Featured Case 02/21: CHIN IMPLANT AUGMENTATION

Patient:

Emma is a 16-year-old female.

The problem:

• Emma has always been very concerned about her profile.
• She does not like her retrusive and small chin.
• She would like a more defined jawline.
• She reported having a large overjet (horizontal space between the upper and lower front teeth).

Patient History:

• Her orthodontist told her he could correct her bite with braces, but her profile and overjet may require jaw surgery.
• She avoided corrective jaw surgery (orthognathic surgery) and completed her braces by age 14.
• She requested to improve her profile, chin projection, and jawline.

Pertinent Information

• Facial profile analysis has always captured the attention of patients and practitioners.
• Some of the earliest formal facial and profile analyses were developed by the famous Renaissance polymath Leonardo DaVinci.
• Assessment of facial proportions, form, harmony, and profile aesthetics is both a science and an art.
• Oral and maxillofacial surgeons are experts in facial analysis and cosmetic/reconstructive surgery.
• The process of analysis includes a clinical exam, facial photographs, and 3-dimensional imaging.
• The diagnostic measurement and analysis of the facial skeleton is known as cephalometric analysis.
• Varying measurements can be performed for the profile and chin.
• There are ethnic and socio-cultural norms that play a role in the art of analysis and treatment thereof.

• Corrective surgery may entail 2 basic approaches:

1. Surgically reposition the jaw and chin (orthognathic surgery). This is best performed in conjunction with orthodontics.
2. Implant augmentation

Both approaches have pros and cons depending on the diagnosis and need. The formal term for cosmetic chin surgery is known as Genioplasty.

Procedures:

• Emma had an implant augmentation surgery to place an Implantech extended anatomical contoured chin implant.
• The surgery was performed under IV sedation to ensure she was relaxed, comfortable, and a quick recovery.
• The implant was placed via a small incision in the mouth so no visible scar was evident

Commentary:

• This is a relatively minor procedure with significant results.
• The recovery has some minor swelling for 5-7 days with minimal discomfort.
• The most impactful aspect of this surgery may very well be the confidence instilled in Emma’s demeanor.
• She was ecstatic about her profile and exuded a magnetic self-confidence.
• Ultimately, our team was fulfilled by her great experience in our practice.