Introduction to Chin Augmentation with Expandable Polytetrafluoroethylene
Chin augmentation is a popular cosmetic procedure that can enhance facial balance and symmetry. Expandable polytetrafluoroethylene (ePTFE) is a material commonly used in chin implants due to its biocompatibility and natural - looking results. In New York City, there are numerous highly skilled plastic surgeons offering this procedure. Before we delve into the top - ten list, let's first understand the fundamentals of chin augmentation and why ePTFE is a preferred choice.
What is Chin Augmentation?
Chin augmentation, also known as genioplasty, is a surgical or non - surgical procedure aimed at enhancing the shape, size, and prominence of the chin. A well - defined chin contributes to a more balanced and aesthetically pleasing facial profile. The chin plays a crucial role in facial harmony, influencing the appearance of other features such as the nose, jawline, and neck. For example, a weak or recessed chin can make the nose appear larger and the jawline less distinct, while a strong chin can enhance the overall attractiveness of the face.
Why Expandable Polytetrafluoroethylene?
ePTFE has several advantages as a chin implant material. It is a soft, porous material that allows the body's tissues to grow into it over time, which helps to secure the implant in place and gives a more natural feel. It is also less likely to cause an allergic reaction compared to some other materials. The expandable nature of ePTFE allows for precise customization, ensuring that the implant can be tailored to each patient's unique facial structure and aesthetic goals.
Top Ten List for Chin Augmentation with Expandable Polytetrafluoroethylene in New York City
1. Dr. Darrick Antell
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 his knowledge of facial anatomy. Dr. Antell understands the scientific ratio in facial balance and can create natural - looking results with ePTFE chin implants. He takes the time to analyze each patient's chin structure and overall facial features to select the appropriate implant size and shape. His reputation for excellence in achieving superb, natural results after chin implant surgery is well - established. He has a team of highly trained staff and a state - of - the - art outpatient surgery facility located just across the street from Lenox Hill Hospital. The facility is fully accredited and designed for patient comfort. During the consultation, Dr. Antell will thoroughly discuss all aspects of the procedure, including the risks and expected outcomes.
2. Dr. John E. Sherman
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. He performs chin augmentations using a variety of techniques, and ePTFE implants are one of his options. Dr. Sherman offers a personalized consultation, during which he examines the patient's facial structure and listens to their goals and concerns. He then provides an honest recommendation for the best approach. He uses either a submental transcutaneous approach (a small incision underneath the chin) or an intraoral approach (an incision inside the mouth) depending on the patient's anatomy and preferences. His patients often report excellent, long - term results and a quick recovery.
3. Dr. Barry Weintraub
As a top NYC chin - augmentation surgeon, Dr. Weintraub has a strong aesthetic sense and attention to detail. He prefers to place ePTFE implants through an invisible incision through the mouth, which prevents any possible slippage or drooping of the implant in the future and ensures a beautifully sharp jawline. Dr. Weintraub's surgical center at 800a Fifth Avenue is a hospital - grade, state - of - the - art facility with a private entrance. He uses twilight sleep anesthesia, which provides a comfortable experience for the patient. He takes a meticulous approach to surgery, with all wounds sewn in multiple layers by his own hand. He also has extensive experience in combining chin augmentation with other facial - rejuvenation procedures, such as rhinoplasty and neck lift, to achieve optimal results.
4. Dr. Joel Kopelman
Dr. Kopelman thoroughly reviews the patient's facial skin, soft tissues, and skeletal structure before recommending a chin augmentation with ePTFE. He aims to determine the size and type of implant that will achieve optimal aesthetic results. He can perform a submental chin implant (under the chin) procedure, where the ePTFE implant is inserted through a small incision along the natural crease under the chin. The incision is closed with tiny sutures and becomes almost invisible over time. Dr. Kopelman also offers non - surgical alternatives to chin implant surgery, such as injectable fillers, to give patients a preview of what a more balanced facial profile may look like before committing to a permanent surgical procedure.
5. Dr. Schwarzburg (Skinly Aesthetics)
Although Dr. Schwarzburg is well - known for non - surgical chin augmentation using fillers, he also has the expertise to perform surgical chin augmentation with ePTFE implants. He has over 10 years of experience and a background from Columbia University. He offers customized treatments to meet each patient's unique aesthetic goals. During the consultation, he assesses the patient's facial structure and discusses the options available. He uses advanced injection techniques and has a deep understanding of facial anatomy, which can be useful in ensuring the proper placement of ePTFE implants. His practice, Skinly Aesthetics, is located in a prime upper east side location in New York City and offers a high level of patient care.
6. Dr. Andrew Jacono
Dr. Jacono is a dual board - certified facial plastic surgeon with extensive training in chin and jaw augmentation. He uses a variety of implant materials, including ePTFE, and also offers customized implants to fit patients' individual needs. He cuts a small incision inside the mouth or in the natural crease line beneath the chin to place the ePTFE implant. Any resulting scars are imperceptible. He has shown excellent results in his before - and - after photos, where patients with weak chins have achieved a more balanced and attractive facial profile after chin augmentation. He also considers the overall facial harmony and may combine chin augmentation with other procedures for the best outcome.
7. Dr. Mourad
Dr. Mourad is a board - certified plastic surgeon specialized in head and neck surgery practicing in NYC. He is experienced in both chin implants and sliding genioplasty. When it comes to ePTFE chin implants, he uses presurgical 3 - dimensional imaging and computer simulations to plan the procedure, allowing for precise selection of the implant size and shape. He can insert the ePTFE implant through a small incision either inside the mouth or under the chin, with the submental approach (under the chin) being more common for precise placement. His patients often report quick recovery and immediate improvement in facial contours.
8. Aristocrat Plastic Surgery & Medaesthetics
This clinic has received positive reviews from patients, with many praising Dr. Kevin and his team for making the chin augmentation journey smooth. Although specific details about their use of ePTFE implants may not be as widely publicized, the clinic's overall reputation for providing high - quality plastic surgery services suggests that they are well - equipped to perform chin augmentations with ePTFE. They likely offer a comprehensive consultation process, considering the patient's medical history, aesthetic goals, and facial structure before recommending the procedure.
9. Leonard Grossman, M.D.
Located in Brooklyn, New York City, Dr. Grossman offers patients chin augmentation procedures. While there is limited publicly available information about his use of ePTFE implants, his experience in providing chin augmentation suggests that he has the knowledge and skills to work with this material. He will assess each patient's needs during the consultation and develop a personalized treatment plan. His clinic offers a range of procedures across different specialties, indicating a comprehensive approach to patient care.
10. New York Center for Facial Plastic & Laser Surgery
This center in Manhattan provides chin augmentation procedures. The lead specialist likely has experience in using ePTFE implants to enhance the chin. They offer a variety of procedures across different specialties, which means they can take into account the overall facial aesthetics and potential complementary procedures. During the consultation, patients can expect a detailed discussion about the chin augmentation procedure with ePTFE, including the expected results, risks, and recovery process.
Comparing the Surgeons and Clinics
When comparing these surgeons and clinics, several factors should be considered. Let's take a look at them in a tabular form:
Surgeon/Clinic | Experience | Specialization | Location | Consultation Process | Approach to Implant Placement | Patient Reviews |
---|---|---|---|---|---|---|
Dr. Darrick Antell | Trained at Stanford and Cornell, over 20 - year career | Plastic and reconstructive surgery, with dental expertise | New York City | Thorough assessment of health, history, and facial features, discussion of all options | Customized based on patient anatomy, can use different incision methods | Highly positive, known for natural results |
Dr. John E. Sherman | Over 35 years of experience | Plastic surgery, member of American Society of Maxillofacial Surgeons | Manhattan | Personalized, assesses facial structure, gives honest recommendation | Submental transcutaneous or intraoral approach | Good, quick recovery reported |
Dr. Barry Weintraub | Long - standing experience in NYC | Chin and facial - rejuvenation surgery | New York City | Comfortable, patient - centered, discusses combined procedures | Prefer oral incision for ePTFE implants | Positive, known for attention to detail |
Dr. Joel Kopelman | Skilled in chin augmentation | Chin and facial surgery | New York City | Reviews facial structure, offers non - surgical preview | Submental incision for implant placement | Positive, satisfied patients with natural results |
Dr. Schwarzburg (Skinly Aesthetics) | Over 10 years | Non - surgical and surgical facial enhancements | Upper East Side, New York City | Customized assessment of facial goals | Precise placement based on expertise in facial anatomy | Good, known for personalized care |
Dr. Andrew Jacono | Dual board - certified | Chin and jaw augmentation | New York City | Evaluates chin and overall facial proportions | Incisions inside mouth or under chin | Positive, visible results in before - and - afters |
Dr. Mourad | Specialized in head and neck surgery | Chin implants and sliding genioplasty | New York City | Uses 3 - D imaging for planning | Commonly submental approach for implant | Good, quick recovery and immediate results |
Aristocrat Plastic Surgery & Medaesthetics | Overall positive reputation | Plastic surgery and medaesthetics | New York City | Presumably comprehensive patient assessment | Not clearly specified | Positive, smooth patient experience |
Leonard Grossman, M.D. | Offers chin augmentation | Multiple plastic surgery specialties | Brooklyn, New York City | May consider overall patient needs | Not well - publicized | Limited public reviews |
New York Center for Facial Plastic & Laser Surgery | Provides facial plastic surgery | Multiple facial plastic surgery procedures | Manhattan | Likely detailed discussion of procedure | Not clearly specified | Limited public reviews |
Preparing for Chin Augmentation with Expandable Polytetrafluoroethylene
Consultation
During the consultation with your chosen surgeon, it is crucial to be honest about your medical history, including any previous surgeries, allergies, and current medications. The surgeon will evaluate your overall health, perform a thorough examination of your facial features and chin, and discuss your aesthetic goals. They will also explain the procedure in detail, including the type of anesthesia to be used, the expected duration of the surgery, and the potential risks and complications. Make sure to ask any questions you may have, such as the expected recovery time, the aftercare instructions, and the long - term results.
Pre - operative Instructions
You will likely be given instructions to prepare for the surgery. These may include guidelines on eating and drinking, smoking, and taking or avoiding vitamins, iron tablets, and specific medications. For example, you may be asked to stop smoking several weeks before the surgery, as smoking can interfere with the healing process. You may also need to arrange for someone to drive you home after the surgery and to assist you for the first few days of recovery.
The Chin Augmentation Procedure with Expandable Polytetrafluoroethylene
Anesthesia
Chin augmentation with ePTFE implants is typically performed with local anesthesia and intravenous sedation, or with another form of “twilight” sedation. A board - certified anesthesiologist will monitor you during the surgery to ensure your safety. The sedation will make you feel relaxed and comfortable, and you will not experience any pain during the procedure.
Implant Placement
The surgeon will make a small incision either inside the mouth or under the chin, depending on your anatomy and preferences. Through this incision, a “pocket” will be created in which the ePTFE implant will be placed and fit around the bone. The implant is then secured in place. The incision will be closed with sutures, either dissolving internal sutures, external sutures, or a combination of both. The entire procedure usually takes around one hour.
Recovery and Aftercare
Immediate Post - operative
After the surgery, you will recover in a recovery suite while being monitored by a nurse. You may feel tired or sore, and there will be some swelling and possibly bruising in the chin area. You will be given discharge instructions, which may include guidelines on pain management, wound care, and diet. You will likely need to consume only soft foods for the first few days and sleep with your head elevated to reduce swelling.
Longer - term Recovery
Most patients are able to return to most daily activities and work within a few days of the procedure. However, you should refrain from vigorous exercise for around two weeks. Any external sutures will likely be removed one to two weeks after the procedure. The swelling will gradually subside over the first few weeks, and the final results will likely be visible about three months after the surgery.
Potential Risks and Complications
While chin augmentation with ePTFE implants is generally a safe procedure when performed by an experienced, board - certified plastic surgeon, there are some potential risks and complications. These include bleeding, infection, an adverse reaction to anesthesia, and the possibility of the implant slightly shifting position, which would require a second surgery for repositioning. The surgeon will discuss these risks in detail during the consultation, and