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Facial Surgery @ Kamol Hospital - Thailand Cosmetic & Plastic Surgery


Chin Reduction Surgery / Genioplasty

in Bangkok, Thailand

 

Chin Reduction / Genioplasty

     Chin is an important part of a lower facial feature, but some may find their chins too big, small, wide, or thin, which compromises a good facial proportion. Chin reduction can help improve the patient’s facial harmony by making the chin more proportionate to the overall facial feature.


    Chin reduction procedure adjusts the balance between the chin and the lower face, which is essential to obtain the desired aesthetics. The surgeon planning lower face contouring surgery must consider their options carefully to achieve naturally attractive balance between facial features, whether chin narrowing would suffice or mandible angle reduction is also needed to improve the size and shape of the chin.

 

Why to do chin reduction surgery?

          This procedure is a cosmetic surgery to reshape a chin on the bone. It can be performed on the lower jawline and chin area to improve proportions of the face to create more confidence for the patient.

  • Advancement or moving the chin forward.
  • Pushback or moving chin backward.
  • Side to side, which can help asymmetric chin
  • Shortening or elongating of the chin

There are many possible types of procedure for chin reduction;

1. Chin reduction with mandible angle reduction
2. Chin reduction without mandible angle reduction
3. Chin reduction with T osteotomy technique or V. line surgery

 

1. Chin reduction with Mandible angle reduction

          Chin reduction with mandible angle reduction is an aesthetic surgery procedure that is applicable to the chin, jaw angle and mandible reduction. During a chin reduction surgery, the surgeon removes a part of the bone tissue that makes up the chin to enhance the balanced appearance of the lower jawline, chin and neck. There are a range of techniques as follows:

1.1 Chin reduction by resecting the bone of chin angle is applicable where a patient has a small chin but is concerned only with the angle of the chinbone. After the surgery, the chin would appear curved as desired.

ภาพก่อนเสริมคาง
Picture 1.1 Reduction of the chin angle.

 

1.2 Chin reduction by resecting the bone from chin angle to the middle of the mandible, is applicable where the patient has a square and broad chin. The cut has to be longer, from a chinbone to a middle of a mandibular to balance a new lower jawline. This is the most commonly performed technique for chin reduction. 

ภาพก่อนเสริมคาง
Picture 1.2 Chin reduction by resecting the bone from chin angle to the middle of the mandible

 

1.3 Chin reduction at the chin area by resecting and shortening a chinbone is applicable where the patient has a long chin without too much projection. This procedure removes the lower chinbone and shaving it to be smaller and curved, and balance a new lower jawline.

ภาพก่อนเสริมคาง
Picture 1.3 Chin reduction at the chin area by resecting and shortening a chinbone

 

1.4 Chin reduction by resecting from side to side of angle jaw through mandible and chin, as in “horseshoe” reduction. This technique is used for wide jaw and broad chin to improve the lower part of the face by making it appear shorter with a smaller lower jawline, in keeping with the facial feature proportion.

ภาพก่อนเสริมคาง

Picture 1.4 Chin reduction by resecting from side to side of angle jaw through mandible and chin,as “horseshoe” reduction

 

 

2. Chin reduction without Mandible angle reduction

          Chin reduction alone is an aesthetic procedure for a chin that is too short of too long, while leaving the jaw and mandibular untouched. The surgeon uses a saw to cut a small vertical line for reference, then slides the bone forward or backward and attaches screws and plate to ensure it stays in place. After chin forward or backward adjustment, bone shaving may be possible.

 

2.1 Chin forward surgery

This procedure is a correction of a short chin by moving chinbone forward to make the short chin look more natural.

 

ภาพก่อนตัดกระดูกคางที่ยื่นมากเกินไป

Picture 2.1 Chin forward surgery

 

2.2 Chin Backwards Surgery

This procedure is a correction of a long chin by moving chinbone backward to make the long chin look smaller and more natural.

 

ภาพก่อนตัดกระดูกคางที่ยื่นมากเกินไป
Picture 2.2 Chin backward surgery

 

 

3. Chin Reduction by T-Osteotomy, V-Line surgery

This procedure is to achieve a V-shaped face with a balance between jaw and chin, especially in cases of a short chin and wide face. The length and location of the chin is adjusted by the surgeon at the under ear area to balance out the proportions.

ภาพก่อนตัดกระดูกคางที่ยื่นมากเกินไป

Picture 3.1 Chin reduction by T-Osteotomy, V-Line surgery

 

Recovery

          This procedure can be performed in hospital under general anesthesia. The procedure itself takes two hours, and the patient will then spend one night in hospital, with a recovery period of seven days before going back to work or school.

 

Rick and complication

          Chin reduction is a simple and safe procedure, especially as it is performed by highly qualified surgeons. However, patients should be informed of the following possible risks and complications as a good practice:

  • Bleeding
  • Infection
  • Nerve Injury 
  • Pain after surgery
  • Some bone loss

 

Postoperative care:

  • Eat liquid or soft food
  • Regularly keep the oral cavity clean by using mouthwash
  • Avoid smoking
  • Do not over exercise within one month after the surgery
  • Control pain by taking painkiller
  • It is normally possible to go back to school or work two weeks after the surgery, and the wound heals within 4-8 weeks

 

Result:

          Most patients are satisfied with the outcome. There are many types of chin reduction procedures, though all of them involve operating on the lower jawline and chin area to improve the facial proportions. In any case, it is important to consider other parts of the face to include the jaw, cheeks, and forehead to ensure a balanced look and harmony of all facial features.



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