Chin augmentation involves the use of implants, fillers, or other in office procedures to enhance the chin and jawline. Dr. Shah's entire practice focuses on the face, so he is well versed in helping patients design the chin and jawline enhancement they may be seeking.
PHILOSOPHY: How is Dr. Shah different?
Dr. Shah has a variety of approaches to the chin and looks not just at the chin as an isolated area but how it relates to the face and the person of the patient. He does not use bone screws or techniques that promote bony erosion as he is seeking long term improvement of the face and bone preservation. He uses an alternate to bone screws so that the implant is in place and secure without compromising the bone structure. Dr. Shah is well published in the scientific community and has contributed with articles on chin and skeletal enhancement of the face.
The before and after gallery represents a small fraction of the patients Dr. Shah has operated on. He has many more example of his work in his office. The gallery is intended to show a variety of aesthetics. All pictures shown are patients of Dr. Anil Shah.
TECHNIQUE:Dr. Shah uses a specialized technique for chin augmentation he prefers the external approach to the intraoral approach for several reasons. First of all, intraoral chin implants must go through the mouth and thereby have a higher exposure to the bacteria in this area. Dr. Shah prefers to minimize the chance of infection. In addition, intraoral chin implants tend to rest higher on the chin and are often secured with bone screws.
Dr. Shah does not uses bone screws for chin implants. Bone screws involve placing either a metal or plastic screw through the chin implant. The issue with screws is that there will be some loss of bone along the jaw. Dr. Shah prefers a different approach. He preserves the covering of the chin bone, called the periosteum, along the center of the chin. The periosteum is like a carpet covering the bone. By preserving the periosteum along the center, he is able to place 4-5 sutures to secure the chin implant to the underlying bone. Some implants have wings to the end to further enhance the jowl and prejowl status. In these cases, he makes an incision along the lateral portion of the periosteum of the chin and places the wing of the implant underneath this area while still preserving the center portion.
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LIPOSUCTION CHIN AND NECK:In some cases, there is excess chin fat either within the chin or the area below the chin. Liposuction of this area can help enhance the area by removing unnecessary fat and creating a smoother sleeker jawline.
IMPLANT SELECTION:Typically the implant for your chin or jawline is selected by Dr. Shah after consulting with him. He shows a digitally altered photograph of you to help determine your aesthetic. He then picks the chin implant which best achieves this goal. Dr. Shah frequently "customizes" implants to help improve underlying jaw asymmetries to create a well-proportioned jawline.