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20.07.2016
The chin plays an important part in the overall balance of our facial features and in particular our profile.
The most commonly performed chin procedure (mentoplasty) in our practice is chin augmentation. The majority of our patients who end up with a chin augmentation present with concerns about their nose being too prominent. Finance is available (subject to application and vetting) by Zebra Health Finance (formerly First Medical Loans).
You can be assured at every point during your journey, a level of professionalism, discretion and confidentiality expected of UK trained (FRCS Plast) NHS plastic surgeons practicing at reputable accredited private hospitals in Edinburgh. Chin implants are composed of synthetic (alloplastic) materials such as silicone and porous polyethylene - materials that provide a stable, long-lasting and natural-looking enhancement to the receding chin.
Biological implants made of bone and cartilage have been in use throughout the last century while synthetic implants have been used since the 1940?s. Although well-tolerated, biological material (bone graft) has a tendency to undergo resorption after implantation and therefore does not provide the same predictable contouring usually associated with alloplastic materials.
The biological component successfully used today for implantation is fat cells (fat grafting).
For aesthetic contouring, silicone rubber provides an advantageous combination of firmness and flexibility, enabling the implant to wrap around the lower edge of the mandible.
Silicone (silastic rubber) exists in varying degrees of flexibility and firmness and is the most frequently used implant.
Known by its chemical name ePTFE, Gore-Tex is able to provide softness, flexibility and strength. Porous high-density polyethylene (PHDPE) is a material commonly used in facial skeletal reconstruction and aesthetic chin augmentation.


Other alloplastic materials exist (Polyester and Acrylics), but those described are the most commonly used. We specialise in plastic surgery, cosmetic surgery, reconstructive surgery of the face, microsurgery, eyelid and oculoplastic surgery, facial nerve surgery, breast surgery and breast augmentation.
Our skin and laser specialist treats a wide range of skin conditions through a combination of therapies, including lasers, skin peels, injectables, dermabrasion and Obagi skin care products. For example, a weak chin can make a normal nose appear large and an already prominent nose seem even larger. We have been using silicone implants for over 20 years with little in the way of adverse effects.
Most will have the procedure combined with a rhinoplasty but some will have the procedure in isolation (because they have an otherwise normal nose).
The ageing process results in loss of cheek volume (flattening) as well as descent (ptosis) of the cheek. For non surgical enhancement, we use fillers which are non permanent and these will give an instant correction which lasts 6-12 months. However, today's gold standard for chin augmentation is the use of synthetic alloplastic materials, which provides the firmness and tensile strength of bone.
Silicone implants come in a wide range of pre-formed shapes, which can be further refined during positioning, if required.
Solid silicone does not allow tissue in-growth and thus the implants can easily be removed.
On the other hand, a prominent chin may give the appearance of having too small of a nose or otherwise throwing the face off balance. Surgical enhancement of the cheeks in our practice is achieved with autologous fat injection.


These implants are biologically inert and well-tolerated (biocompatible), and are designed to promote tissue in-growth and secure integration. Fat grafting is often used to further enhance the definition achieved with facial implants. For this reason they are used in craniofacial reconstruction or for customised augmentation. Modern anatomical silicone implants incorporate a permeable grid pattern to enhance tissue interaction and allow the implants to closely conform to underlying bone structure. Because ePTFE is micro-porous, soft tissues adhere to the implant and enhance its stability. The material is macro-porous and provides for tissue in-growth (fibro-vascular integration). The implant is placed via a small cut between the junction of the lower lip and the lower teeth and for that reason there is no visible scar. It is one of the most commonly performed surgical procedures in our practice and is often performed in conjunction with other procedures (most commonly eyelid and facelift surgery). As mentioned elsewhere, some loss of fat cells can occur and the procedure may need to be repeated again at some point in the future.



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