Recessed or weak chin
Adds forward projection to bring the chin into proportion with the nose and forehead, improving the balance of all three vertical thirds of the face.
Sieveking/Plastic Surgery/Chin Augmentation
Chin Augmentation in Nashville
Stronger Profile · Better Facial Balance
If you have noticed that your profile feels incomplete, that your nose appears more prominent than it should, or that your jawline lacks definition, an underprojected chin may be at the root of these concerns.
A chin that looks like it always belonged there. One that completes the face. Without announcing itself.
Projection. Definition. Improved shape.
Chin augmentation, also called mentoplasty, is a surgical procedure that adds projection, definition, and improved shape to a recessed or underprojected chin. The most common technique uses a solid silicone implant placed precisely over the chin bone to create structural, lasting improvement. In select cases, a patient’s own fat harvested through small-volume liposuction may be used to add subtle volume through fat transfer.
Chin augmentation at Sieveking Plastic Surgery in Franklin, Tennessee, reshapes and projects the chin to create stronger facial balance and a more defined profile along the lower face. Dr. Nicholas Sieveking approaches chin augmentation with the same conservative, natural results philosophy that defines every procedure at the practice. The goal is a chin that looks like it always belonged there, one that completes the face without announcing itself.
The approach
Surgical approaches: implant and fat transfer.
Both approaches are performed as outpatient procedures designed to restore proportional harmony to the lower face. Dr. Sieveking’s consultation process identifies which patients are ideal candidates for an implant and which may need a different path.
The silicone chin implant is the most reliable and predictable approach to chin augmentation. A solid, anatomically shaped implant is placed through a small incision either inside the lower lip (the intraoral approach, which leaves no visible scar) or in the natural shadow crease beneath the chin (the submental approach, which leaves a very discreet scar that fades well over time).
For patients seeking a modest increase in projection without an implant, fat transfer offers a softer alternative. The patient’s own fat is harvested via small-volume liposuction from a donor site and carefully injected to add subtle volume and definition. Results are softer and less precisely predictable than an implant, and some reabsorption of transferred fat is expected over time. This approach is best suited to mild projection concerns or patients who prefer to avoid a synthetic implant entirely.
Concerns chin augmentation can address.
An underprojected chin may be at the root of these concerns.
Poorly defined jawline
Creates a cleaner, more structured lower-face profile visible from every angle.
Facial imbalance on profile view
A chin that falls behind the aesthetic profile line can make the nose appear larger than it is; augmenting the chin restores proportional balance without touching the nose.
Lack of definition at the neck
A stronger chin anchor improves the apparent crispness of the neck and submental area, especially when paired with a neck lift or submental liposuction.
Profile concerns alongside rhinoplasty
Patients planning or recovering from rhinoplasty frequently benefit from simultaneous chin augmentation to preserve overall facial harmony.
Mild projection concerns
For patients seeking a modest increase in projection without an implant, fat transfer offers a softer alternative.
Why choose this procedure
Structural, long-lasting improvement.
Implant selection at Sieveking Plastic Surgery is guided by each patient’s existing anatomy, facial proportions, and goals.
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Stronger facial balance
Reshapes and projects the chin to create stronger facial balance and a more defined profile along the lower face.
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A range of sizes and shapes
Implants are available in a range of sizes and shapes, including styles that add lateral width along the jawline, allowing Dr. Sieveking to tailor the result to each patient’s specific anatomy and goals.
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The whole face in mind
Dr. Sieveking’s 25 years of facial surgical experience and trained eye for proportion mean that sizing and placement decisions are made with the whole face in mind.
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Careful attention to symmetry
Dr. Sieveking creates a precise pocket over the chin bone and positions the implant with careful attention to symmetry and proportion.
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Biocompatible and stable
Silicone implants are biocompatible and stable, not subject to the gradual reabsorption that affects temporary dermal fillers.
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A single surgical session
Chin augmentation is commonly performed alongside rhinoplasty to maintain overall facial proportion after the nose is refined. Combining procedures reduces total recovery time compared with staging them separately.
Realistic expectations are essential: chin augmentation improves projection and proportion predictably when the right implant is chosen for the right anatomy, but it works within the framework of your existing face.
Selected results
Natural, lasting results.
The result is a chin that integrates naturally with the rest of the face, completing proportions rather than calling attention to itself.
What to expect: before, during, and after.
01
Consultation
A thorough facial analysis
The consultation begins with a thorough facial analysis. Dr. Sieveking evaluates the chin in the context of the entire face, examining the relationship between the chin, nose, lips, and neck in both profile and frontal views. You will discuss your goals in detail, review implant size and shape options, and explore whether fat transfer is a meaningful alternative. On-screen imaging may be used to help communicate projected outcomes; any simulation is illustrative and not a guarantee of your individual result.
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Procedure
An outpatient procedure
Chin augmentation at Sieveking Plastic Surgery is performed as an outpatient procedure under general anesthesia or IV sedation in the practice’s brand-new, on-site, accredited surgery center. Dr. Sieveking creates a precise pocket over the chin bone and positions the implant with careful attention to symmetry and proportion. As a standalone procedure, surgery typically takes approximately 45 minutes to 1.5 hours. When combined with a facelift, rhinoplasty, or neck lift, total surgical time increases accordingly.
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Recovery
Recovery and healing
Swelling, bruising, and a sensation of tightness are most pronounced during the first 48–72 hours. Most patients are comfortable returning to desk work within 5–7 days and feel comfortable in social settings after 2 weeks. Strenuous activity is restricted for approximately 3–4 weeks.
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Results
The full settled result
Residual swelling continues to resolve through the first 2–3 months, and the full settled result is typically visible by that point. Unlike rhinoplasty, chin augmentation does not involve a prolonged swelling phase, so most patients see an accurate picture of their outcome relatively early in the healing process. Chin augmentation with a well-chosen silicone implant produces structural, long-lasting improvement.
Why Sieveking
Meet Dr. Sieveking
Why choose Sieveking Plastic Surgery for chin augmentation in Franklin, TN?
A Stanford-trained, triple board-certified (including The American Board of Wound Management, ABWM) plastic and reconstructive surgeon.
Sieveking Plastic Surgery is the only practice in Middle Tennessee integrating world-class plastic surgery, advanced medical aesthetics, and clinical functional and longevity medicine under one triple board-certified (including The American Board of Wound Management, ABWM) physician at one address.
Dr. Nicholas Sieveking is a Stanford-trained, triple board-certified (including The American Board of Wound Management, ABWM) plastic and reconstructive surgeon with more than 25 years of experience and a post-residency fellowship under the legendary Ivo Pitanguy in Brazil.
He has been recognized multiple times as Best Plastic Surgeon in Nashville, and his practice at 1200 Old Hillsboro Road in Franklin serves patients throughout Williamson County, Brentwood, and greater Middle Tennessee.
Investment
How much does chin augmentation cost?
The cost varies based on implant selection, surgical technique, anesthesia, whether the procedure is performed as a standalone surgery or in combination with other procedures, and facility fees. Sieveking Plastic Surgery does not publish a one-size-fits-all price because no two surgical plans are identical.
Contact the practice to schedule a consultation, and Dr. Sieveking will provide a precise quote based on your individual needs.
Questions, answered.
The questions most prospective patients ask before booking a consultation.
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A chin implant provides lasting structural projection through a surgical procedure; the result is immediate in structural change and intended to last without retreatment. Dermal filler provides temporary, soft-tissue volume that gradually dissolves over months and requires repeat treatments to maintain results. Some patients use filler to preview a projected outcome before committing to surgery. Learn more about our dermal filler options if you are considering a non-surgical approach.
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Dr. Sieveking uses either an intraoral incision, placed inside the lower lip with no external scar, or a submental incision, placed in the natural shadow crease just beneath the chin, which heals into a very discreet scar that fades well over time. The submental approach is often preferred when chin augmentation is combined with submental liposuction or a neck lift.
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Risks include temporary or prolonged numbness in the chin and lower lip, swelling and bruising, infection, asymmetry, implant shifting or malposition, and the general risks associated with anesthesia. Serious complications are uncommon when the procedure is performed by a board-certified surgeon in an accredited facility. Dr. Sieveking will review all relevant risks specific to your anatomy and health history at your consultation.
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Yes, and it frequently is. Chin augmentation is commonly performed alongside rhinoplasty to maintain overall facial proportion after the nose is refined, and it pairs naturally with a facelift or neck lift when a patient wants to address both structural proportion and soft-tissue laxity in a single surgical session. Combining procedures reduces total recovery time compared with staging them separately.
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The cost varies based on implant selection, surgical technique, anesthesia, whether the procedure is performed as a standalone surgery or in combination with other procedures, and facility fees. Sieveking Plastic Surgery does not publish a one-size-fits-all price because no two surgical plans are identical. Contact the practice to schedule a consultation, and Dr. Sieveking will provide a precise quote based on your individual needs.
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Good candidates are healthy adults with a fully developed facial skeleton, typically age 18 or older, whose chin is recessed or underprojected, but who do not have a significant bite problem or skeletal jaw misalignment. Realistic expectations are essential: chin augmentation improves projection and proportion predictably when the right implant is chosen for the right anatomy, but it works within the framework of your existing face. Patients who smoke should plan to stop well in advance of surgery, as nicotine impairs healing and increases surgical risk. A consultation with Dr. Sieveking confirms whether chin augmentation is the right approach and whether combination procedures, such as rhinoplasty or a neck lift, would serve you well at the same time.
More in Plastic Surgery.
Facial Sculpting
Begin your journey
Ready to explore whether chin augmentation is right for you?
We invite you to schedule a consultation with Dr. Sieveking in Franklin, Tennessee. All surgical procedures are performed in the practice’s brand-new, on-site, accredited surgery center.
1200 Old Hillsboro Road, B2 · Franklin, Tennessee
Mon–Thu 9–4:30 · Fri by appointment