Chin and Mandible

What is it?

Chin implants are solid and appropriately shaped to define the contour and volume of the chin. They may be made of silicone or MEDPOR. Through a surgical approach that leaves an easily concealed scar — inside the mouth or beneath the chin — the implant is placed next to the bone and fixed with screws or sutures.

Compared with volume augmentation using hyaluronic acid or fat grafting, an implant provides a more defined shape, with more clearly demarcated features such as the mandibular border or chin, and offers a permanent result, unlike hyaluronic acid.

What is it?

The injection of fillers is a non-surgical procedure — unlike fat grafting — that uses filler substances to improve wrinkles, furrows and irregularities or increase volume. More superficial fillers may also improve skin hydration. In clinical practice, hyaluronic acid, a non-permanent filler, is preferred because of its better safety profile.

Several brands are available, including Restylane, FillMed Art Filler and Juvederm. They vary in viscosity, water absorption capacity and molecular characteristics, which affect the appropriate injection depth to achieve the best results without visible papules and with maximised durability.

Aesthetic indications include age-related loss of facial volume, particularly loss of cheek fat, deep furrows from the nose to the corners of the mouth and, in some cases, lines between the lower eyelids and cheeks. Hyaluronic acid is also commonly used for lip or chin augmentation and can smooth irregularities of the nose, improving its shape.

What is it?

Fat grafting, also known as fat transfer, fat injections or lipofilling, is a surgical procedure — unlike hyaluronic acid treatment — that uses the patient’s own fat to fill irregularities and grooves or increase volume.

Other aesthetic indications include age-related loss of facial volume, particularly loss of cheek fat, deep furrows from the nose to the corners of the mouth and, in some cases, lines between the lower eyelids and cheeks. It is also commonly used for lip augmentation.

Fat grafting can also smooth irregularities resulting from poorly performed liposuction. Volume enhancement of the breast or buttocks — including the Brazilian Butt Lift — with the patient’s own fat is currently one of the most requested aesthetic procedures.

The fat required for limited liposculpture is obtained through one or more incisions measuring 3 to 5 mm and is usually harvested from the abdomen or thigh.

It has the additional advantage of complementing liposuction in other body areas by using the removed fat.

What is it?

Chin bone movement is achieved through a controlled fracture of the anterior mandible followed by fixation with plates and screws. This allows correction of lateral deviation or reduced or excessive projection by changing the position and dimensions of the chin.