When one thinks of chin augmentation, most envision simply bringing the chin forward. In many instances, increasing the horizontal projection of the chin is all that is needed or desired. Other patients may want changes in the shape of their chin as well. Revisions of previous chin procedures may only need improvement in its shape rather than more fullness.
Today’s chin implant designs are quite different from those simpler designs from the past. Greater emphasis is placed on the lateral wings of the implant so that a more natural blending of the implant into the bone occurs to prevent any stepoff between the two which might be felt. Implant styles are available that can make the chin broader and more square adding width at the sides, with or without increasing central chin fullness. Chin implants can also have very extensive lateral wings that can help correct one’s ‘marionette lines’ by filling out the loose skin along the jawline. Incredibly, there is even one style which has a central grove in it to help create the appearance of a dimple in the chin. (cleft chin) Not only have the length of the implants increased but there vertical height as well. Increasing the height of a chin implant can help decrease the depth of the labiomental sulcus below the lower lip.
There are many different chin implant styles and sizes today. (28 from one manufacturer!) Careful assessment of one’s chin may reveal that the cosmetic enhancement may be improved by more than just increased chin fullness. The chin is truly a three-dimensional facial shape that can be favorably changed by the shape of the implant chosen.
Dr Barry Eppley
Indianapolis, Indiana