Chin feminisation; There are distinct differences between a more masculine and a more feminine jaw and chin. A more feminine lower jaw is narrower, more pointed and shorter in length, with a more refined jaw line. Surgery to the chin and the jaw can transform a masculine looking chin and jaw line to a more feminine appearance. Chin feminisation is suitable for a larger squarer jaw looking for a more feminine appearance.
The purpose of chin feminisation surgery is to refine the chin and jaw, and usually involves a combination of a genioplasty approach to shorten and narrow the chin point, along with some selective shaving to make a more defined V shape to the chin. Chin projection can also be changed to give a more forward chin point or to set the chin point backwards if desired.
This is a surgical procedure undertaken with a general aesthetic. The surgeon will make incisions inside the mouth in order to access the chin and jaw. After shaping the chin into a more feminine shape, screws and plates are used to hold the bone is in the new position. As the bone of the chin heals, the new position will mean a permanent change to the shape of the lower face, leaving patients looking more feminine.
Another option for those more concerned about the masculine appearance of their jaw is a mandibular body and angle reduction. This surgery is designed to reduce the fullness of the jaw line and reduce the prominence of an angular jaw. Usually chin and jaw feminisation surgery is performed from inside the mouth so you should be free from any visible external scarring.
Any pain you experience post-surgery can be treated with paracetamol. It’s likely you’ll experience initial bruising and swelling to the area, but this will settle over 2-3 weeks. You will see some changes fairly immediately, although you will notice most changes during the months following the chin feminisation surgery, as the swelling settles down. Directly following surgery you may experience some temporary numbness on or around the lower lip and chin point, but this should fade in time.
Like all surgical procedures there is a risk of bleeding, swelling, bruising and infection.Infection with oral procedures is higher as the teeth harbour bacteria and therefore good oral hygiene is paramount following this type of surgery. Following surgery you will have antibiotics and an antibacterial mouthwash to use while the wounds in the mouth are healing to reduce the risk of infection. It’s also important to remember, even after surgery, everybody has an asymmetric face to some extent, and following surgery some asymmetry maybe still be noticed.
Further complications of chin surgery include the risk of bruising or stretching nerves that supply sensation to the lower lip, gums and teeth. This is usually temporary although can persist in a very small number of cases. The chin point can also feel numb following chin surgery. Again this will usually recover with time.
There is a small chance that teeth can also be damaged in this type of surgery and this is why x-rays are undertaken to assess the position and length of the teeth as well as to assess for any pre-existing dental or jaw problems.
Repeated chin surgery can weaken the muscle that helps support the chin tissues during talking and eating. If you require repeat chin surgery then occasionally we may recommend additional fixation of the soft tissues to try and prevent against problems with the soft tissues long term.
Occasionally after a genioplasty you can get some slight hollowing of the jaw line behind the site of the genioplasty bone cuts. These are not usually of concern and often will settle as the bone remodels itself in the first few months after the surgery but in some cases, once the bone has healed then a small amount of bone contouring maybe indicated to either fill out the area or reduce the indentation. This is a second procedure and would not be advised until the swelling has fully settled.