Chin Sculpting Surgery
Some people have a problem where the chin is disproportionately small when compared to the rest of the face. This is condition is commonly referred to as micrognathia and may sometimes be referred to as “mandibular hypoplasia.” When one has a lack of chin projection, the face is weakened structurally. It can also make the nose look larger than it really is. For this reason, many patients will seek surgery to improve the appearance of the chin. The operation can also greatly enhance the results of a Facelift, since loss of chin projection may occur with aging. Chin augmentation is also commonly combined with Facial Liposuction, where fat is removed from under the chin and from the neck and with Cheek Augmentation.
What is Unique About Dr. Chugay’s Chin Augmentation?
Dr. Chugay uses a custom made, narrow-shaped implant to create a more pronounced and powerful chin. The implant is inserted on top of the bony ridge and wraps around the chin bone. This placement, along with the materials used, cause implant shifting to be extremely unlikely.
Implant Materials Available Commercially
The most common implant material used for implants is silicone. Silicone is inferior to Gore-Tex and acrylic as material for a chin implant. Below is some comparative information on the aforementioned materials. Silicone – Easy to mold and bend. Most silicone chin implants have a tendency to move after surgery. Unless ridges are created, silicone is very smooth and slick. Until the body creates a protective fibrous pocket, silicone implants can move and produce protrusions. Silicone, although biologically inert, causes temporary tissue reaction.
Gore-Tex – a brand name for Expanded polytetrafluoroethylene (patented and manufactured by W.L. Gore &Assoc., Flagstaff, AZ), which is a pure, microporous form of Teflon that is thin, flexible, mechanically strong and has a high degree of biocompatibility. It is easy to mold and bend. Natural soft appearance. Less movement is described after insertion when compared to silicone. No patient discomfort reported as Gore-Tex is extremely lightweight and soft. Gore-Tex is perfect for Chin Augmentation when minimal improvement is required. Please, see Cheek Augmentation.
Acrylic – A hard, bone-like material. Very light in weight. No patient discomfort is noted. Once inserted, acrylic implants are hard to dislodge as they attach to the bone. No tissue reaction as with silicone. If you touch a chin augmented with acrylic you will not be able to tell the implant from the bone: a very natural blend.
Most implants are shaped to fit on the ridge of the chin bone. This, combined with the silicone’s slippery nature, often causes post-operative implant shifting ruining the surgery results. Furthermore, most implants are very wide. While appropriate for some patients, they typically appear disproportionate, especially on women and patients with smaller faces.
New Line of Implants Designed by Dr. Chugay
After years of research, Dr. Chugay has developed a line of implants which will become a powerful addition to the implants he currently uses. The new implants come in a variety of shapes and sizes to accommodate different patients’ needs. The hallmark is the downward elongation that is produced with the implant’s insertion, giving the patient a more chiseled appearance.
Of course, Dr. Chugay must see you to determine which implant shape is best for you. Each person’s face is unique. In some cases, a custom implant made just for you can be recommended. You can finally attain the chin shape you desire!
Dr. Chugay will make a small incision underneath your chin. If requested, Dr. Chugay can also make an incision in the mouth. However, that technique, preferred by many surgeons, will not yield as good a result as the under-the-chin placement. An exterior approach minimizes the possibility of infection and allows more precise positioning of the implant. Post-operatively, the outside scar is not visible as it is hidden underneath the chin and is only 1 cm in length. Furthermore, Dr. Chugay uses his unique technique of subcuticular suturing which reduces the scar size to the absolute minimum.
Dr. Chugay utilizes a combination of local anesthesia and IV sedation. You will be asleep and comfortable during the procedure. The risky general anesthesia is not used. Dr Chugay is pleased to offer Goldilocks Anesthesia.
Chin surgery is not without its risks. The potential risks include but are not limited to: infection, bleeding, deformity of the chin, implant movement, need for further surgery.
After Your Surgery
Following the surgery, the chin will be placed in a cast to allow the area to heal free from external damage. The cast will be removed on your post-operative visit. There will be swelling in the area that will decrease with time. Patients are asked to avoid impact to the area for at least 6 weeks after surgery.