While chin enhancement in both increased projection and width is desireable in men, the exact opposite is true in women. A narrower more refined chin helps contribute to a more oval facial form. When one looks at a woman’s face and it is more square, the question is whether this is due to a bony prominence at the mandibular (jaw) angles, whether it is due to a square chin shape, or both. If a wide square chin is the main contributor to the undesired lower facial contour, then bony reduction of the chin can be performed.
Bony chin reduction by burring or shaving down the lower border, in my experience, produces only a minimal result. In addition, it also has the risk of creating a soft tissue sag due to the extensive stripping of the soft tissue off of the bone in order to be able to do the procedure.In the July2008 issue of Plastic and Reconstructive Surgery, Park and Hoon Noh from Korea address chin narrowing by a chin osteotomy and midline resection. This is an easy variation of a chin osteotomy and I have also found it very successful for chin narrowing. (and it can be used for chin widening as well) One of the key technical points is to make sure to burr down the edge of the bone where the lateral side of the chin is moved in and to resuspend the mentalis muscle well. The risk of temporary mental nerve numbness should be the same as with shave reduction only as nearly same amount of soft tissue stripping is needed.
Like all chin osteotomies, there is more swelling and temporary numbness than will occur from a chin implant for example. But the long-term result is worth it. Chin narrowing, combined with mandibular angle reduction, can be very effective in the most square of faces.
Dr. Barry Eppley
http://www.eppleyplasticsurgery.com
http://www.ologymd.com
Clarian North Medical Center, Carmel, Indiana
Clarian West Medical Center, Avon, Indiana
Indianapolis
Tags: chin reduction, chin surgery, clarian north medical center, clarian west medical center, dr barry eppley, indianapolis, plastic surgery
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