Dott. Armando Boccieri

Correct projection of the chin is a key factor in the beauty of a profile and the harmony of a face, and the facial plastic surgeon must be capable of analyzing the patient’s profile and determining the defects of a weak and receding or overly large and protruding chin. Dental malocclusion can also be present and necessitate orthodontic treatment or orthognathic maxillofacial surgery. This situation is often associated with nasal deformity and, in such cases, rhinoplasty alone without mentoplasty is insufficient to restore harmony and beauty to the face.

Chin augmentation can be easily performed by inserting a suitably-sized silicone implant into a pocket in front of the chin bone. A small incision in the mucosa of the lower gingival arch, beneath the incisors, is sufficient for the introduction of the implant without leaving a visible external scar.

Reduction involves the gradual removal of osseous tissue until the desired degree of projection is attained. More serious cases may require sectioning of the chin, removal of a section of bone, and osteosynthesis of the chin to the mandibular region behind with titanium plates.


This patient was unhappy with the overall aesthetic appearance of her profile.


Clinical analysis revealed a hump on the nasal dorsum, a particularly drooping and underprojected tip, and a small, receding chin. The operation succeeded in harmonizing the profile by removing the small hump, reshaping the tip with upward rotation, and chin augmentation. The results show attractive harmonization of the profile.


This patient was unhappy with her profile due to the presence of an evident nasal hump, jutting chin and dental malocclusion.


Clinical analysis revealed a hump on the nasal dorsum, dental malocclusion with underbite, and hyperplasia of the chin. The single operation involved rhinoplasty with removal of the hump and reshaping of the tip, orthognathic surgery with advancement of the upper jaw, and reduction mentoplasty with removal of a section of jaw bone. Preparatory orthodontic treatment was also carried out prior to the operation in order to adapt the dental arches to their new postoperative position.

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