Rhinoplasty Combined with a Chin Implant
Chin augmentation can work well with rhinoplasty and it is important to assess facial balance from the profile view of the patient. An aesthetically balanced face is the goal of every chinician and facial plastic surgeon. According to Dr. Sam Rizk, a New York City facial plastic surgeon and rhinoplasty specialist, 20 percent of his rhinoplasty patients also undergo a chin implant to create better facial balance.
Sometimes, Dr. Rizk continues, "the deformities of a large nose and small chin coexist in about 20-30 percent of patients and this makes the face suffer from imbalance." Dr. Sam Rizk's goals are not just a "beautiful nose" but a "beautiful nose in harmony with the rest of the face" which helps create a beautiful face. A beautiful nose in isolation is not enough. Rhinoplasty can reduce the size of the nose, and a chin implant can address the facial balance. By not addressing the chin when performing rhinoplasty, patients could experience postoperative disappointment with the procedure.
Chin implants are usually placed from a small incision under the chin and are made of either silicone or other materials. Silicone implants for the chin are good, unlike the nose, because the placement is very deep under the chin muscles. Other materials for chin implants are Gortex or Medpor. They usually last forever and rarely have to be changed. Complications of chin implants may include infection or movement, but this is rare. If they become infected, they have to be removed.
There are many different shapes to a chin implant. The newer implants contour better to the front of the jawline and are more curved than the older, shorter implants. Dr. Rizk does not recommend placing chin implants from inside the mouth because they have a higher rate of infection with the bacteria inside the mouth. Also, if placed from inside the mouth, they tend to move more.
Chin implants can be placed as early as 15 years old. There is some associated numbness in that area under the chin for a few weeks and patients have to eat soft food for a few days. Patients are also placed on antibiotics after the surgery. Pain is usually mild.
Occasionally there is some excess fat under the chin which occurs at a very early age and is hereditary and Dr. Rizk may choose to perform chin liposuction at the same time as a chin implant and this is done from the same incision under the chin.
Dr. Rizk will evaluate your whole face in consultation from front and profile views and decide if you are a good candidate for a chin implant. Computer imaging for the chin and nose from the profile views are very helpful to show the change.
A teenage girl had issues regarding her nose and came in for rhinoplasty. Dr. Rizk performed a rhinoplasty accompanied by chin implant and neck liposuction to successfully deliver a natural looking nose and overall look. The patient is shown here one year post-surgery.
Our 24 year old female patient underwent a rhinoplasty and chin augmentation procedure. Her nose was over-projected, over-rotated and had overgrown cartilage on her nasal top. Using internal incisions and tip-binding stitches, Dr. Rizk reduced the projection of the nose and defined her nasal tip. Her chin augmentation was performed with a tiny incision below the chin. Results are seen just 6 months post-surgery. It is important to note her nose will not develop its true shape under a year after surgery.
Patient is 33 yo Latino male who wanted better balance between his nose and chin and underwent rhinoplasty to remove the nasal bump and chin implant, neck liposuction, and necklift to define and project his chin more. Dr. Rizk does a special muscle tuck under the chin with 3d telescopes to achieve a better result than with just liposuction. This neck procedure is done only from a small incision under the chin and does not involve incisions around the ears.
37 year old female patient had a rhinoplasty along with a chin implant. She felt that her facial profile was imbalanced and wanted to change. Dr. Rizk performed a bump reduction with a conservative approach along with the chin implant for better facial balance. The photo is of the patient at 1 year post treatment.
NOTE: ALL THE IMAGES USED ON THIS PAGE ARE ACTUAL PATIENTS THAT DR. RIZK PERFORMED RHINOPLASTY ON WITH APPROVED CONSENT.