Chin Reduction Surgery-Genioplasty

by Dr. Ramtin Kassir, M.D., F.A.C.S. | July 17, 2018, 10:26 a.m.

Are you an ideal candidate for Chin Reduction Surgery (Genioplasty)?

Although Genioplasty often is associated with chin implants, many men and women struggle with the opposite issue. Instead of feeling self-conscious or dissatisfied with a chin that is recessed, they find that their chin holds too much strength for their face - it either projects too far away from the rest of their face or it’s too long for their face. These problems can cause the face to look excessively masculine, over-elongate the face, or may create visible imbalance that may cause the rest of the facial features (such as lips, eyes, and nose) to appear too small.

Genioplasty, chin surgery, is a surgical procedure that involves reconstruction of the chin in order to achieve a balanced profile and harmonious proportions. Chin reduction surgery is becoming more and more popular, especially among women, in order to gain a more delicate jawline and shape to the face.

Others seek a chin reduction or other form of genioplasty in order to remedy facial trauma from an accident or birth deformation. Because the chin region has a significant impact on the rest of the face, it’s incredibly important to consult with a plastic surgeon who is reputable and has extensive experience in facial reconstructive surgery.

How A Chin Reduction Works:

Triple-board certified, Dr. Kassir will hold an initial consultation with the patient in order to better understand their concerns and develop a strategic plan uniquely crafted to meet the unique needs of each individual. Using his 20 years of expertise in facial reconstructive surgery, he’ll evaluate the proportions of the face and suggest the procedure that will achieve the balance and contour that best suits the patient’s facial structure.

Chin Reduction Procedure:

Typically, this procedure is done under general anesthesia, so the patient is not alert during the operation. An incision is then made either on the inside of the mouth or under the chin, depending on the desired results of the patient. The muscle is then detached from the bone of the chin, then specialized tools are used in order to shave down the bone and reshape the face’s contour. The tip is then repositioned and then fused with the remaining area of the chin with wires and plates. The procedure normally lasts 1 hour to 1.5 hours, which may vary depending on the extent of the surgery and whether there were other procedures included. The wound is then sealed with sutures or staples, and a bandage is wrapped around their head.

Chin Reduction Recovery Process:

Patients typically experience a moderate amount of discomfort after the surgery. They also tend to experience tightness and stiffness along the jawline. Bruising, numbness and redness are also sensations that will occur during the first couple of weeks, though will diminish over this time period.

Though the bruising and stiffness do subside rather quickly, it’s not uncommon for patients to experience swelling that lasts anywhere from a few weeks to months, as the bone needs adequate time to heal. Numbness is also something that will dissipate over time and may be experienced along the jawline and the lower lip.  

Chewing will be difficult initially, limiting the patient to soft foods and liquids for the first few days. Speaking, yawning and other movements of the mouth will also be difficult for a short amount of time. Most patients are able to return to work after a week though.

Are you An Ideal Candidate For Chin Reduction Surgery?

The beauty of one’s face is based on the harmonious balance of the features, but the aspects that create intrigue often spur from the unique attributes - a gap in one’s teeth, the freckles sprinkled across the cheekbones or different pigmented eyes. Though these little quirks may not be inline with the ideal beauty measurements, they enhance the beauty of that individual.

But not all of these unique differentiations in the face accentuate the individual’s appearance in a positive way. In fact, many individuals, especially women, struggle with imbalance in the chin area, which can create an overly masculine appearance or elongate the face too extensively. This throws off the balance of their face and may cause other features, such as the eyes, nose and mouth to appear too small for the rest of the face. Many are turning to Chin Reduction surgery (genioplasty) in order to achieve a more feminine facial structure and allow them to appreciate the beauty of the rest of their features to the fullest.  

In fact, because the facial proportions of the chin and nose are so crucial for a balanced profile, many patients will combine chin reduction surgery with rhinoplasty (a nose job) in order to achieve a perfect result. Because the chin’s size has such an impact on the rest of the features, it is incredibly important to seek the expertise of a reputable surgeon with extensive experience in facial reconstructive surgery.

How A Chin Reduction Works:

Dr. Kassir, who is triple-board certified and has been practicing facial reconstructive surgery for over 20 years, will hold an initial consultation to gain better insight into the patient’s concerns and evaluate the proportions of the face.

After this, he’ll determine the ideal procedure and the proper technique in order to help them achieve their ideal appearance. Implementing his unique surgical techniques and perfectionist mentality, Dr. Kassir will use his artistic eye to create the symmetrical appearance unique to each patient’s desires.

Chin Reduction Procedure:

Chin reduction surgery typically takes 1-1.5 hours and is performed under general anesthesia. A small incision is placed either underneath the chin or along the gum line inside of the lower lip. The muscle is then gently pulled away from the chin bone, allowing the surgeon to shave down and size the bone to the appropriate size. Then incision is then closed with staples or sutures and a bandage is wrapped around the head to cover the wound.

Chin Reduction Recovery Process:

Patients may experience a moderate level of discomfort for the first few days, finding the tightness in their jaw inhibits their mouth movement. Because of this, patients may find it difficult to talk, chew and conduct other facial movements. The first few days, they typically are restricted to liquids and soft foods.

Patients may also experience bruising, numbness, swelling and redness. Thought the redness and bruising will dissipate within the first two weeks, numbness and swelling take a significantly longer amount of time to diminish, ranging anywhere from a few weeks to months. Most patients are able to return to work after the stitches are removed a week later.