Information About Plastic Surgery Procedures

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Genioplasty, also known as chin surgery, is a cosmetic procedure to improve or enhance the balance of the face by changing the position, shape, and/or size of the patient’s current chin. While genioplasty may be performed to correct a receding or prominent chin, it can also decrease the strain put on certain facial muscles, such as the mentalis (chin muscle). Genioplasty may involve adding a silicone chin implant or a sliding genioplasty based on the individual needs and goals of the patient. Triple board-certified plastic surgeon, Dr. Douglas Hendricks will discuss all options during the initial consultation at Pacifica Cosmetic Surgery Center in Newport Beach after a thorough physical examination of the chin and face. Chin surgery enriches the entire face for patients in the Orange County and Los Angeles area by creating symmetry and a better profile.
Surgical Technique
For a sliding genioplasty or chin osteotomy, the surgeon will lengthen or shorten the chin by making a small incision inside the lower lip so the bone can be increased or decreased and then secured with a titanium plate. Since the incision is made inside the mouth, near the gum line, there is no visible scarring. If a chin implant is being placed, a small incision will be made under the chin. The surgeon will then place the implant over the lower jawbone. For a better fit, the surgeon may shave the jawbone to create a pocket for the implant. The incision will fade with proper post surgical care and should be difficult to detect.
During/After Surgery
Chin surgery with an implant or a sliding genioplasty are both performed with the patient under general anesthesia in an accredited surgical facility. The surgery will take 1 – 3 hours and the patient will be able to leave the same day as the procedure to recover at home. Patient should expect to have bruising and swelling throughout their lower face, but this will subside quickly with proper care. Patients will begin to see a more normal chin appearance 4 – 6 weeks after the procedure.
Chin Reduction
Chin reduction surgery, also known as a chin setback or chin height reduction, alters the shape or angle of the chin for patients who have a tall or projecting chin they would like to correct. During chin reduction surgery, Dr. Hendricks makes incisions inside the mouth, which will leave no visible scarring, and then reshape the chin bone and surrounding tissue for a more balanced appearance. Chin reduction surgery has a high patient satisfaction rate and immediate results will be see after the procedure. Dr. Hendricks performs chin reduction surgery in 2.5 – 3.5 hours as an outpatient procedure. Patients usually need 10 – 14 days for recovery but they should return for weekly follow up appointments for the first month after their surgery. For more dramatic results, patients often combine a chin reduction with rhinoplasty or jaw augmentation to balance the overall appearance of the face.

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Average Procedure Time  
1-3 Hours
Procedure Recovery Location  
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Genioplasty FAQs
Implant or Not?
Chin augmentation (altering the chin with an implant) is a more common procedure that can work for some people, but it is not as versatile as a genioplasty. During the initial consultation, the doctor will be able to recommend either genioplasty or chin augmentation after a physical examination and discussing the concerns and surgical goals of the patient.
Solid Foods?
For the first few weeks after the surgery, patients will have difficulty chewing so it is recommended that the patient stick to a liquid or soft foods diet for at least 3 – 4 days. Once the soreness and discomfort in the chin and jaw begin to subside, patients can try introducing more solid foods at their own pace.
Side Effects & Concerns?
All surgeries carry the risk of complications and side effects, but most genioplasty concerns are temporary. The most common problem after genioplasty is a short-term numbness in the chin, lower lip, front teeth, and gums for 2 – 3 months. Patients should talk to their surgeon about any questions or concerns before and after their surgery.
Final Appearance?
Most patients are nervous about what their appearance will be after facial plastic surgery. To alleviate some of these fear and anxieties, patients should choose an experienced, board-certified plastic surgeon. The patient should feel comfortable voicing their questions and concerns to their doctor and feel satisfied with the answers given by the doctor. Looking at before and after pictures of the doctor’s former genioplasty patients can also help the patient get a sense of the surgeon’s style and capabilities.

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