Chin Augmentation with hyaluronic acid or calcium hydroxyapatite
A chin augmentation with hyaluronic acid can be performed on anyone.
But always within a detailed study of the facial morphological abnormalities.
We can try to improve some aesthetic problems in the context of the mandibular arch or the chin.
These can usually be caused by a small chin that is turned inwards from birth.
With hyaluronic acid fillers we are able to lift and eliminate the receding chin.
HOW TO FILL MY CHIN WITHOUT SURGERY?
By means of manual remodelling, it causes a compensation of the profile of the person’s mouth, nose and chin.
Giving harmony to the lower third of the face and compensating the existing volumes.
This facial harmonisation is immediate, as is the return to normal life. The treatment can last about 20 minutes.
Ultrasonic mentoplasty, chin augmentation with surgery.
Modifying the size or position of the chin. With this we manage to improve its proportion to the face.
It is a highly demanded technique, as, together with the nose, it defines the facial profile of a person, greatly affecting their aesthetic image.
It is performed when the patient has microgenia (a very small chin with jaws of normal size and position).
Harmonising the features of the face, when the chin is too prominent.
For surgery to correct abnormalities in the development of the jaw bones such as facial asymmetry.
Also as part of a craniofacial reconstruction, after trauma or cancer surgery, as part of the gender reassignment process or as an auxiliary procedure in orthognathic surgery when the jaw is suffering from mandibular retrognathia.
Material: CMA with AG and AL. Soft tissue box and/or oral surgery. Hydroxyapatite blocks (if applicable). Osteosynthesis material (Osteoplac ®). Saw motor (Osteomed®) or Ultrasonic motor with saw (Osteoplac® or Osteomed®). Virtual planning. Programmed in conjunction with Vincent Dental ® and 3D facial CT.
There are different types of mentoplasty, not only for chin augmentation:
– It can be an advancement to correct small chins in jaws of normal size and position.
– Reduction, slightly filling the bone when the patient has a very prominent chin.
– Vertical augmentation to stylise the face in patients with a very short, square or round face, giving it a more oval and aesthetic appearance.
– Or vertical shortening when the face is excessively long.
On the other hand, it is not recommended to resort to mentoplasty when the jaws are set back (retrognathia), which can lead to what is known as a “witch’s chin”.
In this case, orthognathic surgery should be used.
Who is chin augmentation surgery for?
This gives the patient the appearance of a poorly defined jaw. In these cases we will perform an advancement mentoplasty.
When the patient has a short, very square or round face. The choice is a vertical augmentation mentoplasty. In this way we lengthen the face, achieving a slimmer or more stylised effect.
For those patients with a very long face, the ideal is a vertical shortening mentoplasty, which reduces the chin vertically.
When the patient has a very prominent chin. We can perform an anteroposterior reduction mentoplasty.
We can also achieve a more symmetrical face. In those patients with facial asymmetry, we can perform a mandibular centring mentoplasty.
We perform an intraoral approach to access the bone. After locating the mentonian nerves (responsible for giving sensitivity to the lip and incisors). The bone is osteotomized and fixed in its new position.
This surgery is performed in one hour. The patient can be discharged from hospital after a period of observation of 1-2 hours.
For fixation we use titanium osteosynthesis material (plates and screws). They are completely biocompatible and are not removed, they help to fix the bone in the new position to provide stability.
In short-sided vertical descent, mentoplasty, we use hydroxyapatite blocks to interpose in the gap created by the osteotomy. This allows us to achieve the desired length without subsequent recurrences.