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.
Why Choose Us
When considering facial implants or chin surgery, always look for a board-certified cosmetic surgeon with specialized training and significant experience. For the best results, choose a cosmetic surgeon who is affiliated with a major medical center, such as Cleveland Clinic.
Make sure to ask your cosmetic surgeon about his or her credentials, training and how many procedures he or she has performed.
How to Prepare
Am I candidate for facial implant and chin surgery?
Facial implant surgery, sometimes referred to as chin surgery or chin plastic 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.
What to Expect
How are facial implant procedures performed?
Facial 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.
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 insde 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.
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)
- Poor healing of incisions
- Anesthesia risks
- Change in skin sensation due to nerve injury
- Excessive scar tissue formation
- Firmness around the implant
- Shifting of implants and pressure on surrounding structures
- Skin contour irregularities
- Skin discoloration and swelling
- 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
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. View our chin surgery before and after photos to see results from actual patients.
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.
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.