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August 03, 2022
Although the chin is an important part of an attractive face, patients rarely bring up aesthetic problems related to the chin. Most of the aesthetic intervention requests are for the correction of sagging in the face and neck area, nose deformities or skin sagging. Recognizing, evaluating and solving chin aesthetics problems with appropriate approaches has a significant positive effect on facial appearance. All attractive faces have structural symmetry and balance between parts of the facial skeleton. The three-dimensional harmony between the bones forming the face and the appropriate aesthetic proportions provide the balance of the facial skeleton. In this context, it should be evaluated in relation to anatomical structures such as lips, teeth and nose around the chin.
Since the correction of aesthetic problems in the jaw structure provides harmony between the structures that make up the face and contributes positively to the appearance of the mouth, lips and nose, it is recommended that all patients who require aesthetic intervention in the face area make an evaluation. For a better aesthetic result, it is important to solve the aesthetic problems related to the jaw structure and jaw. Surgical treatment of jaw deformity is the placement of an implant or the advancement or regression of the bone structure forming the jaw tip with various methods.
The approach to be followed in chin aesthetic surgeries is determined according to the nature and scope of the problem. In cases where the lower jaw is small and backward in profile view, the simplest and most effective way to achieve augmentation in limited anterior background deficiencies is to use a chin implant. It is entered through a small incision and placed in a prepared slot on the jawbone in the appropriate place and plan. After this surgery, which takes less than an hour, bandaging is sufficient for a few days and the positive effects of the surgery on facial aesthetics are seen immediately. Among the various structures, shapes and sizes used for this purpose, implant selection is made according to the patient’s needs and the surgeon’s preference, and in some cases, the patient’s own bone or cartilage tissues can be used instead of the implant. It is possible to enlarge, reduce or correct advanced and complex deformities involving multiple planes and asymmetries by making cuts and shifts in the bone structures forming the lower jaw tip.
It can be used to change the appearance of the chin as an alternative to chin aesthetics with chin fillers, implants or tissues. The chin filler can be used only at the chin end or along the entire jaw line (Jaw filler). The procedure is painless, takes about 15-20 minutes, and the person gets the desired appearance in a short time.
Depending on the preference of the person, the procedure can be performed under local or general anesthesia. According to the preference of the person, he does not feel any pain during the procedures performed under general anesthesia. In the procedures performed under local anesthesia, only the thin needles used during local application are felt to some extent and there is no pain during the procedure.
In people with very prominent corners of the lower jaw, a part of the bone in this area can be removed to obtain a softer and rounder shape. During this process, it is important not to damage the nerve that passes through the lower jaw and allows the lower lip to be heard. In addition, if the bone tissue is removed too much, tooth roots can be damaged. Square chin aesthetic is performed completely orally, leaving no traces outside. After the procedure is completed, the incision is sutured with dissolving sutures and the patient is dressed in a corset. The corset should be worn regularly so that the soft tissues adapt to the shrinking bone. Although the mouth heals quickly, this operation requires special care in order not to damage the stitches.
Lower jaw surgery, x-ray of the patient’s jaw is required, but this time no intervention or operation is required in the tooth structure. The most important preparation before this procedure is the creation of a plaster model for the jaw surgery to be performed in accordance with the person’s face. Thus, the result becomes predictable before the operation. Since lower chin aesthetic is a surgical intervention that directly affects the face and appearance of the person, it is a surgical intervention that requires a very careful and healthy decision. When you decide to have jaw surgery, you should definitely consult with knowledgeable and experienced people and establish a good relationship with your doctor.
In cases where the jaw tip is large and anterior, the preferred method is to surgically cut the jaw bones back and upwards or to file the jaw tip. Since the purpose of chin rasping is to achieve full harmony, the desired effect will not be achieved if it is not compatible with the facial features and nose structure of the person being intervened. As a result, it will be much more effective if you consult your doctor during this procedure and if necessary, have other interventions. Let’s review some key points about the process and the issues that need to be addressed. Namely;
The use of prosthetic screws or bone advancement to lengthen the short jaw structure is one of the aesthetic interventions for the jaw tip. Permanent chin aesthetic the prosthetic screws used in such cases are not harmful and can be used for a long time. In addition, chin filling is an option for this procedure. The best way to determine the surgical intervention to be done on your chin and to choose the best option is to decide in consultation with a good specialist. These operations can be performed independently or in conjunction with others. When applying for rhinoplasty, many patients notice a deformation in the jaw structure during profile work. Regardless of the chin problem, the results of surgical interventions performed only for the nose may be insufficient. As a result, if a patient applying for rhinoplasty has a jaw tip problem, a recommendation should be made to improve the result.
Naturally, the most confusing aspect of aesthetic intervention is the fee to be paid for the procedure. The prices of jaw surgeries determined for a particular procedure are actually quite suitable for the procedure. First of all, we cannot say that there is a set fee for this transaction. Because there are different fees depending on the intervention and the jaw structure of the person. In addition, the fact that some procedures such as rhinoplasty and face lift require additional intervention during the procedure also cause a change in the fee. It is preferred to consult experts in this field for the most accurate intervention and chin aesthetics price. However, there is a critical issue that needs to be addressed. It should never be applied to places that promise to perform this procedure at low cost, but are not specialists or a healthy clinic. You have to make the right decisions from the very beginning to avoid problems later and not to pay much more than the price you have to pay. In the same way, opinion should be sought from experts who are competent in the price of angular chin aesthetics.
In patients who plan to correct their jaw deformities, bone and soft tissue structures such as lips, teeth, soft tissues of the neck, and the nose adjacent to the jaw should be carefully examined. Patients who have problems in closing their upper and lower jaws should first be evaluated by a dentist and it should be determined whether orthodontic treatment or surgical intervention is required for the jawbones before aesthetic intervention is performed in order to ensure normal jaw closure in these patients. The structure and tension of the soft tissues in the chin and lower lip area should be evaluated for tissue sagging or excessive muscle activity that may occur in these areas for various reasons. A profile photograph or lateral cephalometric x-ray film showing bone and soft tissues is used for foreground evaluation. There are many types of assessment in this context. A vertical line is drawn from the line between the anterior ear cartilage and the lower edge of the eye socket (Frankfort horizontal line) to the lower lip skin-mucus junction line (vermilion line) and the most anterior point of the lower jaw soft tissues. (Pogonion) is drawn by the most accepted practical method. It is accepted as a normal aesthetic appearance that men are on this line and women are just behind this line. If the most anterior point of the lower jaw is in front of this line, it is considered as a large chin (macrognatia), and if it is behind, it is considered as a small chin (macrognathia) (micrognathia). Among these, the most practical method is to evaluate the height of the lower jaw by dividing the lower face area into two aesthetically equal parts. The lower lip skin mucus line (vermilion line) on an aesthetically acceptable face is expected to be in the middle of the distance between the lowest point of the nose (subnasale) and the lowest point of the mandible in this evaluation (Menton). If the distance between the vermilion and the menton is short, the chin height can be increased; longer, it can be reduced. Especially in patients with congenital anomalies involving facial bones, asymmetries in different planes can be seen together in the lower jaw.
The operation may take between 30 minutes and 2 hours depending on the deformity of the jaw and the procedure to be performed. Since the chin file surgery is performed orally, self-dissolving sutures are used and the patient is fed with liquid foods for the first two days before gradually switching to solid foods. Silicone, polyethylene or gortex can be used as an implant and it is placed in the chin with incisions made under the chin or inside the mouth. Depending on the type of anesthesia used, the patient can be discharged on the same day. In oral incisions, the person can take a bath on the same day, and in incisions made under the chin, two days later. Swelling and pain may occur around the chin for about a week after aesthetic chin surgery. There may be temporary loss of sensation in the lower lips. The cuts in the mouth heal within a week and the swelling around the chin almost disappears within 1-2 weeks. Incisions made from the inside of the mouth do not leave any traces, while incisions made under the chin may leave inconspicuous scars.