Chin plastic surgery (genio- or mentoplasty)


It is not a fact that a “strong-willed” chin is evidence of a person’s strength and fortitude. History knows a lot of examples when truly strong-willed people had a completely different chin shape. For example, the strong character and steely will of Frederick the Great, apparently, had nothing to do with his quite ordinary oval face.

If you are not satisfied with the shape of your chin, then do not worry - it is easy to fix. Mentoplasty and modeling of the shape of the chin at the Medial clinic allows you to increase or decrease its volume according to the patient’s wishes, aesthetic or medical indications.

Chin augmentation

This operation is performed when the chin is underdeveloped and the bite is satisfactory.

Chin augmentation can be done in several ways.
Correction with implants .
Depending on the condition of the soft tissues, they are installed directly on the bone or in a prepared soft tissue pocket. There are several types of implants:

  • special silicone inserts, solid or perforated;
  • bioimplants from the patient’s own cartilage (ear, costal, or excess nasal tissue during simultaneous rhinoplasty);
  • non-silicone porous implants reminiscent of the structure of corals. They take root easily and are firmly fixed by tissues due to their inward growth.

Osteoplastic correction . The protruding part of the lower jaw is cut down (horizontal osteotomy) and fixed in a new, extended position. For strength, the separated fragment is secured with a metal plate with screws. The displaced bone tissue always remains connected to the muscles of the floor of the mouth. This prevents atrophy and preserves the result of the operation for a long time. If the size of the moved bone fragment is not enough to achieve the required size, then contour plastic surgery is performed with one’s own fat (the remaining space is filled with one’s own adipose tissue).

When surgery is contraindicated

Surgical correction can solve a variety of problems, however, there are cases when chin surgery is impossible.

Mentoplasty will be canceled if contraindications are discovered at the preparation stage. We are talking about the following violations:

  1. blood clotting disorder;
  2. infectious pathologies;
  3. malfunctions of the immune system;
  4. any dysfunction of blood vessels, heart, kidneys or liver;
  5. oncopathology;
  6. inflammation, eczema or pustular lesions in the area of ​​proposed plastic surgery;
  7. diabetes;
  8. pathologies of the oral cavity (including gum disease, pronounced caries, etc.).

Temporary contraindication – treatment of malocclusion using a brace system. Plastic surgery will be denied to pregnant and breastfeeding women, as well as patients with mental problems.

Chin reduction

Reducing correction is performed for heavy and protruding chins. It is more often considered a “female” procedure that allows you to acquire a delicate facial contour.

When reducing the chin, an osteoplastic transformation is performed, similar to an increasing correction. But the bone flap obtained with a horizontal osteotomy is moved not forward, but backward. This makes the chin more invisible. The fabrics are also fastened with screws or a mini plate. Once the bone has fully fused, the metal parts can be removed and the bone sanded down for a smoother-feeling surface.

If you need to significantly reduce your chin, part of the bone tissue is completely removed. With simultaneous dental implantation, it can be used to build up atrophied areas of the alveolar processes of the jaws (sinus lift).

Reducing correction requires careful modeling and formation of the correct facial contour.

Why is this necessary?

People usually undergo genioplasty procedures to change the appearance of their chin, but there are medical reasons for this surgery.

An example of this is retrogenia or drooping chin. Retrogenia can lead to obstructive sleep apnea, a sleep disorder in which a person's breathing repeatedly stops and starts throughout the night.

According to a 2022 retrospective study, researchers found that people with certain chin and jaw defects had a higher risk of developing obstructive sleep apnea. The risk was especially high if they were over 30 or overweight.

Double chin removal

This defect in appearance occurs due to excess adipose tissue and sagging muscles and other soft tissue structures that form the floor of the mouth, the upper part of the neck and the lower third of the face.

To eliminate a double chin, non-surgical liposuction and muscle correction are performed.

Non-surgical liposuction (cavitation) . Impact on tissues from the outside with ultrasonic waves, as a result of which fat is removed independently.

Muscle correction . To obtain an elegant contour, muscle tightening is performed after eliminating the fat pad. Depending on your age, this may be a thread lift or a platysma lift (the muscle that runs from the chin to the collarbone). In case of excess skin and in patients over 45 years of age, sagging tissue is resected.

Surgical liposuction.

The crushed fat cells are sucked out through a special cannula inserted into the tissue incisions.

We also recommend reading: How to remove a double chin?

What problems does correction solve?

In order for the face to look beautiful and harmonious, each part of it must be proportional.
The same applies to the chin - often people turn to surgeons precisely because of dissatisfaction with its shape (for example, if we are talking about a cleft, square or too sharp chin). Plastic surgery is also performed:

  • if you have a double chin;
  • with asymmetry of the problem area;
  • if the face looks heavy due to the strongly protruding lower part;
  • if the designated area is more consistent with the appearance of the opposite sex;
  • when the upper part of the face is visually enlarged by a sloping chin;
  • for any congenital or acquired defects (for example, underdevelopment of bone tissue).

Often, to achieve maximum aesthetics in this area, the surgeon performs one-stage plastic surgery of the neck and chin.

Features of the procedure

The manipulation is carried out under local anesthesia, sometimes it is supplemented with intravenous sedatives.

Tissue cutting is possible in two ways:

  • inside the oral cavity (intradentally), in this case no visible traces remain outside;
  • external access, under the chin. In the future there will be a small scar, over time it will become less noticeable.

The duration of the intervention depends on the technique, the purpose of the procedure and its complexity. For small changes, for example, when removing a double chin, which is considered the easiest option, 30-40 minutes are enough; when increasing the chin using implants or when injecting your own fat, it will take 1.5-2 hours, but a reducing correction, which is The most complex type of operation can last up to 2-2.5 hours.

The recovery period lasts about 2 weeks, and the full effect of the operation is visible after an average of 90 days.

How are we different?

  • We compare ourselves to world standards. The clinic uses instruments, equipment and consumables from the world's leading manufacturers. Chin mentoplasty is performed using modern technology, which gives a predictable and stable result.
  • We use reliable implant models. The American implants that we install last without problems for the rest of your life.
  • We reduce the risks of complications to zero. Patients are carefully examined on the eve of surgery. The correction is performed by one of the best mentoplasty surgeons in the country.
  • We put patient care first. We have created all the conditions for the psychological comfort of patients. Friendly staff, comfortable rooms, round-the-clock monitoring after surgery - all this helps our patients feel calm and confident.
  • We offer a convenient payment system. The price for chin augmentation is calculated on an all-inclusive basis. If necessary, patients are provided with assistance in obtaining interest-free installments for surgery.
  • We are at the forefront of plastic surgery. According to TOP 25 Diamond Companies & Persons, ours is in Moscow. And numerous grateful reviews from our patients confirm this.

Rehabilitation period

  • At first, you will be concerned about pain, tissue swelling, and numbness of the skin in the area of ​​intervention.
  • If necessary, a special bandage will be applied to secure the site of the procedure.
  • Intraoral access will require food restrictions: at first only liquid food is allowed with careful removal of its remains.
  • It is recommended to reduce physical activity in the first days, limit visits to the gym for a month, and for people involved in martial arts to postpone training for at least 2-3 months.

Cost of mentoplasty

The price list shows the minimum price for chin augmentation. The final cost is calculated by the doctor during consultation, based on the volume and complexity of the surgical intervention. The announced amount will include the entire range of services related to the correction (surgeon consultations, anesthesia, surgery, hospital stay).

In 90% of cases, chin surgery is performed in conjunction with rhinoplasty. The cost of such a service is also determined individually - for two operations at once.

Mentoplasty (chin surgery)from 140,000 rub.

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Benefit

Chinplasty can change the aesthetic appearance of the chin

The placement and size of the chin plays an important role in balancing other facial features such as the nose, forehead and cheeks, which contributes to the overall harmonization of the face

Genioplasty can provide significant benefits for people who are unhappy with the appearance of their chin.

In an earlier study conducted in 2011 among 37 people who had sliding genioplasty procedures, more than 94% were extremely satisfied with their results.

Recovery process

After mentoplasty, recovery is quick and you do not need to worry about scarring. If the incision was made under the chin, the scar will be small and invisible. If the incision was made inside the oral cavity, it will remain hidden.

Once the surgery is complete, the plastic surgeon will apply a bandage.

After the operation, there may be pain in the jaw area, so during this period it is better to limit yourself to a liquid diet. You may also experience stiffness around your chin and mouth for the first week after surgery.

Since surgery is always stressful for the body, it is better to reduce physical activity as much as possible in the first 10 days after surgery. You can then largely resume your normal schedule, but it is best not to do anything strenuous for three weeks after surgery. The specialist will give you more specific recommendations.

The chin may not be the first part of the face that people notice, but it has a strong impact on overall appearance. Change can even help improve self-esteem. Mentoplasty is a modern and safe method of correcting the shape of the face.

During the procedure, the surgeon makes an incision inside the lower lip or under the chin. The chin bone is then repositioned or an implant is placed through the incision.

Bely Igor Anatolyevich plastic surgeon, Doctor of Medical Sciences

Not every person can boast of an ideal face shape. And even if we have before us the owner of expressive eyes and a charming smile, but with a deformed or disproportionate chin, the appearance is no longer perceived as a standard. What is meant by a harmonious relationship between the chin and the rest of the face? From the point of view of the proportional structure of the face, a chin with clear outlines is considered correct. In relation to the vertical section of the facial part of the skull, the width of the chin, which can be called ideal, should be one third, and the height should be half of a line drawn horizontally in the lower part of the face. A clear chin line that creates a neat, even contour is also considered an indicator of the ideal chin shape. Modern cosmetic medicine helps not only to correct obvious pathologies and distorted facial features, but also to give the nose, lips, chin, and cheekbones proportions that bring their appearance closer to the classical canons of beauty. With the help of mentoplasty, an operation that corrects the size and shape of the chin, it is possible to eliminate various chin defects that violate the proportionality of parts of the face. It is generally accepted to divide mentoplasty according to the method of performing operations:

  • mentoplasty, in which an external incision is made. It runs under the chin, in a natural fold of skin.
  • mentoplasty, in which an internal incision is made from the inside of the mouth - from the lower lip.

Another classification of mentoplasty operations divides them into reduction and augmentation. As can be understood from these definitions, the first allow you to increase the size of the chin, the second - reduce it. In addition to changing the size, mentoplasty allows you to correct a teardrop-shaped chin. This defect is either congenital, when the chin is not sufficiently developed initially, or becomes a consequence of injury.

Indications for mentoplasty

Chin plastic surgery (mentoplasty) is indicated in the following cases:

  • irregular or asymmetrical shape of the chin (chin slanted to the right/left), leading to disharmony in the overall structure of the face;
  • teardrop-shaped chin (underdeveloped chin);
  • massive and heavy chin;
  • a disproportionately small chin that disrupts the proportionality of facial features;
  • chin injuries;
  • congenital chin defects;
  • "double chin".

Mentoplasty for chin augmentation

Is there a way to correct a chin that seems like an alien element on a generally beautiful and harmoniously built face? Modern aesthetic medicine quite successfully solves the problem of owners of a disproportionately small, softly defined chin with the help of chin plastic surgery (enlargement mentoplasty). And the stars of the fashion world, and screen idols, and, so to speak, ordinary people are well aware that external data and an attractive appearance are far from the last place in modern civilized society. Harmoniously developed and proportional facial features are an additional trump card when building relationships with people around you, and sometimes excellent helpers in achieving success in life.

It’s no secret that a strong-willed square chin, emphasizing brutality, has almost always been considered one of the signs of a “real” man. A weakened, soft, rounded chin can leave the impression of a certain femininity of the face.

Therefore, many men who take care of their appearance definitely want to acquire the “square jaw” of an unbending warrior and a true leader. This dream is entirely possible – with the help of mentoplasty performed by a professional surgeon. And even if the patient decides to radically change his image, and sometimes even violate the canons of beauty and generally accepted aesthetic criteria by making his chin, which is normal in terms of the proportions of the human face, heavier, the doctor will agree to mentoplasty, understanding that in this way self-affirmation occurs and internal psychological balance is achieved. When planning changes in appearance, it should be taken into account that surgeons recommend performing an enlargement mentoplasty operation no earlier than the formation of bone tissue by the body is completed, and this occurs at approximately the age of 23-25 ​​years. Augmentation mentoplasty surgery is performed in several ways:

  • installation of implants in the chin area. Chin implants are made from the patient's own tissue or synthetic materials.
  • osteotomy, in which the lower jaw bone is sawed and moved forward slightly;
  • lipofilling, in which the increase occurs due to adipose tissue implanted into the chin area.

Mentoplasty with maxillofacial silicone implant

Currently, maxillofacial implants have gained great popularity and demand; they are widely used in chin plastic surgery to enlarge and correct its shape. The implant is made of hypoallergenic synthetic material that does not cause rejection by the body. Their installation is quick and not particularly difficult. Most often, mentoplasty, which includes implant installation, does not require general anesthesia; the operation is performed using local anesthesia. The recovery period after the introduction of synthetic implants is significantly reduced. Postoperative complications are extremely rare. The textured structure of the surface allows the implant, after it is overgrown with scar tissue, to reliably attach to the bone.

The implant that enlarges the chin during mentoplasty is installed within 0.5-1 hour. Upon completion of chin plastic surgery, a compression bandage is applied to the operated area, which the patient wears for 2 days from the moment of mentoplasty. Then, on the seventh to tenth day, after the doctor removes the stitches and confirms that primary healing is proceeding normally and the swelling of the soft tissues has subsided, the patient can gradually resume his usual rhythm of life. In some cases, minor swelling of the periosteum persists much longer, which means that the patient will be able to draw a final conclusion and evaluate the result of the mentoplasty operation no earlier than after 2 months. Chin plastic surgery through the installation of mandibular implants is quite often combined with a facelift and other anti-aging procedures performed endoscopically. Combining several types of cosmetic procedures slightly lengthens the operation time, but significantly improves the quality and leads to a much brighter and more impressive aesthetic result. Transforming a person’s appearance is one of the primary tasks of aesthetic medicine. Sometimes chin surgery radically changes facial expression and leads to unexpected results. Most patients planning mentoplasty worry about this. Fair doubts will disappear by themselves, since even before the diagnostic examination and preparation for mentoplasty for chin augmentation, computer modeling is carried out and all the details of the event are clarified with the surgeon.

With the help of maxillofacial implants installed during mentoplasty, the natural protrusion of the chin is modeled, and the labiomental groove, which visually separates the lower lip from the upper lip, is eliminated. When mentoplasty with synthetic implants is used, finished products made of monolithic silicone or perforated implants are used, which is preferable. Doctors put forward the following factors as arguments in favor of perforated implants:

  • a light weight;
  • Local tissue grows unhindered through the perforations (through holes) of the implants. It becomes an additional element that reliably fixes the implant. The implant, firmly attached to the bone, does not deform, which guarantees long-term preservation of the results of mentoplasty.

“Pros” and “cons” of mentoplasty with silicone implants Let’s list the advantages of chin plastic surgery with silicone implants:

  • Possibility to choose implants of a wide variety of shapes and sizes (2-3 mm... several centimeters in length).
  • The results of the operation are guaranteed to last a lifetime.
  • No contraindications.
  • Implants look organic, they cannot be felt, they are invisible to others.

With all the advantages of silicone implants used in chin surgery, they have one significant disadvantage. In some cases, a foreign body can be rejected by the body and even cause complications, making the use of a synthetic implant during mentoplasty impossible. Mentoplasty surgery does not require general anesthesia. To install the implant, an incision is made either in the submandibular area or in the oral cavity. The second method avoids visible scars, and in addition, the intraoral incision does not require deep muscle dissection, therefore it is less traumatic. After implantation, hematomas occur, which disappear within the first two weeks from the date of chin surgery. Swelling may persist for a month.

Mentoplasty using cartilage implantation

Implantation of the patient's cartilage tissue or a similar biological implant into the chin area also refers to augmentation mentoplasty. In order to increase the size and change the shape of the chin, cartilage is cut out from the patient. The donor function is performed by the patient's nasal septum, rib or ear. Next, the plastic surgeon forms a cartilage implant from it as specified in the operation plan, which is placed in a “pocket” located in the subperiosteum of the chin. Pros and cons of mentoplasty with a cartilage implant The positive aspects of chin plastic surgery with the patient’s own cartilage tissue undoubtedly include the fact that during the mentoplasty operation a foreign artificial formation is not used (as is the case with a silicone implant). Among the negative factors of mentoplasty with cartilage tissue, three most significant points can be listed:

  • To make an implant, it is necessary to cut out the cartilage, which means an additional operation.
  • The result of mentoplasty (the size and shape of the modeled chin) depends entirely on the size of the cartilage.
  • Cartilage tissue has the property of being resorbed. In other words, there is a possibility that the implanted cartilage will resolve over time.

Chin bone grafting (osteotomy)

One of the options for augmentation mentoplasty is an operation during which the size of the chin is increased as a result of the displacement of a bone fragment. Chin plastic surgery is performed in the following order. The surgeon performs an osteotomy (middle cut of the lower jaw). The bone wedge released during this manipulation moves forward. It is then secured in a fixed position with screws and titanium plates. Sometimes titanium plates can be replaced with collagen ones.

Pros and cons of mentoplasty via osteotomy

Positive factors when performing osteotomy:

  • Chin plastic surgery through bone displacement allows you to vary the length of the chin and change the projection.
  • An incision in the mouth is an opportunity to avoid visible scars.
  • When performing bone mentoplasty, foreign bodies (implants) are not used.

Negative factors for chin bone grafting:

  • The individual characteristics of the patient’s jaw structure can significantly narrow the boundaries of the formation of the chin and the advancement of the bone wedge. A thin bone leaves less chance of making more or less noticeable adjustments to the appearance of the chin, while a thick bone, on the contrary, provides more opportunities for modeling a protruding chin.
  • The recovery period lasts longer than with other methods of chin surgery and is somewhat more difficult for the patient. The sensations after mentoplasty surgery through osteotomy are more painful.
  • After displacement of the bone fragment, voids remain that require filling and, as a result, an additional lipofilling procedure. However, as practice shows, this measure is half-hearted. As a result, a visible “step” appears between the displaced parts of the bone tissue. Only with the passage of time will it smooth out somewhat and become less noticeable. In addition, the loss of bone integrity causes the lower jaw to become more fragile.

Mentoplasty using the bone displacement method requires 1-1.5 hours, and general anesthesia is required. For 3-4 days after chin plastic surgery, the patient must wear a fixing bandage. Hematomas begin to disappear after 2-3 weeks from the day of mentoplasty. Swelling of the soft tissues, which goes away gradually, is considered a normal postoperative phenomenon. Sometimes swelling persists for almost a month. One of the postoperative manifestations is numbness of the skin in the chin and lower lip.

Chin lipofilling

Mentoplasty is a radical way to change the shape and size of the chin. However, chin plastic surgery can be performed without resorting to major surgery. A non-surgical method for correcting the appearance of the chin area in aesthetic medicine is called lipofilling. How the lipofilling procedure occurs: the surgeon performing chin plastic surgery pierces the patient’s skin with a thin needle. Next, using a biological non-absorbable thread, the doctor models a new type of chin and fixes the soft tissues in a new position. It is in the displacement of the patient’s own soft tissue that the main difference between lipofilling and mentoplasty in the usual way lies. The size of the so-called muscle cushion over the chin bone is sufficient for gentle correction and creation of a new contour of the chin area of ​​the face. Pros and cons of chin plastic surgery using lipofilling Lipofilling is performed without incisions and is not an operation in the usual sense of the term. The procedure is easily tolerated and is therefore performed on an outpatient basis. Without leaving behind any scars, lipofilling allows you to achieve a visible aesthetic effect that lasts for a long time with a minimum of effort, both on the part of the doctor and the patient. The advantage of the procedure is the short recovery period. Within a week, primary healing occurs, and traces of the surgeon’s intervention disappear, which makes it possible not to radically change the pace of life. The only “but” that is put forward as a counterargument to all the listed advantages of lipofilling is that it will not be possible to significantly “square” the chin only due to the displacement of muscle tissue. Lipofilling allows you to increase the size of your chin in the range from five millimeters to one centimeter. Mentoplasty also helps patients seeking to get rid of a second, and sometimes third, chin. To do this, liposuction is performed - removal of excess fat tissue through a cannula (a thin hollow medical tube). In more serious cases, the surgeon may offer tightening of the superficial neck muscle and skin lifting.

Mentoplasty for chin reduction

Chin reduction is required in cases where there are obvious imbalances in the facial structure. The cosmetic defect is either congenital or occurs as a result of trauma to the chin. Restoring facial proportions by reducing the size and correcting the shape of the chin is the main task when performing reduction mentoplasty. Chin plastic surgery, aimed at reducing it, requires preparation from the patient, which is carried out by him at home. Preparation for surgery:

  • 3 days before mentoplasty surgery, you should avoid intense physical activity;
  • on the day of surgery, do not use cosmetics and perfumes;
  • The last meal is taken at least six hours before the start of chin surgery.

At the preliminary consultation, the surgeon will explain in detail what actions, in addition to those listed above, the patient may need to take to prepare for mentoplasty.
During communication during the planning of the operation, the patient and the doctor come to a common opinion on what shape of the chin will make the face as attractive and harmoniously shaped as possible. Preliminary modeling will help you understand exactly how the patient dreams of seeing his chin after mentoplasty - pointed, small, shortened? Modern cosmetic surgery has extensive capabilities, which the patient is convinced of even at the preparatory stage for chin plastic surgery, having seen the variety of chin shapes and choosing the one that best suits his image and facial structure. The found image, built in the form of a computer model, will be implemented by the surgeon during the operation. Progress of chin reduction surgery

Mentoplasty aimed at reducing the chin requires the mandatory use of anesthetic drugs. To maintain direct contact between the doctor and the patient, it is better to use local anesthesia. Doctors use general anesthesia for chin surgery only if absolutely necessary. In plastic surgery, there are 2 methods of chin reduction:

  • Resection (bone removal).
  • Osteotomy (bone cutting: osteotomy involves cutting along a horizontal line and then moving the lower part of the bone back).

Due to its complexity, reduction mentoplasty surgery can last for 2 hours. There is an option for chin surgery in which the surgeon combines both techniques. The dissected bone undergoes partial resection and is then polished. The operation is performed from the oral cavity, and the patient is left with no external scars or traces of mentoplasty. In rare cases, only when indicated, an incision is made under the chin. If necessary and to achieve a more pronounced result, liposuction in the chin area and skin lifting are performed simultaneously with the reduction.

Recovery period after reduction mentoplasty

During the rehabilitation period, the patient experiences manifestations that plastic surgeons consider normal. In the first two weeks after chin surgery, swelling of the tissues persists, subsequently it gradually subsides. After the operation, the patient is given an aseptic bandage that fixes the chin in a certain stationary position. A compression bandage supports the tissues in the operated area. While eating, the patient must avoid excessive stress on the jaws and chin area, which can cause pain. To do this, you should give preference to pureed and soft foods. After 7 days, the sutures are removed, but the final result of the mentoplasty performed will appear only 2 months after the chin plastic surgery. Compliance with a set of recommendations given to the patient by the surgeon after completion of the mentoplasty operation will help to significantly reduce the recovery time of the body.

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