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CHIN RESHAPING

The prominent position of the chin gives it a significant impact on facial appearance. Chin surgery can involve augmentation surgery for a small or short chin, or reduction/reshaping for a large or more prominent chin.

Chin augmentation is more common in men, whilst chin reduction is more frequently requested in women. For cultural reasons, a more prominent chin is less aesthetically tolerated in women compared to men. Long chins, pointy chins, and those that stick out too far are common chin complaints from women. A chin can be too long vertically, too far forward horizontally, be "too wide" or "too pointy" a shape, or some combination of these features. Diagnosing the pertinent dimensional problems with the chin is critical in determining the best way to shape it and this may involve an analysis of your facial x-ray (radiograph).

Before surgery

No special preparation is required on your part although meticulous oral hygiene and good dental health will decrease the risk of wound infection. It would be advisable to stop any herbal medicines and avoid aspirin or ibuprofen-like drugs for 2 weeks before the operation.

The surgery

There are a number of techniques to both augment or reduce chin shape and prominence: Surgery to augment a chin can use a synthetic chin implant which is placed either via an incision under the chin or through an incision hidden within the mouth between the gums and the lip. Alternatively the chin can be augmented using a patients own bone which is held in its new position with a small titanium plate.

Surgery to reduce chin prominence can again utilise an incision beneath the chin or an intra-oral incision to allow bone to be removed by a burr or set-back and held in place with a titanium plate.

Post operative follow-up and aftercare

Depending on the type of surgery performed you will be discharged on the day of surgery or after one nights stay. If an incision has been made within the mouth you should gently rinse your mouth three times daily with a mouth-rinse or warm salty water. You will go home with painkillers and antibiotics. At between 5 and 7 days you will be seen in the clinic to check your progress and the wounds.

Possible complications

All operations carry a risk of complications, depending on which technique is used you will have a scar under your chin or alternatively hidden within your mouth between you gums and lower lip. An intra-oral incision can sometimes cause temporary loss of sensation in the lower lip a little like having had a dental anaesthetic, occasionally this altered sensation can be permanent. The risk of infection post-operatively is between 1 and 2% and usually responds to antibiotics. However, there is a risk that if an implant or plate has become infected that it will have to be removed and things allowed to settle and heal for a few months before further surgery is contemplated.

Plastic & Reconstructive Surgery

FACTS AT A GLANCE

SURGERY TIME
1-2 hours

HOSPITAL STAY
Day case or 1 night

ANAESTHETIC ASSESSMENT
Possibly

PRE ADMISSION TESTS
Possibly

REASONABLY MOBILE
Same day

WASHING
Shower after 1 day

DRIVING
3-5 days

SPORT & EXERCISE
4-6 weeks contact sport 12 weeks

SEXUAL ACTIVITY
4 weeks

FULL RECOVERY
4 weeks

TIME OFF WORK
1-2 weeks

GARMENTS
No