In this patient, a chin implant/neck liposuction procedure was combined with a rhinoplasty. These three procedures, when performed at the same time, result in a remarkable improvement in balance and appearance.
The initial procedure performed is liposuction or liposculpture. Although there are many non-surgical options today for improving neck contour, when significant fat deposits are present, none of these will provide the superior result of surgical liposculpture. I use very delicate 1 – 3 mm liposculpture cannulas attached to a gentle suction aspirator. The small cannulas allow the utmost precision when removed the excess and unwanted fat.
My preference for chin augmentation access is via a small skin incision underneath the chin. This avoids an incision on the inside of the lip which is associated with a higher risk of implant infection during the healing period. The incision under the chin heals to an essentially invisible fine line. There are many different chin implant configurations. I generally use Silastic implants manufactured by the very highly respected medical device company Implantech. Actual implant size and shape depend on patient preference, gender, height, ethnicity, facial anatomy, etc.
The rhinoplasty in this case lowered the nose as well as refined the tip. The tip is now less projected and more rotated. A gentle feminine curve has replaced the dorsal hump. When viewed from the front, the sidewall shadow curves gently out onto the tip. The columella has been raised.
