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Chin Implants city, state

young woman with dark curly hair Many patients seek a change to the shape or volume of their chin (genioplasty) alone or in combination with other aesthetic enhancements such as rhinoplasty (“nose job” surgery or nose reshaping) or rhytidectomy (facelift or neck lift). In most cases, the desired procedure is chin augmentation (enlargement). Making the chin bigger or giving it more shape and definition can be achieved with soft tissue fillers, biocompatible implants, or by surgical manipulation of the mandible (lower jaw bone). This procedure can also fill in the depression between the chin and the lower cheek areas along the jaw line (sometime called the pre-jowl sulcus).

Dr. Ransom performs most chin augmentation using biocompatible implants, though soft tissue fillers may be adequate and are selected in some cases. He does not recommend mandible surgery (sliding genioplasty) except in extreme cases, because of the risk to the sensory and motor nerves of the chin and mouth and the possibility of damage to the tooth roots in the lower jaw. When patients are deciding whether to pursue chin implant surgery, it is sometimes helpful to “try out” an aesthetic change by electing temporary soft-tissue filler augmentation first. Dr. Ransom uses hyaluronic acid based fillers (Juvederm® or Juvederm Voluma®) or calcium hydroxyapatite-based fillers (Radiesse®) for temporary chin enlargement and to fill the pre-jowl sulcus. Hyaluronic acid fillers last between 6 and 12 months, depending on the individual patient’s unique skin and muscle structure and metabolism.

Chin implants can be an excellent complement to rhinoplasty or facelift (rhytidectomy) and neck lift surgery. With subtle increases in the projection of the chin or the shape and contour of the chin and pre-jowl areas, significant improvements in the harmony between facial areas can be achieved. Dr. Ransom selects from the most up-to-date implant designs to provide a modern aesthetic for his patients, avoiding extreme changes or unnatural shapes. He uses only biocompatible Silastic (silicone-based) implants, which have the lowest rate of complications of all the available materials.

Who is a candidate?

Anyone who desires increased projection of the chin, a more defined jawline, or a better neck contour may be a candidate for chin implant. A chin implant may be placed as a stand-alone procedure, or combined with other aesthetic or reconstructive surgeries. In some cases, chin implants may be used to camouflage defects from previously healed trauma. The key to any facial implant surgery is identifying the most appropriate size and shape of the implant – to achieve the greatest aesthetic enhancement, while still looking natural. Dr. Ransom will work closely with you throughout this process.

Frequently Asked Questions

Question: I like the shape of my face, but not my “weak chin” and jawline. Will a chin implant change the shape of my face? Or just my chin?
Answer: Dr. Ransom works closely with all of his patients to select the best implant type, size, and shape to meet their aesthetic goals. Most implants will not change the shape of the face – rather, they provide projection to the chin and lower jaw area. This is seen clearly in profile. In some cases, an implant may be selected to compensate for a bony deficiency in this area of the face (such as an extended chin implant). Depending on the exact implant selected, the patient’s frontal appearance may be altered. The degree of change, however, is dependent on the implant specifications – and Dr. Ransom makes sure that you understand which implant that you will have placed. More information about facial implants is available during your consultation.
Question: What happens to the implant over time?
Answer: Silicone-based implants are biologically inert – meaning they basically don’t cause any significant tissue changes and do not integrate with your body. Rather, the implant becomes fixed in place by a thin fibrous capsule, formed by your body after the implant is inserted. None of the implant material escapes into your body or bloodstream. This material is the safest and best option available.
Question: If I decide later that I no longer want the chin implant, can it be removed?
Answer: Yes, a chin implant can be removed. This is an uncommon but straightforward procedure that often can be performed with local anesthetic and conscious sedation. Cheek implants can also be modified or replaced, if a different shape or size is desired at a later date – though it is best to avoid multiple surgeries if at all possible. Please see the procedure page for chin implant revision for more information. Dr. Ransom can discuss the details of implant placement or removal, as well as different shapes, sizes, thicknesses, and contours during your consultation.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.