Chin augmentation is used to give volume to a disproportionately small or receding chin that undermines facial balance and harmony. The procedure performed to remedy a receding chin consists of inserting a mesh in an internal “pocket” formed below the lower lip, so as to build up the chin to the extent necessary to obtain a round shape consistent with the profile of the face.

The procedure performed by Prof. Mattioli aims to create a natural volume, that will last over time, by inserting a mesh as is commonly used in abdominal and inguinal hernia operations; the mesh consists of strips made from materials compatible with human tissues.

The procedure entails the incision done at the mucus of the lower lip, from where a pocket is created by draining the periosteum of the jaw bone. This pocket is filled with the mesh used also in hernia surgery and the amount used is proportional to the volume desired. This type of procedure is preferable compared to the traditional type of procedure which, for other motives, entails the insertion of a silicon prosthesis.:

• the silicon prosthesis is difficult to introduce due to its dimensions and also because of this requires a bigger incision;
• the prosthesis is available only in standard models with three sizes: small, medium and large; this limitation, however, is a hindrance to the personalization of the chin, which has to be modeled in proportion with the facial lines;
• in the medium-long term, the silicon prosthesis may shift about, given that it lies on a bone surface that is not flat. This may cause a worsening of facial harmony compared to the original situation;
• the prosthesis is a solid material and therefore difficult to lay on the chin’s bony part. With time, a reabsorption of the bone may occur and cause pain in the lower incisors.

All these discomforts are removed through the use of a specific mesh that can reach the desired volume and chin’s curve and protrusion. Moreover, the mesh used for additive mentoplasty procedures cannot move about inasmuch as with time, it is invaded by the cicatricial tissue which prevents it from shifting.