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Transform your profile with a chin augmentation and redesign your smile

Chin Augmentation

The procedure that is used to re-establish a balanced profile by modifying the line of the chin is called genioplasty. This surgery consists of several techniques. The most often used procedure consists of creating a small incision in the inside of the lower lip before loosening the mucus membrane and the muscles, to lay bare the bone structure of the chin.

This intraoral technique represents the considerable advantage of not leaving a noticeable scar. Often, to insert the implant, the surgeon can execute an external technique by creating a short incision hidden in a crease and not visible. Once the bone of the chin is visible, a bone or synthetic implant, the volume and shape of which have been previously created with extreme precision, is grafted on. Today it is possible to achieve perfectly adapted implants that lend themselves to remarkable results. People who have been lucky enough to be born with a perfectly shaped chin, have trouble imagining how difficult it is for someone to live with an irregular chin. My experience has taught me how just a few millimeters can be such a source of pain for people. Issues with the shape of the nose are obvious but issues with the chin are quite difficult for people too, especially women. “Men can hide their chins under a beard”, “How many things disappear under the beard: the impoverished cheeks, the crooked chin” French poet Victor Hugo to Alfred de Vigny. “I cannot bear to see myself in profile. I have the feeling that my lower jaw does not stand out from my neck; my crooked chin is … to escape from! “. Behind these words, the pain that certain patients feel is very real. The solutions offered by plastic surgery allow us to escape this trauma and improve the harmony of our profile, and to live more comfortably in our own skin.

For cases that call for an intervention more extreme, and an implant larger in size, surgeons use a specific technique, Osteotomy. Once the bone is exposed, it is repositioned by moving it forward and stabilizing it with screws, pins or microplates. In a less frequent case, where the chin is too prominent, the bone is shaved down, removed or eventually replaced.

Redesign the mouth

Mouth surgery usually addresses 1 of 2 issues depending on the age of the patients. Young women want to increase the size of their lips to have a more voluptuous appearance. Older patients want a younger looking smile. When increasing the size of the lips, we must focus on the harmony of the top lip compared to the bottom lip, with the top lip being slightly larger than the bottom. This is not easy to do and the procedure needs to be subtle. To embellish the lips, we can increase the line or shape of the lips. As we age, lips become slimmer, mostly due to the weakening of the underlying muscle tissue. This phenomenon is accentuated by the fact that the alveolar bone, situated behind the lips also has a tendency to weaken with age, the parentheses lines appear, the commissures start to fall and the mouth retracts at the same time the nose and chin have a tendency to increases in size. This gives the face a closed off and tense appearance.

This helps older patients to reclaim their “smile of the past”? For this we use a filler with a goal of revitalization. We prefer to use a absorbable product like collagen, or hyaluronic acid more than a non-absorbable product.

To rejuvenate aging lips, we intervene on 3 levels: We tighten the section between the upper
lip and the nose, we plump the upper and lower lip, and we redesign the shape of the lips.
Normally this integrated intervention produces an overall rejuvenating effect to the lips in
conjunction with a facelift. To bring back the youthful volumes to the face it is helpful to have a photo of your younger selves. Depending on the needs of the patient we can inject Botox to smoothen the lips, but with extreme caution. If too much Botox is given, the lips can appear stiff and frozen.

More or less cheekbones

I you look closely at the faces of super models; their cheekbones are usually prominent. It’s pretty but not always natural. It’s possible that they have had plastic surgery. The position and the size of the cheekbones play an important role in the harmony of the face. We often say that cheekbones are the “coat stand” for the face. With time the tissue of this region becomes very mobile and has a tendency to slide down the face increasing the parentheses lines around the mouth. Drooping cheekbones give a rounding effect to the face and in turn diminish the appearance of hollow cheeks. The plastic surgery helps to increase the prominence of the cheekbones, either to repair a naturally obscure cheekbone, or to repair the natural aging process that has left the cheekbones drooping and low. This results in a younger appearance due to the new contoured, more triangular shape of the face and also reduces lines and wrinkles.

Today, this cheekbone procedure is very popular. The technique most widely used (90%) is to re-inject fat that has been suctioned from another part of the body and use it to modify the shape of the cheekbones. High and sculpted cheekbones and round cheeks are 2 signs of a youthful appearance. It’s by redefining these lines that have become weakened with age, that the face can rediscover its youthful glow. The injection of fillers will recreate the roundness and reposition the contours of the face. In some cases, we can use a prosthetic. To get to the bone, we go under the skin from the temples. Once we have created a pocket for the prosthetic, it is placed to enhance the Malar bone in a way that was decided with the patient before the procedure. Because this procedure modifies significantly the structure of the face, this procedure must be carefully prepared and discussed. Too much protrusion can cause a change in appearance, too little may be disappointing to a patient so it calls for a delicate balance. Another technique used for the cheekbones and during a facelift is to enhance the natural cheekbones. To the contrary it is also possible to reduce the protrusion of the cheekbones. A very popular procedure in Japan or South Korea where women search to diminish their cheekbones instead of increasing them in order to smooth out the contours of the face. In this case, the surgeon performs an osteotomy to place the malar bone in the desired position.