Mentoplasty (chin surgery) is a surgical procedure to reshape the chin by either augmenting or reducing it. Chin implants improve a person’s profile by making a “weak” chin look stronger; chin reduction also improves the profile. To create optimal facial proportion, mentoplasty is often performed in conjunction with rhinoplasty (nose surgery).
Candidates for mentoplasty typically have a weak chin and or prominent nose or jaw.
An incision is hidden underneath the chin. A pocket is created for the individualized implant (typically made of semi-solid silicone), which is then placed and positioned in front of the jawbone. Once in place, the implant is secured with sutures. The procedure is performed under general anesthesia and takes approximately one hour.
General anesthesia is required. The procedure begins with the surgeon’s making an incision inside the mouth or under the chin. Excess bone and/or tissue and muscle are removed, and the tip of the chin is contoured to the desired shape using a bone burr or drill. In some cases, a piece of the bone is removed, and the chin is repositioned. Sutures are used to close the incision. The patient returns home the same day. The procedure is performed under general anesthesia and takes one to two hours.
After mentoplasty, a patient may experience tightness and swelling in the chin. Discomfort can be relieved with pain medication, although most patients report that pain is gone within three to five days. A compression garment may be taped to the chin to reduce swelling. For two weeks following mentoplasty, eating only a light, liquid-based diet is recommended. There are about two weeks of social downtime, full recovery takes four to six weeks.
Risks of mentoplasty include implant displacement or bone absorption (in augmentation), asymmetry, numbness in the lip and chin, infection and bleeding. In general, serious complications are rare. The chance of complications is minimized by choosing a board-certified plastic surgeon who has experience in performing this procedure.