Introduction
Chin augmentation has become a popular cosmetic procedure in New York City. It can significantly enhance facial balance and harmony, bringing about a more attractive appearance. A well - defined chin is often associated with confidence, leadership, and success. In this article, we will evaluate five selected institutions in New York City for MENTORON chin augmentation, discussing their surgeons, procedures, patient experiences, and overall reputation.
Clinical Evaluation for Chin Augmentation
Importance of Facial Proportion Analysis
Facial harmony is of utmost importance in chin augmentation. The esthetic balance of the face results from harmonic and symmetrical facial proportions. As mentioned in the article “Clinical evaluation for chin augmentation: literature review and algorithm proposal,” several methods exist to analyze the ideal projections of the chin based on soft tissues. These methods help surgeons determine the appropriate amount of augmentation needed to achieve a natural - looking result.
Some of the key methods include the Gonzalles - Ulloa method, which traces a line perpendicular to the horizontal line of Frankfort and tangential to the nasion. In an ideal face, the pogonion (the most prominent point of the chin) should be on or immediately posterior to this line. Goode's method traces a line perpendicular to the Frankfort line passing through the alar groove, with the pogonion ideally on or behind this line.
| Analysis Method | Description | Ideal Values | Advantages | Disadvantages |
|---|---|---|---|---|
| Gonzalles - Ulloa – zero meridian | Line perpendicular to Frankfort line passing through the nasion | Pogonion in line or right posterior to it | Simple | Depends on the Frankfort line; varies with nasion |
| Goode – perpendicular alar | Line perpendicular to Frankfort line going through the alar groove | Pogonion in line or right posterior to it | Simple | Modified with the size of the alar base; depends on the Frankfort line |
| Merrifield angle z | Angle between the line of Frankfort and a line drawn between the pogonion and most protuberant lip region | Between 75° and 85° | Analysis based on soft tissues | Depends on the Frankfort line |
| Legan – angle of facial convexity | Angle formed between the line from the glabella to the subnasal point and another from the subnasal point to the pogonion | Between 8° and 16° – ideally 12° | Analysis based on soft tissues | Modified with maxillary hypoplasia |
| Facial triangle of Gibson & Calhoun | Triangle formed between the tragus (t), the subnasal point (s) and the point of chin definition (c) | tc/ts from 1.15 to 1.19 and the s angle from 88° to 93° | Analysis based on soft tissues | Requires calculations |
| Silver | Line perpendicular to the Frankfort line, tangential to the mucocutaneous transition of the lower lip | Pogonion in line or 2 mm behind | Simple | Very comprehensive; depends on the Frankfort line |
| Cervicomental angle | One submental line and one that is tangential to the neck at the sub - cervical region intersection | 121° – ♂; 126° – ♀ | Analysis based on soft tissues | It is modified with the subcutaneous neck tissue |
| Mento cervical angle | From the nasal tip to the pogonion, crossing the submental line | 110° – 120° | Integrates the nasal tip analysis, neck position and chin projection | It is modified with the nasal tip |
Surgeons should use multiple methods to accurately assess the chin and make appropriate decisions regarding the augmentation procedure. A proper analysis of facial proportions helps avoid incorrect surgical decisions and ensures a good surgical outcome.
Chin Augmentation Techniques
There are several techniques for chin augmentation, including the use of implants, genioplasty, and fillers. Implants are a popular choice as they can provide a long - lasting solution. Different implant materials such as silastic rubber, polyethylene, and polytetrafluoroethylene are available. The choice of implant material depends on factors like the patient's preference, the surgeon's recommendation, and the desired outcome.
Genioplasty involves moving or reshaping the jaw bones to enhance the chin. This technique is more invasive but can produce significant changes in the chin's appearance. Fillers, on the other hand, are a non - surgical option. Hyaluronic acid - based fillers can provide temporary results, allowing patients to see the effect of chin augmentation before committing to a permanent procedure.
Evaluation of Five Selected Institutions in New York City
1. Dr. Antell's Practice
Surgeon Expertise
Dr. Antell is one of the most renowned board - certified plastic and reconstructive surgeons in the world. He is trained at both Stanford and Cornell and also holds a dental degree, which gives him unique expertise in facial anatomy. This background allows him to analyze and reconstruct the facial structure with precision, which is crucial for chin augmentation. His understanding of facial proportions and structure has led to a reputation for achieving superb, natural results after chin implant surgery.
Procedure Details
During the consultation, Dr. Antell will evaluate the patient's general health, medical history, and perform a thorough examination of the facial features and chin. He will discuss alternative augmentation options, such as genioplasty and filler, and guide the patient in making the right decision based on their desired outcome and current anatomy. The incision for the chin implant can be made either underneath the chin or inside the mouth, customized to the patient's anatomy and preferences. The procedure typically takes around one hour to perform.
Patient Experience
Patients can expect a high - level of personalized care. The procedure can take place in his private operating room across the street from Lenox Hill Hospital. The state - of - the - art outpatient surgery facility is fully accredited, designed for patient comfort, and equipped with the latest technology. After the surgery, patients will recover in a recovery suite under the monitoring of a nurse. Dr. Antell and his staff will be available to answer any questions during the recovery process.
Reputation
Dr. Antell repeatedly appears on the best doctors lists for Town and Country, Vogue, and New York Magazine. He is an official spokesperson for the American Society of Plastic Surgeons and has memberships in many regional and national medical societies. His patients are often extremely satisfied with the results of their chin augmentation, as the subtle changes can improve their overall appearance and restore confidence.
2. Mount Sinai
Surgeon Expertise
The surgeons at Mount Sinai are well - trained and experienced in chin augmentation procedures. They have in - depth knowledge of the facial anatomy and are familiar with different techniques for chin augmentation, including implant insertion and bone reshaping. They are able to perform a comprehensive evaluation of the patient's facial structure to determine the most appropriate procedure.
Procedure Details
The surgery may be performed in the surgeon's office, a hospital, or an outpatient clinic. Patients may have x - rays taken of their face and chin to help the surgeon identify the area for operation. When using an implant, the patient may be under general anesthesia or receive local anesthesia with a sedative. An incision is made either inside the mouth or outside under the chin, and a pocket is created in front of the chin bone and under the muscles to place the implant. If bone movement is required, the surgeon will make a cut inside the mouth along the lower gum and use a bone saw or chisel to reposition the jaw bone. The procedure takes between 1 and 3 hours.
Patient Experience
After the procedure, patients will experience some discomfort and soreness, and the doctor will prescribe appropriate pain medicine. They may feel numbness in the chin for up to 3 months and a stretching sensation for 1 week. Most of the swelling will subside by 6 weeks. Patients may have to follow a liquid or soft diet for a few days and may need to wear a brace while sleeping for 4 to 6 weeks. Mount Sinai provides post - operative instructions and support to ensure a smooth recovery.
Reputation
Mount Sinai is a well - known medical institution with a long - standing reputation for providing high - quality medical care. Their chin augmentation procedures are performed with a focus on patient safety and achieving optimal results. They have a team of experienced medical professionals who are dedicated to patient well - being.
3. Dr. Barry Weintraub's Practice
Surgeon Expertise
Dr. Barry Weintraub is a top NYC chin - augmentation surgeon. He has a strong aesthetic sense and combines medical science with artwork in his practice. He has a unique approach to chin augmentation, preferring to place the implant through an invisible incision through the mouth to avoid a visible scar and prevent possible slippage or drooping of the implant in the future. His attention to detail ensures that he gets the best results possible.
Procedure Details
Dr. Weintraub will choose from an assortment of chin - implant types to select the best option for the patient's individual facial needs. He prefers his patients to be in a comfortable state of twilight sleep during the procedure. The surgery is performed in his hospital - grade, state - of - the - art surgical center attached to his office at 800a Fifth Avenue. Every intraoperative maneuver is executed with precision and care, and all wounds are sewn in multiple layers by his own hand.
Patient Experience
Patients can expect a warm and inviting office environment. Dr. Weintraub and his staff take great pride in making themselves available to help patients with every step of the process. After the surgery, there will be a short period of minimal swelling and sometimes bruising. Dr. Weintraub will advise patients on when they can return to their normal lifestyle and exercise routine.
Reputation
Over 60% of Dr. Weintraub's practice is comprised of complex redos of surgeries performed by other offices. This shows that patients from all over the world seek his expertise to correct their aesthetic problems. He has a reputation for getting the best results and taking on challenging procedures.
4. Plastic Surgery & Dermatology of NYC
Surgeon Expertise
Dr. Elie Levine at Plastic Surgery & Dermatology of NYC is experienced in chin augmentation. He has a good understanding of the facial structure and can use advanced computer imaging to help patients visualize the results of chin augmentation alone or in combination with other procedures. He is able to choose the most appropriate chin augmentation technique based on the patient's specific anatomy and needs.
Procedure Details
For most patients, chin augmentation is performed by inserting a special chin implant. Dr. Levine may make intraoral incisions (inside the mouth) or submental incisions (just under the chin). The choice of incision depends on the patient's anatomy. In select cases where the chin recession is more severe, he may perform a sliding genioplasty to physically move the jaw bone forward. The surgery is performed on an outpatient basis in an accredited in - office surgical facility, and usually takes about an hour.
Patient Experience
Patients can expect mild to moderate swelling for 1 week after the procedure and are recommended to follow a soft diet for the first week. The office provides detailed post - operative instructions and ongoing care to ensure a fast, safe, and smooth recovery. Dr. Levine will see patients for post - operative visits and is available to answer any questions.
Reputation
The practice has a reputation for using advanced technology and providing personalized care to patients. Their advanced computer imaging system allows patients to have a better understanding of the potential results of chin augmentation, which helps them make more informed decisions.
5. Dr. Joel Kopelman's Practice
Surgeon Expertise
Dr. Joel Kopelman is an experienced plastic surgeon in New York City. He thoroughly reviews the patient's facial skin, soft tissues, and skeletal structure to determine the size and type of chin implant required for optimal aesthetic results. He is knowledgeable about different chin augmentation techniques and can recommend the best option based on the patient's individual situation.
Procedure Details
Chin augmentation performed by Dr. Kopelman involves a small incision made along the natural crease under the chin. The chin implant is inserted through this incision and positioned along the jawline. The incision is closed with tiny sutures and is well - camouflaged. He also offers non - surgical alternatives such as injectable fillers for patients who are not yet ready for surgery.
Patient Experience
During the consultation, Dr. Kopelman will photograph and measure the chin and jawline to select the ideal size implant. If a patient is not ready for surgery, he may recommend a temporary filler to give the patient an idea of the potential results. After the surgery, patients are provided with a clear timeline for recovery, including instructions on wound care, pain management, and suture removal.
Reputation
Dr. Kopelman has a good reputation among his patients. Many patients are satisfied with the results of their chin augmentation, as he is able to achieve facial balance and symmetry. His patients often praise his honesty and the high - quality of his work.
Risks and Complications of Chin Augmentation
Although chin augmentation is generally a safe procedure when performed by an experienced surgeon, there are still some risks and complications involved. The most common complications include bleeding, infection, and an adverse reaction to anesthesia. Movement or malposition of the implant may also occur, which may require a second surgery for repositioning. Other possible complications include damage to the teeth, loss of feeling to the lower lip (usually temporary), and unevenness of the face. Smoking can delay healing and increase the risk of complications.
Surgeons at these five institutions will discuss all the risks with patients during the consultation and provide pre - operative and post - operative instructions to minimize these risks. For example, patients may be advised to avoid smoking before and after the surgery, and to follow a specific diet and medication schedule during the recovery period.
Conclusion
In conclusion, the five selected institutions in New York City for MENTORON chin augmentation each have their own strengths. Dr. Antell offers a high - level of expertise in facial anatomy and a reputation for natural - looking results. Mount Sinai is a well - established medical institution with experienced surgeons and a focus on patient safety. Dr. Barry Weintraub has a unique approach to chin augmentation and is known for handling complex cases. Plastic Surgery & Dermatology of NYC uses advanced technology to help patients visualize the results. Dr. Joel Kopelman provides personalized care and offers non - surgical alternatives.
When considering chin augmentation, it is important for patients to do their research, have a consultation with the surgeon, and carefully consider their options. They should also have realistic expectations about the results and understand the risks and complications involved. By choosing a reputable institution and an experienced surgeon, patients can increase their chances of achieving a successful chin augmentation outcome.
If you are interested in chin augmentation, we encourage you to schedule a consultation with one of the surgeons at these institutions. Discuss your goals and concerns, and get all the information you need to make an informed decision. Share this article with others who may be considering chin augmentation to help them make the right choice.
