Cosmetic & Plastic Surgery

Cosmetic & Plastic Surgery Center

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Facial Implants & Chin Surgery

Surgeons at Cleveland Clinic Cosmetic & Plastic Surgery Center have used facial implant and other chin surgery techniques to create symmetry among your facial features by establishing balance and proportion. Your procedure may be performed alone, or as a complement to other facial contouring procedures such as face lift, neck lift, cosmetic nose surgery (rhinoplasty) or other procedures.

Before & After Photos

Before

After

before facial implants after facial implants

Female in her late twenties who underwent a lengthening genioplasty (chin surgery). Patient is shown before surgery (left), and two months following surgery (right).

before facial implants after facial implants

Female in her late twenties who underwent a lengthening genioplasty (chin surgery). Patient is shown before surgery (left), and two months following surgery (right).

before facial implants after facial implants

Female patient in her early twenties that underwent mandible reconstruction and facial implants to improve the sunken appearance of her face. Patient is shown before surgery (left), and two months following surgery (right).

before facial implants after facial implants

Female patient in her early twenties that underwent mandible reconstruction and facial implants to improve the sunken appearance of her face. Patient is shown before surgery (left), and two months following surgery (right).

before chin surgery after chin surgery

Male in his thirties who had a horizontal genioplasty to correct his chin weakness. Patient is shown before chin surgery (left) and five months after chin surgery (right).

before chin surgery after chin surgery

Male in his thirties who had a horizontal genioplasty to correct his chin weakness. Patient is shown before chin surgery (left) and five months after chin surgery (right).

before chin surgery after chin surgery

Female in her thirties who had a tip rhinoplasty, horizontal genioplasty and paranasal facial implants. Patient is shown before procedures (left), and 20 months after procedures (right).

before chin surgery after chin surgery

Female in her thirties who had a tip rhinoplasty, horizontal genioplasty and paranasal facial implants. Patient is shown before procedures (left), and 20 months after procedures (right).

before facial implants after facial implants

Female in her fifties who had a face lift and facial implants for hollowing in the cheeks. Patient is shown before procedures (left), and eight months after procedures (right).

before facial implants after facial implants

Female in her fifties who had a face lift and facial implants for hollowing in the cheeks. Patient is shown before procedures (left), and eight months after procedures (right).

before facial implants after facial implants

Female in her fifties who had a face lift and facial implants for hollowing in the cheeks. Patient is shown before procedures (left), and eight months after procedures (right).

before facial implants after facial implants

Male in his mid fifties who had a horizontal genioplasty to correct his chin weakness. Patient is shown before cosmetic chin surgery (left), and one month after procedure (right).

Am I candidate for facial implant and chin surgery?

Facial implant surgery is completed through the insertion of specially formed solid, biocompatible materials designed to enhance or augment the physical structure of your face. The precise type and size of facial implants best suited for you require an overall evaluation of your goals, the features you would like to change and your surgeon’s judgment.

Chin surgery, also known as mentoplasty, aims at reshaping the chin by enhancement with an implant, by cutting the boney chin and moving it forward (genioplasty), or by reduction of the chin bone. It’s not uncommon for chin surgery to be performed in addition to other facial surgery procedures to give the best overall facial balance.

Facial implant and chin surgery are highly individualized procedures, with the best results achieved by a thorough consultation with your surgeon. A surgeon from Cleveland Clinic Cosmetic & Plastic Surgery Center will be able to recommend the best facial implant and chin surgery approaches for your needs.

Good candidates for facial implant and/or chin surgery include:

  • Individuals whose facial bones have reached physical maturity, which generally occurs in late adolescence
  • Individuals who are bothered by a small chin, weak jaw or lack of facial contour
  • Healthy individuals who have no major medical conditions
  • Individuals with a positive outlook and specific goals in mind for their facial implant and/or chin surgery.

How do I prepare for facial implant and chin surgery?

Preparing for your facial implant and/or chin surgery procedures at Cleveland Clinic Cosmetic & Plastic Surgery Center may include:

  • Lab testing or a medical evaluation
  • Taking certain medications or adjusting your current medications
  • Stopping smoking well in advance of surgery
  • Avoiding aspirin, anti-inflammatory drugs and herbal supplements due to increased risk of bleeding.

Are orbital rim implants and cheek implants ever done at the same time?

Yes. Treating the orbital rim with an implant or cosmetic injectables to treat under-eye hollowness in the area between the rim of orbital bone and the side of the nose can be completed at the same time as a cheek implant. But, it depends on the area that needs to be augmented and amount of soft tissue on one’s face. Your surgeon will be able to guide you on the best approach for your needs.

What sort of implant is used for chin surgery?

Facial implants are made from a variety of materials, including bone and a variety of porous and non-porous synthetic implants. Chin implants are available in a variety of sizes and shapes, allowing for a custom fitting to the patient's face.

Can a cheek implant fix puffy cheeks?

Chubby, cheekbone-obscuring cheeks can be greatly refined by removing cheek fat (the buccal fat pad). This is done under local anesthesia through a small mouth incision.

How much does cosmetic chin surgery cost?

According to the American Society of Plastic Surgeons (ASPS), the national average fee for chin augmentation may range from $2,500 to $5,000 including anesthesia and other additional charges.

How much does facial implant surgery cost?

The cost of facial implant surgery depends on the procedure performed. For instance, a lip augmentation costs approximately $1,200, while a cheek implant is about $2,000.

One of the best ways to decide if cosmetic surgery is right for you is by meeting with a cosmetic or plastic surgeon at the Cleveland Clinic Cosmetic & Plastic Surgery Center.

During this first consultation, you and your surgeon will discuss your goals and expectations. Your surgeon will also:

How are facial implant procedures performed?

Implant surgery is generally performed on an outpatient basis using local anesthesia at Cleveland Clinic Cosmetic & Plastic Surgery Center. Our experts offer a variety of options, including:

Cheek implants
are inserted beginning with an incision inside the mouth or along the lower eyelid into which the implant is inserted. If another cosmetic procedure is being performed at the same time, such as a facelift or eyelid surgery, the implants may be inserted through those incisions. Cheek implant surgery generally takes about an hour.
Chin implants
involve inserting the implant into a pocket in front of the jawbone. The incision is made either along the lower lip inside the mouth or just below the chin area. Inserting a chin implant can take between 30 minutes to one hour.
Genioplasty
is a procedure that can be an alternative to the chin implant as no implant is required. The chin bone is cut using an incision inside the mouth and the chin is moved forward or lengthened vertically in patients with small chins. The advanced chin is held in place with a small metal plate and tiny screws. The surgery does not move teeth or affect occlusion. This operation takes approximately one hour to complete.
Lip augmentation
can be completed using fat injections, fillers (Restylane®, Juvederm®, and other hyaluronic acids), or tissue grafts. Grafting and implants are generally performed on an outpatient basis using local anesthesia. Small incisions are made in the corners of the lips, to insert the implant or graft. The implant or graft is held in place with sutures.
Lower jaw implants
are incorporated through incisions made inside the mouth on either side of the lower lip where the implant is inserted. Jaw implant surgery takes about one to two hours.

How is chin surgery completed?

There are many different ways to achieve symmetry of the chin area, including:

Chin augmentation,
which is completed through a small incision inside the mouth or underneath the chin, in addition to creating a small pocket above the chin bone and the below the chin muscle. A customized implant is then inserted into the pocket. Augmenting the chin can also be completed through an incision made inside the mouth through which the surgeon takes a portion of the chin bone, moves it slightly forward and secures it into place. After surgery, the chin may be taped to hold the implant in place until it is firmly in its new position.
Correction of a Double Chin (submental lipectomy),
which treats excess skin, fat or muscle beneath your chin by making a small incision underneath the chin through which liposuction removes fat in this area. The muscles that cause bands in this area can also be cut or sutured together. Correction of a double chin is often performed along with a standard neck lift or cheek lift. A chin implant may also be recommended to compliment the overall basic shape and balance of the face.

What results can I expect?

The results of your facial implant procedure are visible almost immediately. Initial swelling will subside over the first week with the use of cold compresses, and continue to subside for the following two to four weeks. Swelling from facial implants should go away fully in one to two months as your final results appear.

After chin surgery, your chin will be swollen, firm and possibly bruised. Using cold compresses in the first 48 hours will significantly lessen the swelling, as will keeping your upper body elevated when resting. If cosmetic injectables were used as the primary treatment for your chin augmentation, the swelling and bruising may be less.

Final results from both facial implant and chin surgery procedures takes time. The best way to ensure your overall results is through follow-up consultations with your surgeon at Cleveland Clinic Cosmetic & Plastic Surgery Center.

What is involved in recovery?

Cheek implants:
Cheek implant surgery recovery may include some discomfort and swelling, and possible difficulty moving your mouth and lips for several days. Your stitches will be removed within about a week. Stitches used inside the mouth dissolve on their own.
Chin implants:
Following chin implant surgery, you may experience some pain, swelling and bruising. Your stitches will be removed within about a week. Stitches used inside the mouth dissolve on their own.
Chin surgery:
Recovery from chin surgery involves some swelling, bruising and numbness for several weeks following surgery. You'll have incisions in your mouth, increasing the risk for infection from the bacteria that normally reside there, so be especially attentive to caring for your mouth (oral hygiene) according to your surgeon’s instructions. During the recovery period, you'll need to eat only soft foods and protect your face from bumps and other injuries.
Lip implants or lip augmentation:
Most lip enlargement techniques cause post-surgical swelling that can last for approximately one week. After that time, the lips may still be swollen, but presentable.
Lower jaw implants:
Lower jaw implants may cause some discomfort and significant swelling. You may also find it difficult to move your mouth and lips for several days. Although most of the swelling will subside within several days, it may take several months for all of the swelling to go down. Stitches used inside the mouth dissolve on their own.

Are facial implant and chin surgery procedures safe?

All surgical procedures carry some risk.

Possible complications from facial implant and chin surgery include:

  • Unfavorable scarring
  • Bleeding (hematoma)
  • Infection
  • Poor healing of incisions
  • Anesthesia risks
  • Change in skin sensation due to nerve injury
  • Swelling
  • Bruising
  • Excessive scar tissue formation
  • Firmness around the implant
  • Shifting of implants and pressure on surrounding structures
  • Skin contour irregularities
  • Skin discoloration and swelling
  • Pain
  • Skin sensitivity
  • Allergies to tape, suture materials and glues, blood products, topical preparations or injected agents
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Blood clots
  • Possibility of revisional surgery

Why Choose Us

If you’re considering facial implant and/or chin implant surgery, look for a board-certified plastic or facial plastic surgeon with specialized training and significant experience performing these procedures. Consider going to a surgeon who is affiliated with a major medical center, such as Cleveland Clinic. Ask your surgeon about credentials, training and how many facial implants and/or chin surgeries he or she has performed.

Is this procedure covered by health insurance?

Facial implant and chin surgery procedures are not usually covered by health insurance unless they are being completed for reconstructive purposes. Ask to talk with a financial representative from Cleveland Clinic Cosmetic & Plastic Surgery Center who can explain costs of the procedure and if insurance coverage is an option for you.

This information is provided by the Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.

Have Questions? Contact the Cosmetic & Plastic Surgery Center

855.383.7843