Quick answers
| Question | Short answer |
|---|---|
| What does chin augmentation treat? | A recessed or underprojected chin, weak profile balance, and a poorly defined jawline-neck transition caused by inadequate skeletal projection. |
| What does it not treat? | Submental fat, loose neck skin, platysma bands, deep neck fullness, or jowls. These require neck liposuction or neck lift procedures. |
| What is the implant made of? | Medical-grade silicone, available in various shapes and sizes selected to suit individual facial anatomy. |
| Where is the incision placed? | Either beneath the chin (submental) within the natural crease, or inside the lower lip (intraoral). |
| Who performs the surgery? | Dr Scott J Turner, FRACS Specialist Plastic Surgeon, AHPRA registration MED0001654827. |
| Where are consultations held? | Bondi Junction and Manly. |
| Where is surgery performed? | Bondi Junction Private Hospital and Delmar Private Hospital, Dee Why. |
| Operating time | 45 to 75 minutes for standalone chin implant surgery, longer if combined with other procedures. |
| Cost | Quoted at consultation. See face surgery cost guide for fee structure. |
| Is a GP referral required? | Yes. A current referral from your usual GP or an independent medical practitioner is required before booking. |
Understanding facial harmony and chin projection
The chin is one of the structural anchors of the lower face. Its size and forward projection influence the appearance of the jawline, the angle between chin and neck, and the visual balance between the lower face and the rest of the face. A chin that sits well forward gives the lower face a defined edge. A chin that sits posteriorly (a recessed or underprojected chin) blurs that edge and shifts how everything around it is perceived.
The relationship between chin and nose is particularly visible in profile. A chin that is set back can make a nose of average size look larger or more prominent. Bringing the chin forward, in proportion to the rest of the face, can bring the profile silhouette into better balance. This is part of why chin augmentation is sometimes considered alongside rhinoplasty when profile correction is the goal.
The same principle applies at the chin-neck junction. A recessed chin shortens the visible jawline and softens the transition into the neck. The neck can look fuller than it really is simply because the chin does not project far enough to define an edge. In some patients, improving chin projection sharpens this transition without any work on the neck itself. In others, the chin and the neck both contribute and both need to be addressed.
Chin implants and the neck angle
A recessed chin can change how the neck looks, even when the neck itself is not particularly heavy. The bony point of the chin is what defines the start of the jawline-neck transition. When the chin sits back, the soft tissue underneath it sits forward by comparison, and the entire chin-neck region reads as shallow or full.
This is why chin assessment matters during a neck consultation, and why chin implants are sometimes the right answer to a complaint that sounds like a neck problem.
| Patient presentation | Likely contributor | Most relevant procedure |
|---|---|---|
| Recessed chin, light to moderate submental fullness | Projection is the dominant cause | Chin implant alone, or chin implant combined with neck liposuction |
| Normal chin projection, isolated double-chin fat | Fat is the dominant cause | Neck liposuction |
| Recessed chin and significant submental fat | Both projection and fat contribute | Chin implant combined with neck liposuction |
| Recessed chin and loose neck skin | Projection and skin laxity together | Chin implant combined with neck lift |
| Visible platysma bands | Muscle separation | Platysmaplasty |
| Deep central neck fullness | Subplatysmal anatomy | Deep neck lift |
The assessment in profile, with photographs, is what separates these patient groups. The chin position relative to the lower lip and the cervicomental angle are both measured during consultation.
Types of chin augmentation: implant vs sliding genioplasty
There are two main surgical approaches to changing chin projection. They produce overlapping results in some patients and quite different results in others.
Silicone chin implant. A shaped medical-grade silicone implant is placed over the front of the lower jawbone through a small incision. The implant comes in a range of sizes and shapes, and the choice is matched to facial proportions during assessment. This is the most common chin augmentation approach in Australia and the procedure described on this page. It improves projection without altering the underlying bone.
Sliding genioplasty (osseous genioplasty). This is a different operation. A controlled cut is made in the chin bone, the chin segment is moved into a new position (typically forward, sometimes downward or sideways for asymmetry), and is fixed with plates and screws. It is the right operation when significant skeletal repositioning is required, when bite alignment is an issue, or when the chin needs to move in more than one axis. It is more involved than a chin implant, with a longer recovery and a different risk profile.
| Feature | Chin implant | Sliding genioplasty |
|---|---|---|
| What changes | Soft-tissue projection over the existing bone | The actual chin bone is repositioned |
| Incision | Submental (under chin) or intraoral (inside lower lip) | Intraoral (inside lower lip) |
| Hardware | Silicone implant | Bone plates and screws |
| Best for | Improving projection in a structurally normal chin | Larger skeletal changes, asymmetry, bite alignment issues |
| Recovery | Shorter | Longer |
| Reversibility | Implant can be removed or replaced | Repositioning is permanent unless further surgery is performed |
| Cost | Lower | Higher |
Dr Turner’s primary chin augmentation approach is the silicone implant. Where assessment indicates that a sliding genioplasty is the better operation, the patient is informed and referred or co-managed as appropriate.
Chin implant vs chin filler
Chin filler (hyaluronic acid injectable filler placed in the chin region) is sometimes presented as a non-surgical chin augmentation. It produces a temporary improvement in projection and is reasonable as a trial of how a stronger chin looks on the patient before committing to surgery. It is not equivalent to a chin implant for several reasons.
Filler is temporary. Hyaluronic acid filler in the chin typically lasts 12 to 24 months and then resorbs. To maintain the result, repeat injections are required indefinitely. The cumulative cost over time often exceeds the cost of an implant.
Filler is volume, not structure. An implant provides structural projection along the bone. Filler adds soft-tissue volume, which can look projected in profile but tends to read differently from a true skeletal change, particularly in larger volumes.
Filler has its own complication profile. Vascular events affecting blood supply and migration of product are real (if uncommon) risks of large-volume facial filler.
Filler can be a useful diagnostic tool. A short-term trial of chin filler before committing to an implant can help confirm whether a stronger chin actually produces the result the patient is hoping for. This is a planning decision, not a substitute.
Which procedure is right for you?
Many patients present with overlapping concerns and a combined approach is sometimes appropriate.
| Main concern | Most relevant pathway | Why |
|---|---|---|
| Recessed chin and weak profile balance | Chin implant (this page) | Improves skeletal projection. |
| Significant skeletal asymmetry or bite alignment issue | Sliding genioplasty (referral or co-management) | Repositions the bone, not just the projection. |
| Temporary trial of stronger chin projection | Chin filler | Reversible, non-surgical option for planning. |
| Double-chin fat with good chin projection | Neck liposuction | Treats superficial submental fat. |
| Loose neck skin or platysma bands | Neck lift / platysmaplasty | Treats skin and muscle, not projection. |
| Deep central neck fullness | Deep neck lift | Treats subplatysmal anatomy. |
| Jowls and lower-face descent | Facelift with neck lift | Treats lower face and neck together. |
| Nose-chin imbalance on profile | Rhinoplasty with chin augmentation | Profile balance often depends on both. |
Are you a suitable candidate?
Chin implant surgery is appropriate when chin projection is the dominant aesthetic concern and other anatomical factors are not the primary cause of the appearance the patient wants to change. Suitable candidates typically have:
- A recessed or underprojected chin contributing to weak profile balance
- A normal or near-normal bite (significant dental or jaw alignment issues need specialist jaw assessment before considering an implant)
- Reached full facial maturity (usually late teens or older)
- Good general health, non-smoking (or willing to stop well before surgery)
- Realistic expectations of what chin augmentation can and cannot achieve
The suitability snapshot below is a useful shorthand, but final assessment is made at consultation.
| More likely to suit a chin implant | Less likely to suit a chin implant alone |
|---|---|
| Recessed or underprojected chin | Main concern is under-chin fat (consider neck liposuction first) |
| Poor profile balance | Loose neck skin or platysma bands (consider neck lift) |
| Weak jawline-neck transition due to projection | Deep neck fullness below the platysma (consider deep neck lift) |
| Stable bite and suitable jaw relationship | Significant skeletal asymmetry or bite issue (consider sliding genioplasty) |
| Desire for longer-lasting surgical augmentation | Preference for fully reversible non-surgical option (consider filler) |
| Full facial maturity reached | Adolescent or growing facial skeleton |
Body dysmorphic concerns are screened for during the consultation process. Where a psychological assessment is indicated under the Medical Board’s cosmetic surgery requirements, it forms part of the pre-operative pathway.
How chin implant surgery is performed
Chin implant surgery is performed under general anaesthesia at an accredited Sydney private hospital, typically as day surgery, with a specialist anaesthetist managing care throughout. Operating time is 45 to 75 minutes for a standalone chin implant, longer if combined with neck liposuction, rhinoplasty, or other procedures.
The sequence is:
- Incision placement. The incision is made either submentally (within the natural crease beneath the chin, typically about 2 centimetres long) or intraorally (inside the lower lip, between the lip and the gum). The submental approach allows direct visualisation and is preferred when neck liposuction is performed in the same session. The intraoral approach avoids any external scar but is technically more demanding in some anatomies.
- Pocket creation. A precise pocket is dissected over the front of the lower jawbone, immediately beneath the periosteum (the thin membrane covering the bone). Subperiosteal placement contributes to implant stability. The mental nerves, which provide sensation to the lower lip and chin, are identified and protected throughout dissection.
- Implant selection and placement. The implant is bathed in an antibiotic solution to reduce infection risk, handled minimally, and inserted into the pocket. Position is checked for symmetry and contour against the underlying bone. Tiny internal sutures or fixation may be used for additional stability in selected cases.
- Closure. The incision is closed in layers with fine sutures. Intraoral incisions are typically closed with dissolvable sutures. Submental incisions are closed with sutures that are removed at the one-week follow-up appointment.
- Dressing and support. A light dressing and supportive chin garment are applied to help reduce swelling and support the implant position during the initial healing phase.
The patient is monitored in recovery and discharged the same day in most cases.
Choosing implant size and shape
Implant selection is part of the consultation process, not a same-day decision in theatre. Sizing is matched to:
- Existing chin projection on profile, measured from standard reference points
- The position of the lower lip relative to the desired projection
- The width and shape of the existing jawline
- Soft-tissue thickness over the chin (thicker tissue softens the visible change of any given implant size)
- The patient’s stated aesthetic goals and any reference photos discussed at consultation
- Whether combined procedures (rhinoplasty, neck liposuction) will change the visual reference points
A range of implant sizes is reviewed during consultation. Conservative sizing is generally preferred. A chin that is augmented too aggressively looks out of proportion in profile and is harder to revise than a chin that is augmented modestly and revised later if more projection is wanted.
Combining chin implants with other procedures
Chin implants are commonly performed alongside other facial or neck procedures when the broader assessment calls for it. The most common combinations are:
- Neck liposuction with chin implant. When chin projection is recessed and there is also submental fat, addressing both in the same operation produces a more balanced result than either procedure alone.
- Rhinoplasty with chin implant. Profile balance often depends on both nose and chin proportions. A nose that looks too large in isolation can look in proportion once the chin is brought forward, and vice versa.
- Neck lift or facelift with chin implant. When projection is one element of a broader lower-face concern that also includes skin laxity, platysma bands, or jowling, the implant can be added to a neck lift or facelift in the same session.
Combined procedures have a longer operating time, a different recovery profile, and a different cost than a single operation. The decision to combine procedures is made on an individual basis at consultation.
Recovery after chin implant surgery
Recovery from chin implant surgery is generally straightforward. The information below is a general guide, not a fixed timeline.
First 24 to 48 hours. Swelling, bruising, and tightness across the chin and lower lip. Pain medication manages discomfort. Sleep with the head elevated. Soft diet, especially if the intraoral approach was used.
Week 1. Compression garment worn as advised. Swelling peaks around days 2 to 3 and starts to settle by the end of the week. A clinic review is scheduled in this period for progress check and, for submental incisions, suture removal. Intraoral incisions are kept clean with oral rinses as directed.
Weeks 1 to 2. Most patients return to office-based work. Bruising is largely resolved. Some residual lower-lip stiffness or altered sensation is common at this stage.
Weeks 2 to 6. Sensation across the chin and lower lip continues to recover. Strenuous exercise, heavy lifting, and contact sport are avoided. Light walking is encouraged from day one.
Months 3 to 6. Residual swelling fully resolves. Final implant contour becomes apparent. Sensation continues to normalise over this period in most patients.
Numbness or altered sensation in the lower lip and chin is common in early recovery and gradually improves over weeks to months. Permanent changes in sensation are possible but uncommon. The implant continues to settle into its pocket over the first three to six months as the fibrous capsule matures around it.
Risks and safety
All surgery carries risk. The information below is general. Specific risks for an individual patient are discussed in detail at consultation.
General surgical risks
- Bleeding or haematoma
- Infection (slightly higher risk with intraoral approach due to oral bacteria)
- Poor wound healing or unfavourable scarring
- Anaesthesia-related side effects or reactions to medications
- Blood clots (deep vein thrombosis or pulmonary embolism), rare with this procedure
Procedure-specific risks
- Mental nerve injury causing temporary, or rarely permanent, altered sensation in the lower lip and chin
- Implant malposition or shift requiring revision surgery to reposition
- Capsular contracture (tightening of the fibrous capsule around the implant, uncommon with chin implants)
- Asymmetry between the two sides of the chin
- Bone resorption beneath the implant over time, more common with very large implants and long follow-up periods
- Implant extrusion through the incision, rare but a recognised complication
- Implant infection requiring antibiotic treatment, drainage, or implant removal
- Implant rejection or sensitivity reaction, rare with medical-grade silicone
- Dissatisfaction with implant size or shape, requiring implant exchange or removal
- Visible or palpable implant edge in patients with thin soft tissue
- Recurrent need for revision over the patient’s lifetime, depending on individual anatomy and ageing
Implant longevity varies. A well-placed chin implant in a suitable patient can last decades without intervention, but it is not a guarantee. Removal or replacement may be required at any point if the implant shifts, becomes infected, or no longer suits the patient’s facial proportions as they age.
Chin implant cost in Sydney
The cost of chin implant surgery in Sydney depends on the surgical complexity, whether the procedure is performed alone or combined with neck liposuction, neck lift, or rhinoplasty, the anaesthetic requirements, the hospital setting, and post-operative care. A standalone chin implant sits at the lower end of the facial surgery cost range. Combined procedures (chin implant with neck liposuction, or chin implant with rhinoplasty) carry their own combined pricing.
A formal itemised quote is provided after consultation, once the specific procedure has been confirmed. A detailed breakdown of surgical fees, anaesthetic fees, hospital fees, and Medicare considerations is provided through the face surgery cost guide.
Medical Board and AHPRA requirements for cosmetic surgery
Cosmetic surgery in Australia is regulated by the Medical Board of Australia and the Australian Health Practitioner Regulation Agency (AHPRA). Patients seeking cosmetic chin implant surgery must meet the following requirements before surgery proceeds.
A current referral from your usual general practitioner, or from an independent medical practitioner, is required. Two consultations are conducted before booking surgery, with the first consultation held in person. A cooling-off period of at least seven days applies between consenting to surgery and the surgery date for adult patients. Patients under 18 are subject to a longer cooling-off period of three months and require psychological assessment. Adult patients are screened for body dysmorphic concerns, with referral for psychological assessment where indicated.
Dr Turner’s practice follows the Medical Board’s cosmetic surgery guidelines in full.
Before and after photos
Before and after photographs of chin implant patients are available to view in person during consultation, in accordance with the Medical Board’s restrictions on the public display of cosmetic surgery results. The consultation also includes a review of patient-specific factors (chin position relative to the lower lip, soft-tissue thickness, jawline anatomy, neck contour, and whether combined procedures are appropriate) that influence the result.
Choosing a chin implant surgeon in Sydney
Chin implant surgery is technically straightforward compared with deep facial surgery, but the planning is what separates a good result from a disappointing one. The most useful things to assess when choosing a surgeon are:
- Specialist qualifications. Specialist Plastic Surgeons in Australia hold a Fellowship of the Royal Australasian College of Surgeons (FRACS) in plastic surgery and are registered with AHPRA. Dr Turner’s FRACS qualification (2013) and AHPRA registration (MED0001654827) can be verified independently.
- Operating environment. Chin implant surgery should be performed in an accredited private hospital with a specialist anaesthetist. Dr Turner operates at Bondi Junction Private Hospital and Delmar Private Hospital, Dee Why.
- Profile-based assessment. A consultation that uses standardised profile photographs, measures chin position against reference points, and discusses sizing across a range of implants is more useful than a consultation focused only on the patient’s mirror view.
- Honesty about indication. A surgeon who recommends sliding genioplasty when bony repositioning is the right answer, or recommends a neck procedure when projection is not actually the dominant issue, is giving you better information than one who fits a chin implant in every case.
- Conservative sizing philosophy. A surgeon who errs toward modest implant sizing, with the option of revision to a larger implant later if more projection is wanted, generally produces better long-term results than one who reaches for the largest implant the soft tissue will accept.
- AHPRA pathway. Two consultations, a GP referral, a cooling-off period, and screening for body dysmorphic concerns are mandatory under the Medical Board’s cosmetic surgery guidelines.
More about Dr Turner’s background is available on the Dr Scott J Turner page.
Frequently asked questions
Is chin augmentation the same as a chin implant?
In most current usage, yes. “Chin augmentation” describes the goal (improving chin projection). “Chin implant” describes the most common surgical method for achieving that goal (a shaped silicone implant placed over the lower jawbone). “Mentoplasty” is the older clinical term and is used interchangeably with chin augmentation. The other surgical approach to chin augmentation is sliding genioplasty, which moves the chin bone itself rather than adding an implant. This page describes the chin implant approach. Sliding genioplasty is discussed in the comparison section above.
What is the difference between a chin implant and sliding geniopl
A chin implant places a shaped silicone implant over the existing chin bone to improve forward projection. A sliding genioplasty cuts the chin bone in a controlled way and repositions the bony chin segment, fixing it with plates and screws. Implants are technically simpler, have a shorter recovery, are reversible (the implant can be removed), and are appropriate when the chin needs more projection but its underlying shape is normal. Genioplasty is the right operation when significant skeletal repositioning is required, when bite alignment is an issue, or when the chin needs to move in more than one axis.
What is the difference between a chin implant and chin filler?
A chin implant is a surgical procedure that places a shaped silicone implant over the lower jawbone to improve chin projection on a long-lasting basis. Chin filler is a non-surgical injection of hyaluronic acid into the chin region. Filler typically lasts 12 to 24 months and then resorbs, requiring repeat injections to maintain the result. Implants provide structural projection along the bone, while filler adds soft-tissue volume. Filler can be useful as a short-term trial of how a stronger chin looks before committing to an implant, but the two are not equivalent in result, longevity, or cost over time.
Can a chin implant reduce the appearance of a double chin?
In some patients, yes. A recessed chin can make the neck look fuller than it really is, because the soft tissue beneath the chin sits forward of the bony chin point and reads as a shallow chin-neck transition. Bringing the chin forward with an implant changes that geometry and can sharpen the appearance of the jawline-neck angle. However, if the under-chin fullness is mostly caused by superficial fat or loose skin, an implant alone will not address it. In those patients, the implant is combined with neck liposuction or a neck lift, or the neck procedure is performed instead.
Can a chin implant be combined with neck liposuction or a neck lift?
Yes, and these are among the most common combinations. Chin implant with neck liposuction in the same operation is a frequent pairing when projection is recessed and there is also submental fat. Chin implant with neck lift surgery is appropriate when projection is one element of a broader concern that also includes skin laxity, platysma bands, or jowling. Combined procedures have a longer operating time and a different recovery profile than a single procedure. The decision to combine is made at consultation based on what your anatomy actually needs.
Are chin implants permanent? Can they be removed or replaced?
A well-placed chin implant in a suitable patient can last decades without intervention, but it is not guaranteed to be permanent in the sense of never needing further surgery. Implants can be removed if the patient wants to reverse the surgery. They can be replaced with a different size or shape if the patient wants more or less projection. They occasionally need to be revised for asymmetry, malposition, or other complications. Decisions about implant longevity and possible future surgery are part of the long-term care of any patient with a chin implant.
Will a chin implant affect sensation in the lower lip or chin?
Numbness or altered sensation in the lower lip and chin is common in the early recovery period and is caused by stretching or manipulation of the mental nerves during surgery. In most patients, sensation gradually returns over weeks to months. Permanent changes in sensation are possible but uncommon. The mental nerves are identified and protected throughout the surgical dissection to minimise the risk. Specific risks for an individual patient are discussed in detail at consultation.
Do I need a GP referral before chin implant surgery in Australia?
Yes. Under the Medical Board’s cosmetic surgery guidelines, a current referral from your usual general practitioner, or from an independent medical practitioner, is required before booking cosmetic surgery. The referral is part of the broader patient safety framework, which also includes two consultations, a cooling-off period of at least seven days for adult patients, and screening for body dysmorphic concerns.
Related procedures and resources
Related procedures
- Rhinoplasty Sydney
- Neck Liposuction Sydney
- Neck Lift Sydney
- Platysmaplasty Sydney
- Deep Neck Lift Sydney
- Direct Neck Lift Sydney
- Facelift Sydney
Helpful guides
Consultation with Dr Scott J Turner
Dr Scott J Turner consults for chin implant surgery in Sydney from Bondi Junction (39 Grosvenor Street, Bondi Junction NSW 2022) and Manly (Suite 504, Level 5, 39 East Esplanade, Manly NSW 2095). For patients based interstate, consulting rooms in Brisbane (Herstellen Clinic, Spring Hill) and Canberra (Campbell) are available, with surgery performed at Dr Turner’s Sydney hospitals.
Phone: 1300 437 758 Email: [email protected]