Chin and Cheek Augmentation

Chin implants, Surgery of the chin, weak chin, prominent chin

Cheek Augmentation

 A well defined chin helps give balance to the face and creates a major part of one’s profile. When people look in the mirror, most focus on the size and shape of their noses, their ears, sagging jowls, or fine wrinkling of the skin. But even though few examine their chins with the same discerning eye, having a “weak chin” is certainly not an asset. Surgeons who specialize in rhinoplasty, or surgery of the nose, are often the first to suggest that changes in chin size or shape may enhance a profile as much as rhinoplasty. It is common for the facial plastic surgeon to recommend chin surgery in addition to nose surgery when the surgeon sees that chin augmentation is necessary to achieve facial balance and harmony.


If only we could all be born with naturally high and defined cheek bones. Most of us, however, need a little help to get the perfect contour and shape. With cheek augmentation, one is able to not only create such defined cheek bones, buth these high cheek bones could enhance the results of a facelift by providing excellent bony structure or scaffold for the overlying skin and muscle to drape. Fortunately, this is a relatively straightforward procedure that can make a major difference.

 If you are wondering how chin or cheek  surgery could improve your appearance, you need to know how the surgery is performed and what you can expect from this procedure. Successful facial plastic surgery is a result of good rapport between patient and surgeon. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery. Dr. Sofola is happy to  answer specific questions about your specific needs.

 Is Chin Surgery For You?

As with all elective surgery, good health and realistic expectations are prerequisites. It is also key to understand all aspects of the surgery. A pleasing, balanced profile can be achieved by inserting an implant or moving the bone forward to build up a receding chin, or by reducing a jutting or too prominent chin. The result can be greater facial harmony and an increase in self-confidence.

 Another possibility for improvement through chin surgery is submental liposuction in which excess fatty tissue is removed to redefine the chin or neckline. When there is a contributing problem of dental malocclusions or birth defects in the structure of the jaw itself, surgery of the jaw can improve the form and function of the lower face and greatly enhance appearance.Your consultation with Dr. Sofola can help you decide on the type of surgery that addresses your concerns. Dr. Sofola  can also provide information on new medical techniques for chin surgery and offer recommendations for supplementary surgery that can ensure the greatest improvement.

 Making The Decision For Chin Surgery

Whether you are interested in chin surgery for functional or cosmetic reasons, your choice of a qualified facial plastic surgeon is extremely important. During the consultation, Dr. Sofola will thoroughly examine your chin and jaw to pinpoint problems. In some instances, he will suggest chin surgery as a supplement to rhinoplasty because a small chin can make the nose appear larger. Also, he will weigh other factors that could influence the outcome of surgery such as age, skin type, and attitudes toward surgery. The surgical procedure will be described in detail along with reasonable projections. If you opt for surgery, Dr. Sofola  will describe the technique indicated, the type of anesthesia to be used, the surgical facility, any additional surgery, and risks and costs.

 Understanding the Surgery

There are several techniques available for chin  augmentation. Typically, the surgeon begins by making an incision either in the natural crease line just under the chin or inside the mouth, where gum and lower lip meet. By gently stretching this tissue, the surgeon creates a space where an implant can be inserted. This implant, made of synthetic material that feels much like natural tissue normally found in the chin, is available in a wide variety of sizes and shapes. This allows custom fitting of the implant to the configurations of the patient’s face. After implantation, the surgeon uses fine sutures to close the incision. When the incision is inside the mouth, no scarring is visible. If the incision is under the chin, the scar is usually imperceptible. The skin incision is typically made when there is liposuction of the neck performed in conjunction with the chin augmentation.

In chin reduction surgery, incisions are made either in the mouth or under the chin. The surgeon sculpts the bone to a more pleasing size. For orthognathic surgery, the surgeon will make an incision inside the mouth and reposition the facial bones. The procedure, depending on the extent of the work, takes from less than an hour to approximately three hours.

For cheek implantation, the incisions are made inside the mouth. The implants, typically made of synthetic material that feels like natural tissue, are placed in precise pockets. The implants come in different sizes and shapes, with various accents that serve the needs of the specific patient. The intraoral incisions are closed with re-absorbable sutures, and the patient is typically placed on oral antibiotics and pain medication. Over a few days to weeks, the swelling and bruising will resolve. Pain is surprisingly minimal, and the results are typically fabulous.

 What To Expect After The Surgery

Immediately after surgery, the surgeon usually applies a dressing that will remain in place for two to three days. You will experience some tenderness. Post-operative discomfort can be controlled with prescribed medications. Chewing will probably be limited immediately after chin surgery, and a liquid and soft food diet may be required for a few days after surgery. Most patients feel a stretched, tight sensation after the surgery, but this usually subsides in a week.

 After approximately six weeks, most swelling will be gone, and you can enjoy the results of your procedure. Rigorous activity may be prohibited for the first few weeks after surgery. Normal activity can be resumed after approximately ten days.


Facial plastic surgery makes it possible to enhance your appearance and eliminate signs of premature aging that undermine self-confidence. By changing how you look, facial plastic surgery can improve your self-image.