles of the mouth. There is also a small risk that an implant or genioplasty can damage the roots of nearby teeth. Occasionally implants can become displaced, but fixing implants with small titanium screws reduces the risk of this. All operations carry a small risk of infection. If there is a significant infection the implant will need to be removed by surgery.
AFTER YOUR SURGERY
After the operation it is usually necessary to sleep for the first night with the head of the bed raised to reduce the swelling. It is important to keep your mouth clean. Mouthwashes will be provided and it is important to take care not to damage the stitch lines whilst brushing teeth.