Introduction
Chin augmentation is a popular cosmetic procedure that can significantly enhance the facial profile and overall appearance. In New York City, there are numerous hospitals and clinics offering chin augmentation with implants. Recently, a new ranking list of these hospitals has been released, highlighting the most powerful and reliable options for patients seeking this treatment. In this article, we will explore the significance of chin augmentation, the top - ranked hospitals in New York City, and other important aspects related to the procedure.
Understanding Chin Augmentation
What is Chin Augmentation?
Chin augmentation, also known as genioplasty, is the surgical reshaping or enhancement of the chin. The chin is an important part of an attractive facial aesthetic, and its proportions influence the appearance of other facial features. The size and shape of the chin are largely determined by genetics, and some people may feel self - conscious about a recessed or weak chin. A surgical chin augmentation can permanently improve the dimensions of the chin, bringing it into better balance with the rest of the face.
Types of Chin Augmentation Procedures
There are several types of chin augmentation procedures available:
- Chin Implants: This is the most common method. Implants, usually made of silicone, are placed under the chin to increase projection and enhance contours. Silicone implants are pre - fabricated and can be customized to fit the patient's needs. They provide long - lasting augmentation and are smooth, not allowing tissue in - growth. Medpor implants, which are porous polyethylene implants, are another option. They can also be custom - fitted and allow for tissue in - growth.
- Sliding Genioplasty: A surgical technique where the chin bone is cut and repositioned to advance projection. This procedure permanently reshapes the chin structure. It is more complex than using implants and is usually reserved for severe cases or when the entire lower jaw needs adjustment.
- Non - surgical Chin Augmentation:
- Injectable Dermal Fillers: Usually in the form of hyaluronic acid or other gels, these are injected into the chin to temporarily add volume for 2 - 5 years. Products like Voluma, Vollux, and Radiesse are commonly used.
- Fat Grafting: Autologous fat transferred from other areas of the body adds volume and fullness to the chin for many years. It gives a natural - looking effect, and although it is closer to an injectable procedure, low - volume liposuction is required to harvest the fat.
Benefits of Chin Augmentation
Improved Facial Structure and Jaw Definition
By reshaping the chin bone and surrounding areas, chin augmentation can sculpt sharper angles and contours along the entire jawline. This structural definition balances facial features and makes the lower face appear stronger and more aesthetically appealing. For example, in patients with a weak chin, the procedure can create a more defined and prominent jaw, which is often associated with attractiveness.
Natural - looking Results and Dramatic Improvements
Chin augmentation subtly enhances the chin's size using tailored implants, fat, or fillers, which blend harmoniously with the existing facial structure. The results are noticeable, but the refinement maintains natural facial movements and expressions. So, patients simply look like a polished version of themselves. A person with a recessed chin may find that after the procedure, their face looks more proportionate without looking overly “done.”
Enhanced Chin Size and Profile
Chin augmentation can widen and lengthen the chin area to bring it into better proportion with other facial features. This both minimizes a recessed appearance and reduces signs of a double chin by emphasizing a tapered silhouette. A well - augmented chin can significantly improve the overall facial aesthetics and boost the patient's self - confidence.
Ideal Candidates for Chin Augmentation
The ideal candidate for chin augmentation is in good health, a non - smoker, and has realistic expectations for the results. Specifically:
- Patients should have chin measurements and jaw structure that can be improved by the addition of a silicone implant or other augmentation methods. An initial appointment with a plastic surgeon is needed to examine and assess the facial structure and determine the most suitable approach.
- They should be over 20 years of age to ensure that their bone structure is fully developed. This is important because the growth and development of the facial bones continue into the early 20s, and performing the procedure before full development may lead to less predictable results.
- Patients who have occlusion disorders (abnormal bite alignment) may need to consider other approaches in addition to or instead of simple chin augmentation. For example, if a patient has a chin that is too small vertically, a simple implant may not be sufficient to improve the appearance of the chin.
The New Ranking List of Hospitals for Chin Augmentation with Implants in New York City
Dr. John E. Sherman's Practice
Dr. John E. Sherman is a board - certified plastic surgeon. He performs chin augmentation surgery using chin implants in a quick, out - patient procedure. His approach includes using the submental transcutaneous approach, which involves a small incision made underneath the chin at the submental crease. This approach has the advantage of well - concealed scarring. He also offers the intraoral approach for patients who prefer it, although it has a higher risk of complications and a more demanding recovery. Dr. Sherman has over 35 years of experience and is recognized nationally as a leading plastic surgeon. He is a member of several prestigious medical organizations, including the American Society of Maxillofacial Surgeons. His patients can contact his Manhattan office directly for an initial consultation at (212) 535 - 2300.
Dr. Antell's Practice
Trained at both Stanford and Cornell, Dr. Antell is one of the most renowned board - certified plastic and reconstructive surgeons in the world. He is one of the few plastic surgeons to also hold a dental degree, which gives him unique expertise in facial anatomy. His understanding of facial structure and proportions has led to a reputation for excellence in achieving superb, natural results after chin implant surgery. He offers a variety of chin implants made from different materials such as silastic rubber, polyethylene, and polytetrafluoroethylene. The incision method and implant placement are customized to the patient's anatomy and preferences. Most patients prefer to have the procedure in his discreet, private operating room located just across the street from Lenox Hill Hospital. The cost of chin implants depends on various factors, and Dr. Antell will provide a detailed cost breakdown based on the patient's unique needs. Patients can call his office at (212) 988 - 4040 to schedule a consultation.
Aristocrat Plastic Surgery & Medaesthetics
Aristocrat Plastic Surgery is known for its top - rated chin surgery. Dr. Kevin Tehrani, the founder and director, is a top plastic surgeon. Chin augmentation at Aristocrat involves an incision made either inside the lower lip or externally under the chin. The skin is lifted to create a pocket for the implant, which is then stitched into place. The procedure is an outpatient one that can be performed in their surgical facility. Many patients have had positive experiences, with comments like “Best experience ever! Dr. Kevin and his team made this journey very smooth for me. I love my results and how fast I’m healing.” The price for chin augmentation is on request.
Leonard Grossman, M.D.
Located in Brooklyn, Leonard Grossman, M.D. offers chin augmentation procedures among its 36 available procedures across 3 different specialties. Currently, there is no pricing information available as all prices are on request. All procedures and treatments are undertaken by the lead specialist at the clinic, but it is not accredited by any recognized accreditations institutes.
New York Center for Facial Plastic & Laser Surgery
This center, located in Manhattan, offers chin augmentation among its 39 available procedures across 4 different specialties. Similar to Leonard Grossman, M.D., there is no pricing information for chin augmentation, and all prices are on request. The procedures are performed by the lead specialist, and the clinic is not accredited by recognized accreditations institutes.
Comparing the Top - Ranked Hospitals
Hospital | Surgeon's Expertise | Approach and Procedure Details | Cost Considerations | Patient Experience |
---|---|---|---|---|
Dr. John E. Sherman's Practice | Over 35 years of experience, member of prestigious medical organizations | Submental transcutaneous and intraoral approaches, silicone implants | Accurate quote at initial consultation, financing options available | Patients benefit from an experienced surgeon with a reputation for quality |
Dr. Antell's Practice | Trained at Stanford and Cornell, holds a dental degree | Customized incision method and implant placement, various implant materials | Cost depends on multiple factors, detailed breakdown provided | Patients value the surgeon's unique expertise and high - quality care |
Aristocrat Plastic Surgery & Medaesthetics | Dr. Kevin Tehrani, a top plastic surgeon | Incisions inside lower lip or externally under the chin, outpatient procedure | Price on request | Positive patient testimonials regarding smooth experience and fast healing |
Leonard Grossman, M.D. | Lead specialist performing procedures | Details of approach not extensively described | Price on request | Limited information on patient experience |
New York Center for Facial Plastic & Laser Surgery | Lead specialist performing procedures | Details of approach not extensively described | Price on request | Limited information on patient experience |
Pre - operative Considerations
Consultation
Before the procedure, patients should have a detailed consultation with their chosen surgeon. During this consultation, the surgeon will evaluate the patient's general health and medical history, as well as perform a thorough examination of the overall facial features and chin. It is crucial for patients to clearly and honestly express their expectations so that the surgeon can develop a suitable treatment plan. The surgeon will discuss alternative augmentation options, such as a genioplasty and filler, and guide the patient through making the right decision based on the desired outcome and current anatomy. Together, they will choose the implant size that will best complement the facial features. The surgeon will also talk through the risks of the procedure so that the patient is fully informed.
Preparation
Patients will be given personalized instructions to prepare for their chin augmentation. These instructions typically include:
- Being free of health conditions that may impede the surgical and recovery process. For example, patients with certain heart conditions or uncontrolled diabetes may need to have their conditions managed before the surgery.
- Quitting smoking cigarettes and other nicotine products in the weeks before surgery. Smoking can impair blood circulation, which can affect wound healing and increase the risk of complications.
- Stop taking certain medications and supplements, including those that thin the blood, such as aspirin and some herbal supplements. Blood - thinning medications can increase the risk of bleeding during and after the surgery.
- Arranging to have a trusted friend or family member drive or escort them home following surgery, especially if they will be under “twilight” sedation or general anesthesia.
The Chin Augmentation Procedure
Anesthesia
Chin augmentation can be performed under different types of anesthesia. Local anesthesia with or without intravenous sedation is a common choice. If local anesthesia is used, patients may also take an oral pain medication half an hour before surgery. On the other hand, if intravenous sedation or general anesthesia is used, a board - certified anesthesiologist will be present to administer and monitor the anesthesia.
Surgical Process
The surgical process varies depending on the chosen approach. If using implants:
- Submental Transcutaneous Approach: A small incision is made underneath the chin at the submental crease. A pocket is created over the periosteum (the layer of tissue that directly covers the bone), and the implant is gently inserted and secured in place. The incisions are then carefully closed with sutures.
- Intraoral Approach: An incision is made inside the mouth behind the lower lip. The implant is inserted through this incision, and after placement, the incision is closed. This approach has the advantage of no visible scarring, but it has a higher risk of complications and a more demanding recovery.
The surgery typically takes 15 - 90 minutes, depending on the complexity of the procedure and whether it is combined with other treatments.
Recovery After Chin Augmentation
Immediate Post - operative Period
After the surgery, patients will recover in a recovery suite while being monitored by a nurse until they are well enough to be discharged. Most chin augmentation procedures are outpatient, meaning patients can return home the same day. However, if “twilight” sedation or general anesthesia was used, they will need an escort to drive them home and someone to assist them for the first few days. They may feel tired or sore, and common post - surgical symptoms such as swelling, bruising, and discomfort may be felt for the first few days. It is important to get plenty of rest and take the prescribed medication as directed.
Longer - term Recovery
Patients are typically able to return to work within 48 hours to a week, depending on the nature of their job. Sutures are usually removed five to seven days after surgery. Strenuous activity should be avoided for a few weeks, and a follow - up appointment schedule will be set to monitor the progress and ensure that the implant is in the correct location. The swelling will gradually subside over the first few weeks, and the final results will likely be visible about three months after the surgery.
Cost of Chin Augmentation in New York City
The cost of chin augmentation in New York City can vary widely depending on several factors. These include:
- Surgeon's Expertise: More experienced and well - known surgeons may charge higher fees.
- Type of Implants: Different materials and brands of implants can have different costs.
- Anesthesia Costs: The type of anesthesia used (local, intravenous sedation, or general anesthesia) and the services of the anesthesiologist will contribute to the overall cost.
- Surgical Facility Charges: The cost of using a private surgical facility or a hospital operating room will vary.
- Post - operative Wear and Medication: Items such as compression garments and prescribed medications also add to the cost.
Most surgeons will provide an accurate quote at the initial consultation. Eligible patients who would like to finance their procedure may have several options available, which can be discussed at that time.
Risks and Complications of Chin Augmentation
Although chin augmentation is generally a safe procedure when performed by an experienced, board - certified plastic surgeon, there are some risks and complications to be aware of:
- Infections: There is a risk of infection at the incision site, which may require treatment with antibiotics. In severe cases, the implant may need to be removed.
- Nerve Damage: Nerve damage can occur during the surgery, which may cause mouth or lip numbness. In most cases, this is temporary, but in some instances, it can be permanent.
- Exposure to Screws or Implant Extrusion: In rare cases, the screws used to secure the implant may become exposed, or the implant may extrude through the skin. This usually requires additional surgery to correct.
- Allergic Reaction to Implants: Some patients may have an allergic reaction to the implant material, which can cause swelling, redness, and other symptoms.
- Implant Shifting: The implant may shift slightly from its original position, which may require a second