Chin Reduction

by Dr. Ramtin Kassir, M.D., F.A.C.S. | July 17, 2018, 10:25 a.m.

Chin Reduction Surgery: Show Off Your Softer Side

When it comes to facial harmony, balance is a very delicate aspect. Despite the flawless images that infiltrate our newsfeeds, most people have at least one feature that is disproportionate to their overall facial structure. And though many of these quirky traits add charm and character, some are not as favorable as others. These traits are not only ones that affect them internally though. Sadly, our appearance impacts how the world and society views us, as well.

As unfair as these assumptions are, it is difficult to breakdown these established, instinctual biases. One of the major regions that plays a role in how the world perceives you and your capabilities is the chin and jawline. Those with receding chins often are viewed as having weaker character and possessing less leadership potential. Those with too strong of a jawline, on the other hand, can be viewed as too aggressive, threatening and unapproachable. This leaves people in quite a predicament - a predicament that is leading many to seek Genioplasty (chin surgery).

Genioplasty - What To Expect From A Chin Reduction:

The procedure is conducted under general anesthesia. Then an incision is made either inside of the mouth along the lower gumline or under the chin. After the incision is made, the muscle is detached from the bone of the chin and specialized tool are used to shave down the bone and reshape the contour of the face. After the jaw area is reshaped, the tip of the chin is repositioned and fused with the remaining portion using wires and plates.

The length of the procedure ranges between 1 hour and 1.5 hours, varying depending on the extent of the surgery and whether there were combination surgeries included. The wound is then sealed with sutures and staples, and a bandage is fastened around the face.

Chin Reduction Recovery:

During the recovery period, patients will experience a moderate amount of discomfort, along with tightness and stiffness in the jaw region. The first couple of weeks, bruising and redness will be visible, but dissipate shortly. Numbness and swelling will diminish over a more extended period of time, possibly lasting as long as a few months after the procedure.

Initially, chewing  and talking will be difficult. Jaw movements should be kept to a minimum and the patient will be restricted to a liquid and soft food diet for the first few days.

Patients are able to return to work in a week, but may wish to extend their recovery time longer depending on how quickly they heal.

The pressure to have a strong, yet not overly powerful jawline is overwhelming in the selfie-saturated world that we live in. Because of this, both men and women are turning to genioplasty (chin surgery) in order to achieve the perfect balance. And although the most widely discussed version of genioplasty is a chin implant, there are a great deal of men and women who are struggling with the opposite issue.

When a man has a receding jawline, typically, society doesn’t view him as capable of a leader nor as “manly” as one who has a chin proportionate to the rest of his face. On the opposite end of the spectrum, when a man’s jawline is excessively masculine, they can be viewed as threatening and unapproachable. This can be just as detrimental for their career and personal life as a receding one, if not more.

For women, the pressure for perfectly balanced chin is also incredibly high, but this is more appearance-based than character-based, though similarly, women with a receding or excessive jawline are viewed as too weak or too dominant.

How A Chin Reduction Works:

Genioplasty is performed under local anesthesia, so the patient is not conscious for the procedure. An incision is then made along the lower gumlines inside of the mouth or underneath the chin. This will depend on the extent of the operation and the desired result of the patient. After the incision is made, the muscle is detached from the chinbone.

Specialized instruments are then used to shave and contour the jawline and chin. After the jaw region is reshaped, the tip of the chin is repositioned and reattached to the remaining area with plates and wires.

Genioplasty surgery typically lasts anywhere from 1 hour to 1.5 hours, depending on the extent of the procedure. Often times this surgery is paired with other procedures, extending the operation time significantly. After the surgery, the wound is sealed with sutures or staples and a bandage is secured around the head.

What To Expect During Recovery:

After genioplasty (chin reduction surgery), the patient will experience a moderate amount of pain. Additionally, stiffness, swelling, bruising, numbness, and redness are also common sensations during recovery, although the redness and bruising will dissipate within the next two-to-three weeks. The numbness and swelling diminish much more slowly and may take several months to fully subside.

During the first few days, jaw movements should be kept to a minimum and the patient should stick to a soft food and liquid-based diet.

Recovery times will vary, but most patients are able to return to work after a week.