Georgeanna Huang, MD Plastic and Reconstructive Surgeon

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Chin & Cheek Augmentation

Chin surgery, also known as mentoplasty, is a surgical procedure to reshape the chin either by enhancement with an implant or reduction surgery on the bone. Many times a plastic surgeon may recommend chin surgery to a patient having nose surgery in order to achieve facial proportion, as the size of the chin may magnify or minimize the perceived size of the nose. Chin surgery helps provide a harmonious balance to your facial features so that you feel better about the way you look.

A weak or under projected chin line often mars an otherwise beautiful face. Luckily, a chin implant or chin augmentation corrects this and is a common cosmetic surgery procedure. The beauty of a face usually comes from harmony, and the importance of the chin to this overall balance cannot be over emphasized.

The most popular Chin Augmentation procedure is mentoplasty, when a chin implant is placed over the natural chin to make it more prominent. Another popular chin augmentation procedure is genioplasty, the chin portion of the jawbone is brought forward.  The results of chin augmentation, especially done in conjunction with a face lift or cheek implant, can be breath taking.

Cheek augmentation is a cosmetic surgical procedure that is intended to emphasize the cheeks on a person's face. To augment the cheeks, a plastic surgeon may place a solid implant over the cheekbone. Injections with the patients' own fat or a soft tissue filler, like Restylane, are also popular. Rarely, various cuts to the zygomatic bone (cheekbone) may be performed. Cheek augmentation is commonly combined with other procedures, such as a face lift or above-mentioned chin augmentation.
A deficient cheek can often mar an otherwise great face. Cheeks accentuate a drawn and gaunt look and make the appearance look more aged. On the other hand, a round face and flat cheeks also can be improved upon. Cheek implants provide prominent, full cheeks for a youthful and healthy appearance.

Cheek implantation (also known as malar augmentation) offers the possibility of high cheek bones many people desire. Along with the eyes, the cheekbones and jaw line form the most photogenic aspects of the face. It is often used in conjunction with nose jobs (rhinoplasty) or chin augmentation.

Cheek implants can be made of a variety of materials. The most common material is solid silicone. There are three general shapes to cheek implants: malarsubmalar, or combined. Malar implants, the most common shape, are placed directly on the cheekbones. The result is more projection to the cheekbones, providing a "higher" contour to the side of the face. In contrast, submalar implants are not placed on the cheekbones. They are intended to augment the midface, especially if the person has a gaunt or "sunken" appearance to this area. Combined implants or malar/submalar combination, are an extended implant intended to augment both the midface and the cheekbones.

A surgeon will usually make an incision in the upper mouth near the top of the gum line and slide the implants into place. Another method is to make an external incision near the eye, but most patients do not choose this method since it can create a visible scar. However, the intraoral (inside the mouth) approach carries a higher risk of infection since the mouth contains more bacteria. Cheek implant surgery is usually performed under sedation or general anesthesia and take about one to two hours. Recovery from this surgery usually takes about ten days.

As with any surgery there is a risk of infection, postoperative bleeding, formation of a blood clot, and severe swelling. Asymmetry is a risk with all forms of cheek augmentation. This can occur due to uneven resorption, implant displacement, or shifting. This shift can happen due to swelling, trauma or scarring. Although a temporary loss of sensation is common, an extended loss of sensation can occur with any surgery, especially cosmetic plastic surgery.

 

 
 
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is certified by the American Board of Plastic Surgery and an active member of the American Society of Plastic Surgeons, with subspecialty training in aesthetic and reconstructive surgery of the breast.
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