Chin Augmentation in Chicago

Chin Reduction & Augmentation

Much as how removal and excision can help bring balance to the profile of a face, addition and augmentation can do the same. This often happens in the form of mandible augmentation, where addition happens in the chin or cheek. This procedure can either be done on its own or in conjunction with a nose-reduction or a facelift. The implant used in augmentation is either the patient’s own bone or cartilage or synthetic material. The use of the synthetic implant is more common and results in a simpler operation, but it does mean the introduction of a foreign body into the face. However, implants of the patient’s bone also carry risks: infection or re-absorption, though both circumstances are highly unlikely. The incision and implantation are performed under the chin, in the eyelid, or inside the mouth. Implantation through the mouth is used to avoid an external scar, but this process also increases the risk of infection.

Rhinoplasty Procedure Details

This procedure is performed under local or general anesthesia on an outpatient basis. Recovery takes about four to ten days, during which the patient should avoid unnecessary facial movement, limit talking, and only eat soft foods. Tape will be in place for a week, but sutures won’t be removed as they will dissolve internally.

Patient Case Study

We have provided a sample copy of an Operative Report. The procedure is subject to change per the patients needs.

PREOPERATIVE DIAGNOSIS:

  • Prominent angle of the mandible, bilateral
  • Hypertrophic masseter, bilateral mandible

POSTOPERATIVE DIAGNOSIS:

  • Prominent angle of the mandible, bilateral
  • Hypertrophic masseter, bilateral mandible

OPERATION: Reduction angle of the mandible, mandibuloplasty, bilateral

ANESTHESIA: General

Indications: The patient is a ___old female who has a prominent angle of jaw. She feels this is more masculine and would like to blunt that angle to that of a more feminine soft oval shape of the face.

OPERATIVE PROCEDURE:
After induction of general anesthesia in a supine position, she was prepped and draped in the usual sterile fashion. 700ml of tumescent fluid was applied to the abdomen where 10 minutes of Vaser using the ring probe at the set up of 80% were carried out. About 1:1, 700ml of fatty aspirates were taken out through the umbilicus incision. Then, the suprapubic area incisions were closed using 5-0 Prolene. Next, a stab incision at the submental area as well as the post aurlcular area was made. 200ml of tumescent fluid was injected and 4 minutes of Vaser time was utilized using a 2.9mm cannula at the setting of 70%. Using the 3 ring probe 200ml of fatty aspirates were taken out from the neck and chin region. The incision was closed using 5-0 Prolene. A bulky dressing was applied. A garment was applied to the body. The patient tolerated the procedure well, was extubated and was transferred to the Recovery Room in good standing.

Chin Augmentation Surgery Recovery

Keep all bandages, splints, and wraps intact for 48 hours/ This time is crucial in creating the desired results. After 48 hours, remove and discard gauze that may contain dry blood. Follow the instructions about showering and incision care found previously.

Cleanse any uncovered incisions 3-4 times a day using clean gauze soaked in saline water (found at your local pharmacy) and apply Bacitracin to incisions. After showering and cleansing incisions, re-apply ace bandage compression wrap. Wear the ace bandage day and night for one week following surgery.

Following your follow-up with Dr. Byun, wear the compression wrap at night for three weeks. This helps the skin from sagging and aids in reducing swelling. Dr. Byun may adjust this schedule depending on your progress. *In most cases, the ace wrap is applied for compression. Begin by cutting a clean ace wrap in half. Place the ace wrap flat under the chin/jaw line area and wrap around your head and close using the Velcro attached to the wrap. Wrapping should not be too loose or too tight. Compression should have a gentle firmness in order to be effective*.

FAQ: 

 

Q: Why does Dr. Byun not use chin implants for his chin augmentation surgery? How does he make the chin project outward without an implant? 

A: Dr. Byun does not use silicon objects that are foreign to the body in the chin area. Why? Because 100% of the time, they will move around in your body after they are placed. This is because it extrudes out of the patient’s skin and 25% of all cases of these implants become infected. The implant erodes into the bone due to the weight that it bears from the muscle called the mentalis that pulls it down. 

The Byun Difference is a process that does a natural augmentation by relaxing the muscle. The chin is a powerful yet delicate part of the body and his approach protects the patient. By using a small endoscope, a single, 1cm incision inside the lip, and a special instrument to stretch the muscle and lift the mentalis muscle, the patient’s new chin will be wrinkle free and filled with natural tissues. There is no other cosmetic surgeon that can make this natural look happen! 

Q: I have a question about my chin. When I smile, it’s asymmetrical and pronounced, giving it a pointy look from the side. Overall the area underneath my chin is quite chubby/wide so I’m unsure if there is a way to slim everything down. 

A: Dr. Byun does many surgeries addressing all of your concerns. He never recommends double jaw surgeries to roughly move around the upper and lower jawbones. Instead, he does the procedure with muscle repositioning and a soft tissue release and lift. His techniques are safer and offer long term improvements. Below are some attached photos of recent patients that have received this treatment; they have achieved a better look along the chin and mouth area using his muscle repair technique that was developed by Dr. Byun at Northwestern University.