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Dr. Barry Eppley

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Surgeon Dr. Barry Eppley

Fat Grafting for Chin Augmentation


Chin augmentation is one of the most facial augmentation procedures, both historically and to the present day. Chin implants are the most common method to achieve these changes and they are more successful than not in the vast majority of patients. Injectable methods of chin augmentation have come into play since the introduction of synthetic temporal fillers. Such fillers can be used as a temporary test of the effects of chin augmentation.

Fat injection grafting is the most popular method of soft tissue augmentation anywhere on the body today. Its use for hard tissue augmentation in the face, however, has been more limited with its most extensive use for cheek augmentation. Although injectable fat grafting has clearly been used all over the face but with limited critical analysis of its effectiveness.

In the December 2017 issue of the journal of Plastic and Reconstructive Surgery an article was published entitled ‘Prospective Controlled Study of Chin Augmentation by Means of Fat Grafting’. In this paper the authors evaluated forty-two (42) consecutive cases of chin augmentation by fat grafting over an 18 month period. A three-dimensional analysis was done to determine volume and gain in sagittal projection. All patients showed an increase in both sagittal projection and in total volume at one  and six months after surgery. There was an average increase of almost 9mm in sagittal projection and with an average volume of almost 8mls.

It is no surprise that injectable fat grafting can be used for chin augmentation. Like just about anywhere else on the face, fat grafting has been shown to be capable of graft take. But it is important to remember that this is a biologic graft and not an implant. While a six month result for an implant used for chin augmentation would give a good gauge as to its outcome, the same can not be said for a fat graft. Does it persistent or two years later? How does it respond to weight gain and weight loss? What happens if the patient does not like the result and wants it removed later?

Like all chin augmentation methods, each one has its advantages and disadvantages. No singe method is perfect and the patient must accept their tradeoffs. The long-term outcome of fat grafting to the chin as yet remains unknown.

Dr. Barry Eppley

Indianapolis, Indiana

Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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