Comprehensive Guide to Chin Augmentation!! In-Depth Analysis of Pros & Cons by Procedure
Comprehensive Guide to Chin Augmentation!! In-Depth Analysis of Pros & Cons by Procedure
Hello, I am Dr. Kim Yongwoo, a board-certified plastic surgeon at Returning Plastic Surgery.
In this session, I will introduce the different types of chin augmentation (surgery for a receding chin) and, among them, the advantages of chin implants, which I particularly favor. The protrusion of the anterior chin bone is a crucial factor that creates the "E-line" along with the nose, playing a very important role in determining a person's impression.
A "receding chin" (microgenia) refers to a case where the chin tip bone is small. It is often accompanied by a protruding mouth and occlusion disorders, and when the chin bone is small, a double chin can easily develop. In patients with a receding chin, deep muscles such as the digastric muscle can sag, causing a double chin. The digastric muscle is a structure attached to the hyoid bone and the chin tip bone. In cases of a receding chin, the attachment length is short relative to the muscle length, causing the muscle to sag. Methods for chin augmentation include Chin Fillers, Genioplasty (Chin Advancement/Bone Contouring), and Chin Implants. Let's analyze the pros and cons of each procedure/surgery.
1. Chin Filler
"Fillers that can even absorb bone... You shouldn't take them lightly."
Patients with a weak chin usually encounter fillers first. Since the cost is lower than a surgical approach and the effects are immediate, it seems most patients with a receding chin have experienced filler at least once in their lives.
Can chin filler be a simple and good solution? No matter how viscous the filler is, it is ultimately a liquid, so there is a limit to how much it can project the chin tip. If you inject too much, it eventually just spreads sideways. Furthermore, excessive filler can cause bone absorption (erosion).
[Image: Chin bone absorbed due to long-term use of chin fillers]
2. Genioplasty (Chin Advancement)
"In a way, it can be the most fundamental and good solution."
Among the so-called "Facial Contouring Set of 3," chin tip surgery is the simplest. However, it is not a simple procedure among cosmetic surgeries because it ultimately requires sawing the bone and usually requires general anesthesia.
Comparison: Genioplasty vs. Chin Implant
"Chin advancement is a surgery where you cut existing bone to share it." Since it is not a surgery that creates chin volume that doesn't exist, but rather a surgery that cuts and advances the existing bone to "share" the volume, there may be limits to the amount of advancement. Also, if there is a lot of empty space between the advanced bones, there may be issues with non-union.
3. Chin Implant
"The Surgery with the Best Value (Cost-Performance)"
Most are done with silicone. Before surgery, we analyze the advancement amount via CT scans, select the desired height, and when inserted, it projects exactly as much as it is put in.
Commonly, some people may have a resistance to the side effects of silicone implants. Indeed, in cases of nose or breast implants, serious complications like infection and capsular contracture can occur. However, chin implants are remarkably free from issues like infection or contracture. Because the implant is placed in the deepest layer after peeling back the periosteum, the possibility of long-term complications is extremely low. The only part to consider is silicone displacement (asymmetry), but even this can be overcome if fixed using a screw. Moreover, the surgical cost is also on the affordable side.
[Unedited Review] Implant and Digastric Muscle Tying
[Unedited Review] Implant and Digastric Muscle Tying Compared to genioplasty, chin implants are simpler, offer better projection effects, and have higher satisfaction rates.
"Chin implant surgery is the ultimate cost-performance surgery!!" - by Dr. Returning
Analysis of Chin Advancement Amount
How is the amount of chin advancement determined in chin augmentation patients?
[Image]
We plan the implant by considering the E-line before surgery, and the height of the implant can be determined through precise measurements via CT scans.
[Image: Change to a harmonious E-line after chin implant surgery]
Incision Location
There are two incision methods: Intraoral Incision (inside the mouth) and Submental Incision (skin under the chin).
- Intraoral Incision: Mainly selected when performing the implant surgery alone, as there is no worry about visible scarring.
- Submental Incision: Patients with a receding chin often have accompanying double chin issues, so liposuction or digastric muscle tying often needs to be performed together. In these cases, the surgery can be performed easily without the burden of an additional incision by using the submental incision.
At Dr. Returning, I highly recommend chin implants when performing various anti-aging surgeries such as facelifts or double chin muscle tying. Among those who come for consultations regarding facial sagging or double chins, many are not well aware of their receding chin condition. Patients who are recommended this simple and burden-free chin implant surgery and proceed with it often show such high satisfaction that they express, "Listening to the director and getting the chin implant was a 'God's move' (the best decision)."
[Unedited Review] Case of combined Double Chin Surgery and Chin Implant In this post, we looked into the advantages and effects of chin implants. No matter how simple the surgery is, satisfaction will only be high if it is proceeded through accurate pre-operative examination and planning. I hope this post has been of great help to those worrying about chin surgery. This has been head doctor Kim Yongwoo of Returning Plastic Surgery. Thank you.
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