The chin

The chin is a critical part of the face and can enhance or restore the facial profile. The aesthetics of the nose, chin, jaw, and neck are related and should be evaluated together. Changes in one area can affect the other so it is important to have a comprehensive evaluation.
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Moving the chin forward improves the facial profile and can also improve the contour of the neck. It can also help balance a strong nose. Dr. Ivey is fully equipped to treat the bony and soft tissue deficiencies or excess of the facial skeleton.

An osseous genioplasty can address both vertical and horizontal abnormalities of the chin. It provides a natural (using your own tissue – no implant) and permanent result. A benefit of osseous genioplasty is that it uses your own tissue and the incision is hidden inside the mouth. This is also a great option for facial feminization or gender confirming surgery.

Dr. Ivey is especially qualified to perform osseus genioplasty surgery and performed many during his craniofacial fellowship and continues to offer this procedure in practice.

A customized chin implant can be used to provide augmentation as well. Dr. Ivey is also able to use your own fat as an en bloc graft to provide chin augmentation vs. fat grafting in milder cases. The fat is taken from the lower abdomen with a small incision or from the neck if it is to be combined with a neck lift.

The other option is a silastic implant that can be manufactured to fit your bone. This is done by first obtaining a CT scan. The implant is then designed by Dr. Ivey to project and augment only in the areas that are needed. This is sometimes extended onto the jaw and called a wrap around jawline implant. The benefit of this is that it allows for augmentation of the jaw angles in addition to the chin.

If only a small augmentation of the chin is needed Dr. Ivey is able to use a highly viscous hyaluronic acid filler such as Volux®, Voluma®, Lyft® or fat grafting. With the new generation of soft tissue fillers the results are highly predictable and long lasting.

The Process:

01.Consultation:

First, you will arrive for your consultation at our clinic in Kihei, HI or you will log on for a telehealth video consultation if you reside off the island of Maui. 
During your consultation you will discover that Dr. Ivey is a generous and active listener who takes all the time necessary to assess your goals, answer questions, and curate a one-of-a-kind treatment plan for your successful outcome.

02.Procedure Plan:

After listening to your desired outcome and specific areas of concern Dr. Ivey discusses possible procedure options that will address these challenges. This helps to strengthen the communication between you and Dr. Ivey and leave no doubts about what your individual goals are vs. what is surgically possible.

03.Surgery Coordination:

The next step is to experience your Pre Op Visit at our clinic. During this visit our office staff will guide you through the day of surgery expectations and you will meet with Dr. Ivey again to revisit the specific, individualized plan that he has for you. We encourage you to ask any questions you may have for the surgeon at this time.

04.Pre-Op Visit:

05.Surgery Day:

The day of surgery starts at our AAAHC accredited surgery center in Kihei, HI. Once you are checked in you will begin by taking preoperative standardized photos. The surgical markings will follow the photos. Any last minute concerns may be addressed at this point and then Dr. Ivey will turn you over to the anesthesia and nursing team. An IV will be started and your anesthesia provider will review the plan with you and address any questions. Your OR team are dedicated to the safety of your surgery and your beautiful result. Your caregiver will be given appropriate notice in order to pick you up after you are recovered from anesthesia.

06.Follow Up Consultation:

Depending on the surgery performed, follow up visit may occur as early as the following day. At this point dressings will be changed, sutures or drains will be removed, and all postoperative care will be discussed. The first 2 weeks may be filled with many visits depending on need. Then a 6 week and a 3 month follow up visit will be arranged. In the case of traveling patients a 6 week and 3 month telehealth visit will be arranged. At the three month visit postoperative photos will be taken. This is an exciting time to discuss and celebrate the early result with Dr. Ivey.

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Why Patients Choose Dr. Ivey

“I had the best experience with Dr. Ivey. I came to him with a few ideas of what I’d like to have done and he provided really useful insight for the best results. We ended up going for a chin augmentation and jawline filler which made such a huge difference to my overall appearance. Dr. Ivey talked me through the entire process which was basically completely painless. He’s very knowledgeable and experienced in this field, I couldn’t be happier with the results! He’s the best surgeon you’ll find on Maui!”

Hayleigh C.

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Chin (Genioplasty) and Jawline

The chin

The Process:

01.Consultation:

02.Procedure Plan:

03.Surgery Coordination:

04.Pre-Op Visit:

05.Surgery Day:

06.Follow Up Consultation:

Before & After Gallery

Why Patients Choose Dr. Ivey

Hayleigh C.

We Can’t Wait To Help You Look & Feel Your Best

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