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Facial plastic surgery
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Chin Augmentation

Projection of chin is very important for contour and balance of face.
Method of chin augmentation of Aone is inserting silicon implants through under chin. Incision is about 2 cm long.
Some may think there is risk of scar show is high, but actually it is not.
There is low chance of nerve damage, less movement of implant, and no limitation of eating after surgery
How small chin effects appearance of face
01.Cheeks are looks more sagged
02.Nose and mouth looks more projected ( photo- nose and mouth )
03.Neck tends to saggy earlier with small chin.
It can minimize effect of face and neck lift, chin augmentation must be done at the same time.
In order to have harmonious face it is important to have chin augmentation if patient has small chin.
  • Chin and mouth

  • Neck

Method of chin augmentation
01.Fat grafting : It can be used on mild case of small chin. Surgical result is relatively good since bone supports skin. ( photo – fat gafting on chin )
  • Chin augmentation with fat fraft

  • Chin augmentation with fat fraft

02.Chin augmentation by implant : It is best and safest method for chin augmentation
The reason why implants are not suggested in rhinoplasty is very thin nasal skin But skin around chin is very thick, implants can be very safe.
Click here to more detail in chin augmentation >
03.Osteotomy : It can be used asymmetrical chin bone or deformity of chin
  • Not enough projection

  • Bone grafting and chin augmentation

  • Correction of asymmetrical chin

Preoperative precausion
01.Thicker skin is more desired
02.Confirm occlusion of teeth.
03.Relation between occlusion and bottom lip must be checked.
04.In case of female, moderate size implant is prefered due to avoid macrogenia
Precausion for selecting implants
01.Avoid oversize implant
02.Implant must fit with chin bone. It there is gap in between chin gets too big
03.Implant must be immobile
04.Imperceptible transition between the implant and the mandible.
Precautions when in operations
01.Mentalis muscle shouldn’t be damaged
02.Mental nerve is supposed to remain without damage
03.Proper pocket dissection needs to be prepared
04.The careful selection of the supplements’ size and length is important.
Surgical method
01.Incision is made under chin. Intra oral apporach has many flaws except there is not scar show. It can cause chin muscle
deformation and high chance of infection. Also, implant tends to move upward with this method. But under chin approach has many advantages but scar show. Also, scar is almost invisible
02.Silicon, goretex, medpor are used but silicon is most suitable
03.Dissect 2cm under the chin. Pocket is made without damaging periosteum layer.
04.Fix implant to periosteum layer to get immobility
05.Close incision site then finish with dressing

Watch the video

Surgical result

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