A receding chin or retrogenia typically happens when your lower jaw is not aligned correctly with the upper jaw. Most of the time, a weak chin is simply a cosmetic issue. However, in some cases, it might indicate underlying health concerns or jaw problems.
Specialist Plastic Surgeon Dr Jeremy Hunt has completed many chin procedures in Australia. Dr Hunt is a Sydney plastic surgeon who practices in Sydney and Wollongong NSW.
Plastic Surgeon Dr Maryam Seyedabadi consults at the Woollahra Clinic in East Sydney and is available now for consultations on a range of plastic surgery & cosmetic surgery.
Before diving into the possible solutions, let’s have a look at the possible causes of the receding chin.
Some individuals are born with a severely receded chin, and this often falls into a number of craniofacial conditions. In some cases, children can grow out of it as they age. On the other hand, a pronounced overbite can lead to a weak chin and jawline. With the ongoing ageing process and bone resorption, your jawline becomes less pronounced and can start to recede.
If it is present from birth we call this condition congenital. It can even be dangerous if it begins to affect the ability to breathe or eat.
See how Dr Hunt Performs Craniofacial Surgery in Sydney.
Childhood Disorders impacting the chin can include:
In order to avoid malnutrition, it’s enough to adjust the child’s posture while they eat. While lying on their stomach, putting a pillow under their chest helps. Headgear can help correct the alignment of the jaw. In more serious cases such as Treacher Collins syndrome, surgery might be needed.
To correct the receding chin, you will most likely need surgery. Both implants and genioplasty involve reshaping and cutting of the lower jaw bone. Prior to opting for surgery, keep in mind that it is major surgery and can take you about six weeks or more to recover.
Chin implants or chin augmentation, is a great option for retrogenia, a chin point that is under projected. The procedure is done on an outpatient basis. The surgeon will create an incision along the crease of the chin when the inside of your mouth meets your gum line. Post the incision, the surgeon will insert the implant and close up the stitches. The procedure is done under local and general anaesthesia.
This type of surgery is ideal for mild to moderate cases of the receding chin as your chin will look smaller than the rest of your facial features. There will be a small scar under the chin from the insertion of the implant. There is always a risk of infection and nerve damage. In some cases, patients might be allergic to implants which can create negative reactions.
Sliding Genioplasty is a better option for severely receding chins and patients looking to not use a chin implant, but prefer to use their own bone. It will involve making a small cut inside the mouth at the base of the gum line which allows the surgeon access to the bone in the chin. This allows the surgeon to bring your bone forward. They will use a small metal plate to reposition your bone in place.
A Sliding genioplasty is performed under general anaesthesia and has the advantage that there is no scar on the outside, as it is usually hidden in the mouth on the gum line.
In some cases, jaw surgery might be done along with the chin surgery or separately. This option is mostly done when your receding chin is linked with specific health concerns such as sleep apnoea, difficulty swallowing, speech impediment, temporomandibular joint disorder (TMJ, TMD), difficulty chewing, and trouble closing the lips or jaw, difficulty breathing.
You might need to undergo upper jaw surgery, lower jaw surgery or a combination of both. The procedures require the surgeon to separate the jaw, move it, and fasten it as it heals.
Fillers – such as Hyaluronic acid- that are used for lips, can be used to augment the chin and increase projection. The results are limited though and it is a procedure that works in patients who need minimal augmentation. Dermal fillers will leave you with no scarring and lead to a shorter recovery time than sliding genioplasty and implant surgeries.
The choice of treatment depends on the type of receding chin. You will see different websites advertise exercises and over-the-counter remedies for a receding chin but they typically won’t work. If the cause of your receding chin is linked to orthodontic issues like an open bite or overbite, you may be able to treat it with dental retainer or braces.
Your orthodontist will have to figure out whether the issue is dental or not, originating in your teeth, or whether it’s skeletal, originating in your bones. If the issue is dental, it can be fixed with orthodontics. Skeletal issues will require a combination of orthodontics combination with surgery.
Multiple factors influence the recovery time such as the type of procedure, the extent of surgical changes, how quickly will your body heal, and potential complications. Post the implant procedure, you will be able to return back to work within 7 days.
The chin will be healed within a few weeks of the procedure. Complete recovery occurs when there aren’t any signs associated with residual swelling that can last for 3 months. People who have undergone sliding genioplasty or implant surgeries must attend regular follow-up appointments so the surgeon can monitor healing and address complications. Read more about Recovery after Chin Surgery.
Both sliding genioplasty and chin implantation procedures are safe and effective for enhancing the chin’s appearance. However, all surgical procedures carry some risk of complications and side effects. Genioplasty procedures can lead to temporary side effects, such as redness, bruising, tenderness, pain, swelling, loss of sensation, and numbness.
Other serious complications of genioplasty can include infection, damage to nerves, tooth roots, allergic reaction to filler or implant material, and changes in implant position.
Genioplasty procedures completely change the appearance of a receding and a misaligned chin. The shape and size of the chin play a very important role in balancing out the other facial features and contribute to overall facial harmony.
Here is a list of frequently asked questions we get regarding the receding chin and its possible solutions:
Dr Jeremy Hunt is specialist plastic surgeon performing breast, body, face and nose surgery in Australia. He is a member of FRACS & ASPS and has over 20 years of experience providing plastic surgery in Sydney.
Careful, considerate and honest, Dr Jeremy Hunt works with you to find a solution that is optimal for your body and your lifestyle. Every patient is unique and, through his guidance, can achieve good results.
Dr Hunt’s personal, one-on-one service and attention to detail has given thousands of women and men from the Sydney & Wollongong NSW area and across Australia the aesthetic results they desire.
Dr Jeremy A Hunt MBBS FRACS graduated with a Bachelor of Medicine degree from Sydney University in 1990 and is a Fellow of the Royal Australasian College of Surgeons and member of the Australian Society of Plastic Surgery. He completed a Fellowship at the prestigious University of Texas in the United States, where he learnt from some of the world’s very best plastic surgeons.
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