The length of the chin plays a crucial role in the harmonious picture of the face. Ideally, the most anterior point of the forehead and chin make a plane. If the chin is behind this line, one speaks of the receding chin, it juts too far forward, one speaks of the protruding chin. A receding chin makes the nose appear longer and larger.
Most often I do chin corrections in conjunction with nose corrections, although for most patients the importance of the chin for facial harmony is completely unknown. This shows up again and again during the planning of a nose correction with a computer simulation program.
Eight out of ten patients with a receding chin preferred the computer simulation image with the chin extension significantly better than the simulation, in which only the corrected nose is shown. It is fascinating in particular that almost all respondents did not recognize the manipulation of the chin when considering the two simulation images, and when I asked, “What nose do you like better?” the image showing the corrected chin, while the nose is unchanged, is preferred. The same occurs when comparing profile pictures, with and without a preceding reduction of the chin.
Not infrequently, patients come to me because of a double chin. The cause is not however flaccid or increased neck fat, but a receding chin. The correction of the receding chin with simultaneous platysmal tightening, significantly improves both the profile of the face and the contour of the neck.
An extension of a receding chin will need to be performed, in mild and moderate cases (up to a deficit projection of about 10 – 12 mm) with a silicone implant; a more serious case requires orthodontic treatment. There are different chin implants, this way one can take into consideration individual face shapes (wide or narrow jaw, chin round or flat etc). Chin implants generally heal without any problems, and are not perceived as foreign.
A protruding chin may be milled or ground off in mild cases. In severe cases orthodontic care (transpositioning, plating, etc.) must be used.
The successful correction of a receding chin is for many patients an unexpected improvement.
1. What is a chin correction?
A chin correction refers to the extension of a receding or reduction of a protruding chin.
2. What role does the chin play in facial harmony?
The length of the chin plays a crucial role in the harmonious picture of the face. Ideally, the most anterior point of the forehead and chin make a plane.
3. How is a receding chin extended?
A receding chin can be extended by an insertion of an anatomically shaped silicone implant if the deficit projection does not exeed 12 mm. More serious cases should be treated orthodontically.
4. Are silicone chin implants well tolerated?
Chin implants generally heal without any problems and are not be perceived as foreign.
5. How is a protruding chin reduced
A protruding chin may be reduced by grinding. More serious cases should be treated orthodontically.
6. Can a chin correction be carried out jointly with a nose job?
Yes. It is a minor extension of the operation. A chin correction takes no longer than 30-45 minutes.
7. What effect does a chin correction have on a double chin?
The extension of the chin causes a simultaneous tightening of the neck, because this area is also extended. For further improvement of the neck contour a platysmal tightening can be carried out using the same access. Patients often want liposuction to correct a double chin, however, with a receding chin, this method is usually not sufficient.
8. Where is the skin incision?
Skin incision is either intraoral (i.e. via the mouth), or externally under the chin. The external access will be chosen if also a platysmal tightening is planned.
9. What complications can occur?
Infections are the most common complication which can be largely avoided with careful implementation. Aesthetic complications include slippage of the implant, poor implant selection (shape, size, etc.), and unsightly scarring. Aesthetic complications can almost always be completely corrected.
10. Where is the scar?
If the incision is placed outside, the scar remains below the chin approximately 3-4cm long. In the first months the scar may be slightly reddened and more obvious. In time however, it fades and becomes almost invisible. If surgery is performed through the mouth’s interior, the scar runs in the vestibule of the mouth below the incisor tooth of the jaw.
11. When is one “operational” after a chin correction?
Healing takes place, as with most operations, within 10-12 days. When placing an implant, swelling often lasts 3-4 weeks and may seem obvious. With the shortening of the chin the result is similar. In general, after 4-6 weeks there is nothing more to see.
12. What are the long-term results for a chin correction?
Long-term results are excellent in general. For chin augmentation with silicone implants, years after there could be a reduction of the jaw bone, which brings a slight reduction of the chin with it.
The first consultation takes up to 30 minutes and costs EUR 180. For consultations lasting longer than 30 minutes EUR 250 will be charged. All other consultations are free of charge.
If you purchase the Enzyklopaedia Aesthetica book “Nasen- und Kinnkorrektur” (Nose & Chin Surgery) ( EUR 34.90 ) the first consultation is free of charge! You can purchase the book during your first visit in the ordination or order it online.
Surgical preparation for performing the procedure under local anesthesia
For public health reasons, a blood test (so-called “small laboratory blood”) is necessary, including HIV and hepatitis A, B, C as well as a mammogram and ultrasound. If you are insured in Austria and the procedure is medically indicated, there are no additional costs.
Surgical preparation for performing the operation under general anesthesia
The surgical preparation includes a blood test (so-called “complete blood count”), chest X-ray and a surgical release by a general practitioner or internist. If you are insured in Austria and the procedure is medically indicated, there is no additional cost. The same applies to the OP-release by an internist or general practitioner, who holds a contract with the usual social security institutions in Austria. When you choose your own doctor the insurance will cover about 50% of the cost.
Hospital stay – a day clinic or outpatient (no overnight)
EUR 500 – 1.500, – depending on duration of operation and hospital.
In general, the procedure is performed under local anesthesia with no additional costs. If the surgery is performed under general anesthesia, an anesthesiologist is needed for surgery. The cost of anesthesia varies depending on the duration of the operation and is between EUR 300 – 800. An average cost of EUR 400-600 is to be expected.
Depending on whether a platysmal tightening is required, there is a surgical fee of between EUR 1.500-3.500.
Visits are included in the surgical fee.
Silicone chin implant
Depending on the make and execution, a silicone chin implant costs between EUR 250-600.
Check-ups are included in the surgical fee.
Chin correction surgery should always be performed in an ISO-certified operating room of a hospital.
For surgery under local anesthesia, the following tests should be conducted:
- Preoperative complete blood count including blood type, HIV and hepatitis A, B, C
For surgery under general anesthesia, the following additional tests are needed:
- chest X-ray
- Surgical release by a general practitioner or internist
Please note that the results may not be over 10 days old at the time of surgery. Please bring the X-ray and all the findings for surgery.
Aspirin, Thromboass and similar preparations should not be taken 14 days before the procedure. If necessary, a conversion to Heparin can take place.
Please come 2.5 hours before the procedure to the hospital on the day of the surgery and sign in with the porter. After completing the admission formalities you will be placed in your room. On request, you will receive an infusion, which reduces your thirst.
- OP-date plan, measure and select silicone chin implant
- OP-date set (take vacation, compensatory time or sick leave, arrange for child care if necessary, etc.)
- Two weeks before the surgery, complete the necessary preoperative exams (blood lab, ultrasound, chest X-ray, EKG, surgical release)
- A preoperative interview will take place the day before the surgery. It will assess the findings, discuss final details and sign the consent form. An instruction sheet will be given to you by the assistant to complete and bring to the hospital.
- Arrive at the hospital 2.5 hours before surgery to complete admission formalities. If requested, an assistant can accompany you to help shorten the time before the surgery.
- At home, relaxation and recovery should be in order. Avoid strenuous activities.
- 1st Follow-up Visit (about 5-7 days after surgery): change of band aids
- 2nd Follow-up Visit (approximately 10 days after surgery): removing the stitches.
- 3rd Follow-up Visit (approximately 20 days after surgery)
- 4th Follow-up visit (approximately 30 days after surgery)
- Further follow-up visits will take place two and six months after
- Final follow-up control after one year