If you have concerns about a ‘weak chin,’ a chin implant from plastic surgeon Dr. Lawrence Tong could be a procedure to address your problem. The implant is surgically placed along the front of the chin to augment its dimensions. There are various sizes of implants and methods of placement.
What Does a Chin Implant Do?
A chin implant is used to improve facial proportions by altering the chin’s dimensions. In particular, it enhances the appearance of a ‘small’ chin by adding width, height, or projection to improve facial harmony. Although a small procedure, it can have a significant impact on a person’s appearance.
A chin implant can do the following:
- Increase projection (the degree to which it ‘sticks out’ from the side view)
- Increase width (make the chin wider)
- Camouflage jowls
- Increase vertical chin height
- Decrease or eliminate mentalis muscle dimpling (constant contraction of the ‘chin muscle’ often due to a weak chin)
- Improve overall facial proportions and harmony (e.g. a weak chin can make a larger nose look larger)
Who is a Candidate for Chin Implant Surgery?
Potential patients will most often describe themselves as having ‘no chin’ or a ‘weak chin.’
Patients who are candidates:
- Underprojected chin
- Patients with a narrow chin wanting a more square looking chin (achieved by using a slightly wider type of implant)
- Short chin wanting more vertical length
- Patients who have a very short distance from the tip of their chin to the start of their neck
- Patients with mentalis strain (constant dimpling in the chin muscle)
Things to Consider With Chin Implants
Placing a chin implant can affect your appearance dramatically or subtly. Consider what you would like to achieve with a chin implant; think about how much more projection you would like and whether you would like your chin to be slightly wider, or slightly longer. Of course, Dr. Tong will do a facial analysis and make recommendations based upon aesthetic norms and your personal requirements.
Men and women should not be treated equally. Males tend to look better with a stronger chin, while doing the same in a female may produce a masculine look.
Additional procedures should be considered with a chin implant; these include Neck Liposuction, Mini Neck Lift, Neck Lift, or Facelift. These additional procedures achieve better definition of the neck (by removing fat, and deepening the neck/chin angle), synergistically enhancing the chin implant’s effect and the overall result.
Chin Implant Incisions
There are two methods of placing a chin implant:
- using an incision inside the mouth, where the lower lips meets the gums (intra oral approach)
- using an incision in the ‘double chin’ crease (external approach)
A summary of the pros and cons of each method of Chin implant placement:
Intra oral (though mouth)
No external scar (‘scarless’)
Slightly more difficult to position; Higher risk of infection
External (through skin crease)
More precise positioning
External scar; Lower risk of infection
If the chin implant is being placed simultaneously with a Facelift, Neck Lift, or Mini Neck Lift procedure, the external incision is used since an identical external incision is already made with these procedures.
Details of the Chin Implant Procedure
The procedure is performed under general anesthesia or IV sedation. Dr. Tong performs your surgery in the private surgery centre, at 199 Avenue Road. This CAAASF accredited surgery centre is located on the 3rd floor, directly above our office, in downtown Toronto.
Dr. Tong carries out Chin Implant surgery by first making a 2-3cm incision under the chin, (or inside the lower lip if the intra oral route is used). He precisely makes a pocket to accommodate the implant. An implant ‘sizer’ is placed to test how the implant will look. The sizer is identical in dimensions to the implant. Multiple sizers may be trialed until Dr. Tong feels that he has achieved the intended aesthetic goal. Once Dr. Tong is satisfied with how a certain sizer looks, he places the actual implant. The implant is secured, and the tissue layers are stitched back together meticulously. After the last stitches are placed, a small dressing is applied, and you are gently awakened from anesthesia.
Recovery after Chin Implant Surgery
You will be allowed to go home following surgery, accompanied by your friend or family member, after the effects of anesthesia have worn off.
You should try to rest as much as possible at home; otherwise, you may perform non-strenuous activities such as watching television and making meals. Meals should consist of soft foods (e.g. soup, eggs, oatmeal, mashed potatoes) in the first week. Do not chew hard foods, or open your mouth too wide. Try to sleep in a reclining chair or use multiple pillows to keep your head elevated when you sleep. This helps decrease facial swelling.
Pain is typically moderate. Narcotic pain medication will be prescribed by Dr. Tong and is usually used for less than 5 days. There will be some significant swelling of the chin area, typically lasting from 1-2 weeks. Your lower lips and chin may feel numb for a number of weeks. The lower lips will be swollen and slightly stiff, leading to difficulty pronouncing some words. This is entirely normal, and may take 2 weeks to fully recover.
At one week, Dr. Tong will see you to have your stitches removed. The majority of patients return to work (non-strenuous) at 5-7 days. Dr. Tong will likely allow you to start light exercise (e.g. walking) at 1 week after surgery. Avoid strenuous activity until 4 weeks after surgery. After the initial post-operative visit, you will follow up with Dr. Tong at 6 weeks, 6 months, and one year after surgery. Post-operative photos will also be taken at these visits.
As with any surgery, there are risks involved with having Chin Implant Surgery. Although the procedure has a very low risk profile, Dr. Tong will make sure to go over the potential problems associated with Chin Implant Surgery during your consultation.
Get Educated about Chin Implant Surgery in Toronto
It is crucial that you do your research when considering an elective procedure such as a Chin Implant. The initial consultation with Dr. Tong may take over 45 minutes to complete. You will have the opportunity to see many photos of Dr. Tong’s work. He will make sure that you understand all aspects of the chin implant surgery process. Our goal is to educate you. We feel strongly that the educated patient will make better choices about their surgery and their surgeon.
You will never be rushed or pressured to make a decision about surgery.
To learn more about how Toronto Chin Implant Surgeon Lawrence Tong, MD can help you with improving your appearance, set up a consultation with Dr. Tong by giving us a call at (416) 972-0999. You can also let us give you a call; just fill out our contact form and we will call you on the same or the next business day.
Chin Implant at a Glance
- Implant malposition
- Choosing the wrong size implant