Chin Augmentation Using Silastic Implants

Abstract

An aesthetically pleasing face is centered on strength, symmetry, and balance. A defined, well-projected chin and jawline are crucial to this harmony and recontouring the lower third of the face plays a significant role in plastic surgery. Chin augmentation can be performed with injectables, implantation, or osseous genioplasty. The selection of the best procedure is based on the type and extent of deformity. This article reviews chin augmentation with emphasis on alloplast implantation. The relevant anatomy, patient evaluation, implant indications and limitations, alloplast selection, and surgical techniques in implantation are presented.

Keywords

chin augmentation - chin implants - microgenia - alloplastic chin augmentation - genioplasty

• References

• 1 Plastic Surgery Statistics Report. https://www.plasticsurgery.org/news/plastic-surgery-statistics . Accessed January 20, 2019
• 2 Sykes JM, Suárez GA. Chin advancement, augmentation, and reduction as adjuncts to rhinoplasty. Clin Plast Surg 2016; 43 (01) 295-306
• 3 Newberry I, Cerrati EW, Thomas JR. Facial plastic surgery in the geriatric population. Otolaryngol Clin North Am 2018; 51 (04) 789-802
• 4 Romo III T, Lanson BG. Chin augmentation. Facial Plast Surg Clin North Am 2008; 16 (01) 69-77
• 5 Lee EI. Aesthetic alteration of the chin. Semin Plast Surg 2013; 27 (03) 155-160
• 6 Arroyo HH, Olivetti IP, Lima LF, Jurado JR. Clinical evaluation for chin augmentation: literature review and algorithm proposal. Rev Bras Otorrinolaringol (Engl Ed) 2016; 82 (05) 596-601
• 7 Thomas JR. Advanced Therapy in Facial Plastic and Reconstructive Surgery. Shelton, CT: People's Medical Pub. House; 2010
• 8 Choe KS, Stucki-McCormick SU. Chin augmentation. Facial Plast Surg 2000; 16 (01) 45-54
• 9 Newberry CI, Mobley S. Correction of the crooked nose. Facial Plast Surg 2018; 34 (05) 488-496
• 10 Frodel JL, Sykes JM, Jones JL. Evaluation and treatment of vertical microgenia. Arch Facial Plast Surg 2004; 6 (02) 111-119
• 11 Azizzadeh B, Murphy MR, Johnson CM, Massry GG, Fitzgerald R. Master Techniques in Facial Rejuvenation. Second edition. Edinburgh: Elsevier; 2018
• 12 Dec W, Warren SW. Alloplastic Chin Augmentation. In: Aston SJ, Steinbrech DS, Walden J. , eds. Aesthetic plastic surgery. Philadelphia, PA: Elsevier Saunders; 2009: 423-436
• 13 Frodel JL, Lee S. The use of high-density polyethylene implants in facial deformities. Arch Otolaryngol Head Neck Surg 1998; 124 (11) 1219-1223
• 14 Shire JR. The importance of the prejowl notch in face lifting: the prejowl implant. Facial Plast Surg Clin North Am 2008; 16 (01) 87-97, vi vi.
• 15 Kent JN, Westfall RL, Carlton DM. Chin and zygomaticomaxillary augmentation with Proplast: long-term follow-up. J Oral Surg 1981; 39 (11) 912-919
• 16 Karras SC, Wolford LM. Augmentation genioplasty with hard tissue replacement implants. J Oral Maxillofac Surg 1998; 56 (05) 549-552
• 17 Glasgold AI, Glasgold MJ. Intraoperative custom contouring of the mandible. Arch Otolaryngol Head Neck Surg 1994; 120 (02) 180-184
• 18 Gross EJ, Hamilton MM, Ackermann K, Perkins SW. Mersilene mesh chin augmentation. A 14-year experience. Arch Facial Plast Surg 1999; 1 (03) 183-189 , discussion 190
• 19 Frodel JL. Evaluation and treatment of deformities of the chin. Facial Plast Surg Clin North Am 2005; 13 (01) 73-84
• 20 Moskovitz JB, Sabatino F. Regional nerve blocks of the face. Emerg Med Clin North Am 2013; 31 (02) 517-527
• 21 White JB, Dufresne CR. Management and avoidance of complications in chin augmentation. Aesthet Surg J 2011; 31 (06) 634-642