What is mentoplasty?

Mentoplasty is a cosmetic surgical procedure of the chin that involves reshaping the chin to achieve better harmony with the rest of the face. Surgical procedures directed at the chin can be performed by removing or advancing a portion of the bone, or by placing an implant on the chin. The most commonly performed chin procedure is the placement of a chin implant. Chin implants are used to correct a weak chin and to enlarge a small or recessed chin.

How is mentoplasty performed?

Mentoplasty is performed under sedation analgesia or general anesthesia. The procedure can usually be performed on an outpatient basis without requiring hospital admission. Chin implant procedures that do not involve manipulation of the bone typically take about half an hour. The operation is performed through an incision made either under the chin or inside the mouth. The implant is placed deep beneath the soft tissues in front of the chin, just under the membrane covering the chin bone. Solid silicone (silastic) and Mersilene implants are most commonly preferred. An implant of appropriate size—either a pre-formed implant or one adjusted by the surgeon—is placed and secured with sutures. The incision is then closed and a pressure dressing with adhesive tape is applied to complete the procedure.

Postoperative care

Pain that may occur after surgery can be easily controlled with medication. A mild feeling of tightness in the chin may last for several weeks. Minimal swelling and bruising that may occur usually resolve within less than one week. Sutures are removed within 5–7 days or may dissolve on their own. If the surgery is performed through an incision inside the mouth, patients are advised to consume liquid and soft foods for several days after the operation. After the adhesive bandage on the chin is removed on the third day, patients can return to their daily activities. Direct trauma to the chin should be avoided during the early postoperative period.