Genioplasty procedures include

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Experts In Cosmetic Surgery – Vaser Liposuction

1. Chin Augmentation for small and receding chin, or chin point misalignment with the use of either chin implants or by elongating the chin bone with osseous genioplasty
2. Chin Reduction for large chin or double chin appearances by removing excess tissue, fat, with chin lipoplasty or remodeling with osteotomy

At Harley Body Clinic we have chin surgeries performed under highly experienced craniofacial surgeons or plastic surgeons with good potentials.

Ideal Candidacy

Patients are often required to have a normal dental occlusion or bite. This is for generally healthy individuals who are non-smokers.

Procedures

Chin Augmentation (Augmentation Genioplasty)

This is indicated for potentially receding chin and misaligned jaw line/chin point making it more prominent and defined. The options include placing chin implants, non-surgically injecting dermal fillers and advancing the chin bone to almost acquire vertical chin height with an osseous surgery, called sliding genioplasty.

Chin Augmentation with Dermal Fillers

Dermal fillers can be considered as an appropriate method for mildly weak jaw line that gives one a moderate augmentation and does not work for improving chin height. The dermal fillers are injected into the chin tissues or into the periosteum over the chin bones for a better contour. We use Radiesse; Sculptra; Juvederm and Restylane fillers.

Chin Augmentation with Chin Implants

Chin Implants has the ability for correcting advancement for microgenia, with overall chin augmentation and a naturalistic mandibular prominence. The implants are placed either under the chin through an incision on the sides of the lips (submental incision), or inside the mouth (intraoral).

Chin implants may not be feasible acquiring for vertical height. However, there are some designs that allow the possibility of slight increase up to 7mm to the chin height, by systematic placement of the implants at the end of the mandible with submental placement. This works for candidates who require minor chin height, but to achieve a major rise of more than an inch to the chin height requires chin osteotomy at large.

There are a number of types and materials to choose for the implants, we majorly use

• Medical graded silicone
• PTFE
• Polyethelene

The procedure is performed under general anaestehisa on an inpatient basis, and takes about an hour to complete. The patient feels moderate discomfort in the chin, because of the bone relocation, which is managed with convenient care by our medical staff. There is limited downtime of about 5 days associated with this surgery.

Sliding Genioplasty for Chin Augmentation

Sliding Genioplasty applies for both chin augmentation and increasing vertical height as well as reduction, by manipulating the mandible. For augmentation it involves osseous mandibular surgery, meaning that the front portion of the lower chin bone or mandible is detached and moved forward to achieve prominence and acquire vertical height. The mandible can be accessed with both internal intraoral incision, and external submental incision, the ideals of which vary with patients and their preferences. The new position of the bone is secured with metal plates, reattaching it with rest of the mandible.

The procedure is conducted under general anaesthesia on an in-patient basis.

Chin Reduction (Reduction Genioplasty)

Chin reduction is the antithesis of augmentation wherein appearances like large chin, jutting chin and double chin is corrected, or to repair chin point asymmetry all to achieve an aesthetically pleasing facial balance and contour. The options include liposuction for removing chin fat and tightening tissues, typically applicable for double chin; or osteotomy procedure by shortening and remodeling the mandible.

Chin Liposuction

Chin Liposuction applies for reducing soft tissue and superficial fat overlapping the platysma to reduce mainly double chin appearance. It is a viable accomplice with other facial cosmetic surgeries as well, including facelift and neck lift. Vaser Liposuction is the predominantly chosen technique by our surgeons at Harley Body Clinic, along with manual tumescent lipo and Laser Assisted Smart Lipo.

The procedure is conducted under local tumescent anaesthesia on an outpatient basis; Vaser Lipo includes simply 2-3 pin prick incisions, which allows separating the fatty tissues from the surrounding skin without damaging them. The reduction of the excess fat sees a feasible decrease of double chin and gaining tightness of the platysma region. This can extend onto the lower portion of the chin and contour neck wattles as well. The patient can walk out of the clinic soon after the surgery with minimal discomfort. A chin strap is to be worn for compression and reduce swelling evenly until a couple of days after the surgery.

Sliding Genioplasty for Chin Reduction

The frontal point of the mandible is detached and withdrawn backwards to reduce the appearance of a large or jutting chin. The procedure is conducted under general anaesthesia, on an in-patient basis.