Chin Reshaping (Genioplasty)
The lips that constitute the lower 1/3 of the face significantly affect the appearance of the chin and the face.
Especially the cases, where the chin looks smaller or larger than normal or more receded or more prominent in side view, are the factors that disrupt the harmony between the structures constituting the face, and adversely affect the face’s overall appearance.
The appearance called “bird face”, in which the chin is smaller than normal while the nose is bigger than normal, is the most commonly encountered condition.
Chin augmentation or chin reduction surgery can be done in combination with rhinoplasty in the same session.
Chin Augmentation Surgery:
Three groups of surgery are done for chin augmentation. In the first one of these, an incision is made inside the lower lip to access and liberate the edge of the jawbone with an incision. Then the liberated edge of the chin is pulled forward and fixed in its new place with plate-screws. In the second group of surgeries, an incision is made inside the lower lip or under the chin for the accession, and then an appropriate size of chin implant is placed on the jawbone. Most commonly Medpor ® or silicone implants are used for this purpose. And as a third alternative, fat cells taken from the patient’s own body are injected subcutaneously to the chin area for enabling it to look fuller.
Chin Reduction Surgery:
In cases where the edge of the jawbone is longer and more prominent than normal, the excess part of the bone is accessed and planed through the inner surface of the lower lip.
In cases where the skin on the gonion is more active as a result of excessive movement of the facial expression muscles under the skin, the gonion muscles can be temporarily deactivated with Botox injection.
Lower Jaw Corners Bigger Than Normal:
Where the masticatory muscles at the corners of the lower jaw that is aligned to the ears (masseter muscle hypertrophy), as well as the jawbone to which these muscles stick are bigger than normal, the aspect ratio of the face increases. Its treatment involves the surgical removal of the excess parts of the masticatory muscle and the jawbone, which are accessed through an incision made inside the mouth.
Lower Jaw Corners Smaller Than Normal:
In cases where the lower jaw corners are smaller than normal, the jaw corners are made more prominent by applying Medpor ® or silicone implants to the jawbone.
Cases in which the upper and lower jaws are not compatible with each other, and in which the teeth do not contact with each other properly when the mouth is closed, are another topic that needs to be discussed under another headline. This topic is separately discussed under the headline Chin Surgery (orthognathic surgery) in the Reconstructive Surgerysection.
To get information about Chin Reshaping (Genioplasty), please fill out the contact form.
Prof. Dr. Cengiz Açıkel, Aesthetic Plastic Surgeon, Chin Reshaping (Genioplasty)