We know through experience that the decision to have a chin correction is generally preceded by a long decision making process. With this information we would like to help you with this process, by advising you about the procedure itself and the possibilities and risks involved in this operation. This advice, does not however, replace the need for an extensive personal consultation with your surgeon who will thoroughly address your specific questions.
When is a chin correction useful?
What is the aim of a chin correction?
What do I have to consider before a chin correction (pre-operative phase)?
What do I have to consider after a chin correction (post-operative phase)?
What are the possible risks with a chin correction?
Which result can I expect after a chin correction and what are the chances of success?
Profile gain. Ideally, the forehead, lips, and chin should be on a vertical plane. If this is not the case, the harmony of the face may be impaired. Since the chin holds a central place in the contour of the face, too small a chin or too prominent a chin can lead to an overall unaesthetic expression, where the profile of the face is negatively affected.
The aim of a chin correction is the production of an aesthetic overall picture, and equilibrium of proportions corresponding to a personal and individual feeling. An under developed or receding chin can be developed by introducing an implant or by the correction of the chin bone contour. With an overly developed chin, a profile correction can be achieved by bone removal.
Procedure. The surgical approach is made below the chin or in the mouth. From here, the lower jaw bone can be exposed.
With an under developed chin, an implant of a desired size can be inserted, or the bone itself corrected. For the bone correction it is important to split the bone horizontally so that the lower part can be moved forward and then fixed into position by a small metal plate or wires.
With an overly developed chin, a reduction of the bone by abrasion, or a backwards displacement of the bone may be necessary.
The surgical access is then closed with fine stitches and afterwards a tape dressing is applied. The bone takes approximately 6 to 8 weeks before it fully healed.
Type of anaesthesia. This procedure is usually carried out under general anaesthetic but can also be carried out under local anaesthetic and sedation.
Go without make-up. On the day of the operation make-up should not be applied and face and eye cream should not be used. Information on general measures and the necessary preliminary examinations will be put together for you personally in a pamphlet which you will receive at your consultation.
For several days a tape dressing has to be worn to avoid a slipping of the implant or to keep the newly shaped bone stabilised. If an incision was made in the mouth, then this must be rinsed daily with disinfectant solutions and sage tea to prevent infection. Hard and acidic foods as well as milk products should be avoided for a several days. Temporary bruising, swelling or a feeling of tension in the chin regularly occurs after surgery but these changes should not worry you and should disappear within a few days.
Talking or laughing immediately after the surgery should be kept to a minimum and the brushing of the teeth should be done very carefully. The stitches are removed, depending on the technique, between 1 and 2 weeks after surgery. Washing of the operated region is only allowed once the stitches have been removed.
Sporting activity should only be resumed after consulting your doctor, although strenuous physical activities and sports should be avoided for 2 months. Heat from external sources (such as a sauna) should be avoided for 2 months and sun protection is necessary until all bruising has faded away and until all scars have healed.
No procedure is without risk. The general risks of surgery include the possibility of bleeding, thrombosis and infection. Specific risks associated with a chin correction are the chance of the implant slipping or nerve damage. In bone corrections, bumps can also occur on the lower edge of the jaw.
Symmetrical face. Through a chin correction, it generally possible to achieve a symmetry of the facial contours. It is important to note here, that the desired size of the chin, as chosen prior to the operation, may not match exactly, to the millimetre, the end result. The final result can be assessed after 2 months.