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The chin can be reshaped in a number of different ways, the most popular of which is with an implant or by recontouring the bone and tissue surrounding the bone.
For either option, a small incision is made in the mouth between your front lower teeth and the bottom of your lip. In some rare cases, an incision can also be made under the chin. Dr. Spiegel is able to gently contour the bone and tissue by excising the excess and reshaping it to a more pointed and balanced chin. The tissue surrounding the chin is extremely dense and fibrous. Dr. Spiegel is able to stitch this tissue into a desired position and the tissue will heal in that preferred position. When an implant is used, he makes a small pocket by the chin and a natural feeling surgical implant is then placed to add just the right amount to your chin. These implants come in a variety of size and made of a solid silicone. Then, a few stitches are placed to close the incision and permanently conceal the implant and/or tissue. In some situations, a sliding genioplasty may be performed. This is when a small piece of the jaw is broken and moved forward – while Dr. Spiegel has performed this procedure he only uses it rarely because most patients will not benefit from advancing the jaw from their pre-surgical position and Dr. Spiegel is able to achieve far better results with other, less invasive techniques.
After surgery the chin may be swollen and tender for one to two weeks. The swelling will slowly resolve itself over time. Slight bruising around the chin is also common. A mouthwash is used after surgery to keep the incision healthy and clean and antibiotics are prescribed to avoid infection.
While patients can go home shortly after the procedure, it’s best to plan on resting for the first few days. Most people feel ready to return to a regular routine in about 5 or 6 days, though in some rare cases swelling or bruising can last longer. All strenuous activity, such as exercise, should be avoided for four weeks following the procedure. Intense exercise like running, yoga, Pilates and weightlifting should be resumed after 6 weeks.
Similar to the cheek augmentation surgery, a chin implant can possibly be performed in the office—ask Dr. Spiegel if he thinks it is safe to do so before making those plans with the patient. Chin numbness is very common following surgery and sensation typically returns about 4-6 weeks following surgery.
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