Chin reduction, also called genioplasty surgery, aims to restore facial balance and provide a natural aesthetic appearance. The normal chin is in balance with the forehead and nose. The aesthetics of the face requires that each part is in harmony with the others. Thus, a chin that is too large (macrogenia) detracts from the other normal features. A large chin can give the appearance that the nose is too small. In these cases, chin reduction is necessary to restore the balance of the face. This imbalance can have a major impact on the psychological well-being of the patient. Patients can suffer low self-esteem and become withdrawn.
Before Your Surgery
- Size – Important to discuss your goals carefully. Surgery should achieve an aesthetically balanced chin, mid-face, and upper face.
- Smoking – Essential to stop at least 3 weeks before surgery and until wounds are fully healed or at least 2 weeks after.
- Drugs – Avoid aspirin/ibuprofen-type analgesics for 2 weeks before and after your surgery.
Your Chin-Reduction Surgery
- Anaesthetic – Normally a general anaesthetic with local anaesthetic to the chin – day case procedure
- Scars – Inside lower lip
- Sutures – Dissolving in 1-2 weeks
- Dressings – Supportive face strap worn for 7 days day & night, then for 2-3 weeks as much as possible.
After Your Surgery
- Chin support – Beneficial to wear support as much as possible for 2 to 3 weeks.
- Exercise – Avoid vigorous exercise for 4 weeks, no contact sports for 6 weeks.
- Diet – Soft diet for 7 days, use an antibacterial mouth rinse after every meal or milk drink.
- Swelling – Moderate expected for 2 to 3weeks, final result may take 6 to 12 weeks.
Potential Problems / Risks
- Pain – Moderate discomfort expected, take regular painkillers for 2 -3 days. Avoid Aspirin/Ibuprofen.
- Bruising – Occasional, may last for 2 weeks.
- Wound – Occasionally, mild infection.
- Rarely, serious infection requiring antibiotics.
- Rarely, haematoma (blood collection) that may require drainage.
- Sensation – Some diminished sensation may occur in the lower lip and chin. Return to normal may take up to 6 weeks.
- Teeth – Rarely injury to the root of the tooth which will need Dental treatment.
What is chin-reduction surgery?Improving the facial balance by reducing chin prominence or reshaping the chin, which is performed by reshaping the front of the mandible. The goal is to provide suitable projection of the chin as well as correct the height of the chin, putting it into better balance with the other facial features. The optimum balance is determined by the proportions of the upper, mid, and lower face, which is specific to men and women.
Am I the ideal patient for genioplasty surgery?The ideal patients for a chin reduction are people with a large chin that is out of proportion to the face (macrogenia). These patients should still have a normal dental bite.
Does chin reduction require a general anaesthetic or hospitalisation?Chin-reduction surgery is performed under general anaesthetic, commonly as a day-case procedure.
Will I require an XRay of my chin before surgery?Pre-operative XRays of the mandible (lower jawbone) will be obtained in order to check the lower teeth roots and to plan the degree of reshaping required to restore the lower-face balance.
How long is the procedure?A chin-reduction procedure normally takes approximately 1 to 1 ½ hours to perform depending on the complexity of the surgery.
What about the scars following chin reduction?The incision is placed in the lower gum of the lip and is therefore hidden inside the mouth. This incision heals well in 5 to 7 days.
Will a special garment be required after genioplasty surgery?Following a chin reduction, a facial support garment is fitted at the end of surgery to help control swelling and reduce movement post-operatively. This should be worn day and night for the first week.
Can a chin reduction be performed at the same time as other procedures?Yes, chin reduction is commonly performed together with rhinoplasty or other face surgery such as a facelift, brow lift, or cheek augmentation, as well as breast augmentation or liposuction. What is appropriate and safe for you to combine will depend on your medical health, your goals, and the individual procedures.
What reassurance do I have with chin reduction?At LBPS, we understand that your decision to have chin-reduction surgery can be a daunting and anxious time for you. Our aim is to fully understand your concerns and desires and to assess your face accurately before agreeing on a treatment plan that is in your best interest. If for any reason you are unsuitable for a chin reduction, you will be advised against this form of surgery. We will provide you with all the information you need and support before, during, and after your surgery.
How long is the recovery time?Moderate pain / discomfort is expected for 3 to 5 days. Patients can go back to their normal daily activities after 1 week but should avoid strenuous exercise / activity for 6 weeks, including any contact sports.
What about the results of a chin reduction?The results are first and foremost natural-looking. The goals of chin-reduction surgery are to restore an aesthetically pleasing facial shape that is in balance with your facial features – i.e. looks natural and does not appear abnormal. Remember, it can take 6 weeks or more for the final result to be achieved.
What are the risks involved?Common to all surgical procedures, there are always risks associated with surgery. However, complications are uncommon. Bruising can occur and may take 2 weeks to resolve, while major bleeding is rare. Infection is infrequent (less than 0.5%) and will require a course of appropriate antibiotics. Some altered sensation around the chin and lower lip is expected and will commonly return to normal between 6 to 12 weeks after surgery.
How long do the results last?The results of chin reduction are permanent, but note that as you age, your chin will change over the years. For example, the tissues around the chin will continue to be affected by aging changes and gravity.
Scheduling a Chin-Reduction Consultation