The use of chin implants is often seen as a permanent solution to correct the recessed, weak chin which could create an effeminate appearance in men. In some cases, the surgery is performed alongside rhinoplasty or nose surgery to further improve one’s facial symmetry.
Chin augmentation surgery through implants comes in two basic techniques: the external approach in which a short incision is placed underneath the chin, and the internal approach wherein a small cut is positioned inside the mouth.
As with any surgical technique, the right approach depends on many factors such as the patients’ goals and expectations, surgeons’ expertise and preference, and underlying anatomies of the chin.
Some plastic surgeons prefer the external approach because the infection rate is slightly lower than the internal incision technique as the mouth is impossible to completely sterilize.
Aside from the slightly higher risk of infection, the internal or intraoral approach is also less favorable in terms of implant migration, according to anecdotal reports and surveys involving chin augmentation patients.
Contrary to popular belief, visible scarring is almost not a concern with the external approach. First and foremost, the 1 cm incision tends to heal and fade beautifully that a scar is hard to detect even at a conversational distance.
Nevertheless, proper care for the incision—no matter how small it is—is important to prevent “unnecessary” scarring. The general rule is to avoid sun exposure for at least six months to prevent hyper-pigmentation or darkening of the scar; some doctors also recommend the use silicone sheet to prevent scar tissue from forming within the dermis.
Despite the pros and cons of the internal and external chin augmentation techniques, the surgeon’s qualifications are still the most important factor a prudent patient must consider. The sacrosanct rule is to only choose a doctor certified by the American Board of Plastic Surgery or ABPS.
ABPS members have completed two to three years of supervised residency in plastic surgery, three years of general surgery, and two years of professional practice. They also have completed their degree from an accredited medical school and have passed the rigorous oral and written exams they are required to take every 10 years.
Meanwhile, chin augmentation involves a straightforward recovery, with most of the swelling and bruising expected to dissipate about a week. However, it could take up to three months for complete healing, i.e., all the residual swelling and numbness are gone.