Face

Chin Augmentation

This procedure is helpful for patients with a small or receding chin or one that looks weak in proportion to the nose and face. Patients in good general health who wish to improve their facial proportions by enhancing the projection of the chin are generally good candidates.

Often, patients believe that their nose is abnormally large, while the main problem may be inadequate projection of the chin on profile view. Patients considering chin augmentation are seen in consultation with Dr. Casso. The chin and face are examined, and the patient’s concerns are elicited.

This condition can often be discussed with the patient utilizing computer imaging, which is helpful in communicating with patients the goals of the procedure. Dr. Casso takes photos of patients considering chin augmentation and confers with patients using this technology to illustrate the impact of chin augmentation surgery. If other elements of the face, such as the nose, contribute to facial disproportion, this can be demonstrated as well.

This procedure is often performed in conjunction with rhinoplasty, and is performed under general anesthesia at Houston Methodist St. John Hospital. While this procedure is sometimes performed under local anesthesia in outpatient facilities and doctors’ offices, Dr. Casso recommends general anesthesia at Houston Methodist St. John Hospital, which provides the patient with a comfortable surgical experience, and close, expert nursing attention, treatment of postoperative nausea, if present, and immediate medical attention in the event of any unforeseen emergency. The option for surgery in a full-service, state-of-the-art facility such as Houston Methodist St. John provides patients with a measure of safety and security which is unmatched.

After general anesthesia is induced, the face is prepped and draped, and Dr. Casso makes an incision under the chin. The soft tissues are carefully separated from the bone of the chin, and an implant is inserted. The wound is carefully closed with sutures, leaving an inconspicuous scar.

A small dressing is placed over the chin after the surgery. Initial discomfort is moderate and controlled with oral medication. Patients undergoing chin augmentation are discharged in the afternoon after surgery.

Patients are advised to avoid any exertion. Dressings may be removed the day after surgery, and patients shower daily, and re-dress the wound with antibiotic ointment and gauze.

Sutures are generally removed within five days. Most patients resume light activities within one week. Swelling and mild bruising usually resolve within about one month.

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