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Chin and Cheek Surgery in Edinburgh

A weak chin can make a normal nose look large, and flattened cheeks can age a face more than wrinkles do. Chin and cheek surgery at Quaba Plastic Surgery rebalances these proportions with chin implants, fat transfer and dermal fillers. Procedures are performed by Mr Awf Quaba, a consultant plastic surgeon on the GMC Specialist Register with over 35 years of practice in Edinburgh, at Waterfront Private Hospital.

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Chin and cheek surgery overview

  • Anaesthetic: local or general anaesthesia.
  • Length: around 1 hour.
  • Hospital stay: day case at Waterfront Private Hospital.
  • Recovery time: a few days off work; six weeks before strenuous exercise.

What chin and cheek surgery involves

Chin and cheek surgery adjusts the balance of the face: a chin implant strengthens a weak or receding chin, while fat transfer or dermal fillers restore lost volume to the cheeks. The two areas are often treated together, because each affects how the other reads in profile.

Surgery is performed by Mr Awf Quaba, a consultant plastic surgeon on the GMC Specialist Register, at Waterfront Private Hospital in Edinburgh. Most procedures take around an hour, under local or general anaesthesia, as day cases.

Chin implants, fat transfer and dermal fillers

Chin implants

The chin plays an integral part in the overall balance of our facial features, particularly our profile. For example, a weak chin can make a normal nose appear large, and an already prominent nose seem even more significant. On the other hand, a prominent chin may give the appearance of having too small a nose or otherwise throwing the face off balance.

The most commonly performed chin procedure (mentoplasty) in our practice is chin augmentation. We have been using silicone implants for over 20 years with little in the way of adverse effects. The procedure is relatively straightforward and produces immediate and effective results. The implant is placed via a small cut between the junction of the lower lip and the lower teeth so there is no visible scar. The main risks of the procedure are infection, implant malposition or extrusion.

Many of our patients have chin augmentation combined with rhinoplasty, but some will have the procedure in isolation (because they have an otherwise normal nose).

Cheek enhancement

Prominent, full cheeks give a youthful, healthy appearance, and you can see examples in our before and after gallery. Prominent, full cheeks give us a youthful, healthy appearance. The ageing process results in loss of cheek volume (flattening) and descent (ptosis) of the cheek. Volume loss can make a face appear drawn and gaunt. It may give the appearance of heaviness in the lower face and an aged look.

There are surgical or non-surgical ways to augment a cheek. For non-surgical enhancement, we use non-permanent fillers, which will give an instant correction lasting 6-12 months. Surgical improvement of the cheeks in our practice is achieved with autologous fat injection. It is one of our practice’s most commonly performed surgical procedures and can be performed in conjunction with other procedures (most commonly eyelid and facelift surgery). As mentioned elsewhere, some loss of fat cells can occur, and the process may need to be repeated at some point in the future.

Benefits of chin and cheek surgery

A chin implant gives an immediate, lasting change in the projection and shape of the chin, with no visible scarring. Cheek enhancement restores the fullness that gives the mid-face its youthful appearance.

Chin implants

You can expect an immediate difference in the projection and shape of your chin. A minor degree of swelling settles over a few weeks. All scars sit inside the mouth, so there is no visible scarring.

Cheek enhancement

Fat transfer gives an immediate increase in cheek volume. The cheeks are initially overcorrected and look puffy; the swelling settles over a few weeks, and by six months up to 50% of the injected fat may be absorbed, so a repeat procedure is sometimes needed. Non-permanent fillers give an instant correction lasting 6 to 12 months.

View before and after gallery
side profile view of chin implants before and after

Who is an ideal candidate for chin and cheek surgery?

A good candidate for chin or cheek surgery has a weak or receding chin that unbalances the profile, or flattening of the cheeks with age or weight loss, and is in good general health.

  • A weak chin that makes the nose appear larger than it is, particularly in profile
  • Flattened or hollowed cheeks that give a drawn or tired look
  • Good general health and realistic expectations of what surgery can achieve

A weak chin and a prominent nose often go together, and treating only one can leave the profile unbalanced – many patients combine chin augmentation with rhinoplasty. If you are unsure about surgery, non-permanent fillers offer a reversible way to preview the change.

Risks and considerations of chin and cheek surgery

Chin and cheek procedures share the general risks of any surgery: bleeding, infection and the risks of anaesthesia, all uncommon in procedures of this length. The risks specific to each procedure are set out below, and your consultant will explain how they apply to you at consultation.

Chin implants

The risks of chin implants include bleeding (rare) and infection (rare). There may be some temporary numbness over your chin and lower lip.

Cheek augmentation

Swelling and bruising are to be expected after fat transfer to the cheeks. Rarely, some of the fat may not survive and become infected (fat necrosis). Fat necrosis may manifest as hard lumps which eventually go away. In a very small number of patients, fat necrosis can be problematic and look like an ongoing infection.

Aftercare and recovery after chin and cheek surgery

Most patients take a few days off work after chin or cheek surgery and return to strenuous exercise at six weeks. Swelling peaks in the first few days and settles over the following weeks.

After a chin implant, the incision sits inside the mouth, so there is no external wound to care for. After fat transfer, the cheeks look fuller than the final result while the early swelling settles.

A nurse reviews you at one week, and more often if needed in the early healing period. Your consultant sees you again at around six months once the result has settled. Between then, your consultant is always available – if anything concerns you, they will respond directly and arrange to see you as soon as needed.

What is the cost of chin and cheek surgery?

A chin implant under local anaesthesia starts from £4,950 at Waterfront Private Hospital.

  • Chin implant (local anaesthesia): from £4,950
  • Chin implant (general anaesthesia): from £5,700
  • Cheek fat transfer (local anaesthesia): from £3,950
  • Cheek fat transfer (general anaesthesia): from £4,900

Each price covers the surgeon’s fee, the anaesthetist’s fee where applicable, the hospital and theatre fee at Waterfront Private Hospital, and all post-operative reviews until you are fully discharged.

The full price for your individual case can only be confirmed after a face-to-face consultation with the consultant who will perform your surgery. Our consultation fee with a consultant plastic surgeon is £200.

Frequently asked questions about chin and cheek surgery

Will the same surgeon plan, perform and review my chin or cheek surgery?

Yes. Mr Awf Quaba assesses you at consultation, plans your surgery, performs it at Waterfront Private Hospital and reviews you afterwards. There are no handovers between surgeons.

What happens if I have concerns after my surgery?

A nurse reviews you at one week, and more often if needed in the early healing period. Your consultant sees you again at around six months once the result has settled. Between then, your consultant is always available – if anything concerns you, they will respond directly and arrange to see you as soon as needed.

How much does chin and cheek surgery cost?

A chin implant starts from £4,950 under local anaesthesia or £5,700 under general anaesthesia at Waterfront Private Hospital. Cheek fat transfer starts from £3,950 under local anaesthesia or £4,900 under general anaesthesia. Prices cover the surgeon’s fee, the anaesthetist’s fee where applicable, the hospital and theatre fee, and all post-operative reviews. A consultation with a consultant plastic surgeon is £200.

What is chin augmentation?

Chin augmentation (mentoplasty) enhances the shape and projection of the chin to improve facial balance. A silicone chin implant gives a long-lasting correction, placed through a small incision inside the mouth with no visible scar. Dermal fillers offer a non-surgical alternative.

What is cheek augmentation?

Cheek augmentation adds volume and definition to the cheeks. Fat transfer uses your own tissue for a natural, longer-lasting result; dermal fillers give an instant correction that lasts 6 to 12 months.

How do I know which option is right for me?

At consultation, Mr Awf Quaba assesses your facial proportions and recommends an implant, fillers or fat transfer based on what you want to change and how lasting you want the result to be. Where you are undecided, a non-permanent filler can preview the effect of surgery.

How long do these procedures take?

A chin implant takes about an hour under local or general anaesthesia. Fat transfer to the cheeks also takes around an hour. Filler treatment of the chin or cheeks takes 20 to 30 minutes.

Are the results permanent?

Chin implants are long-lasting. Fat transfer is semi-permanent: some of the injected fat is absorbed over the first six months, and the fat that survives is permanent living tissue. Fillers last 6 to 18 months depending on the product used.

Is the procedure painful?

Chin implants and fat transfer are performed under local or general anaesthesia. Filler treatment involves only mild discomfort and uses numbing cream. After surgery, discomfort is mild and settles within days.

Can I combine chin and cheek treatments?

Yes. Treating both areas together often gives a more balanced result, and chin augmentation is commonly combined with rhinoplasty. Your consultant will advise on combinations at consultation.

Author

Meet the Team — Quaba Plastic Surgery

Mr Awf Quaba, MB ChB, FRCS, GMC 3034912, is a Consultant Plastic Surgeon with over 35 years of experience. He served as an NHS consultant for over 20 years before dedicating the past 15 years to full-time private practice at Waterfront Private Hospital in Edinburgh. Mr Quaba specialises in facial and breast plastic surgery and offers a range of surgical and non-surgical aesthetic treatments. Full BAAPS member.

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