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Facial surgery · London

Chin augmentation and genioplasty, planned around your whole face.

Filler, custom implant or sliding osseous genioplasty. Chosen with a BAAPS or BAOMS-registered surgeon, on the basis of a CBCT and cephalometric analysis, not a Zoom photo. Orthognathic backup if your bite needs correcting too.

A stethoscope on a clinical desk

Indicative pricing

What chin augmentation costs in London.

Indicative ranges across UK surgeons and CQC-registered hospitals.

In short

A private chin procedure in London: £550 to £14,000, depending on filler, implant or bone.

Procedure Indicative range
Chin filler (HA, 1 to 2 mL per session) £550 to £950
Chin implant (silicone, Medpor or ePTFE) £4,500 to £7,500
Custom 3D-printed chin implant £6,500 to £9,500
Sliding osseous genioplasty £8,500 to £14,000
Combined genioplasty and rhinoplasty £14,000 to £22,500
Consultant assessment, 3D CT and plan £450 to £850

Prices vary by surgeon seniority, hospital (Cadogan Clinic, HCA The Wellington, London Bridge Cosmetic Surgery, King Edward VII's, London Facial Plastic Surgery), implant choice, and whether the procedure is combined with rhinoplasty or masseter Botox.

The problem

Not every recessed chin is a chin problem.

A generic silicone implant put into a patient with class II mandibular retrusion will not fix the bite, will not fix the airway and will not fix the face. Getting the diagnosis right, first, changes everything.

  • Is your chin the real issue?

    A retrogenic chin with a normal bite is a chin operation. A small mandible with a class II bite is an orthognathic operation. Ask for which applies in writing.

  • Worried about looking overdone?

    A 1 to 2 mL filler trial gives you a preview you can reverse. Definitive surgery is planned in millimetres, not on trends.

  • Want a surgeon who does both?

    Look for a BAAPS or BAOMS-registered surgeon whose weekly list includes both cosmetic genioplasty and orthognathic correction.

When it helps

When chin augmentation is the right step - and when it is not.

The most common clinical patterns, plus the findings that point towards a bigger orthognathic conversation instead.

  • Retrogenia with a normal bite

    A recessed chin on profile but the teeth meet correctly. The classic genioplasty or implant candidate, no orthodontics needed.

  • A weak chin unbalancing the nose

    The nose looks too prominent because the chin is set back. Chin augmentation, often combined with rhinoplasty, restores facial harmony.

  • Class II mandibular retrusion

    A small lower jaw with an overjet on bite. Genioplasty alone will not fix the bite. This is a BSSO or bimaxillary case, referred to an orthognathic team.

  • Vertical chin excess or deficiency

    A long or short lower third of the face. Sliding genioplasty can be angled to shorten, lengthen or advance the chin in one movement.

  • Chin asymmetry

    A chin that sits off midline, often from a subtle mandibular twist. Best corrected with a sliding genioplasty planned on CBCT, not with a symmetric implant.

  • Blunted cervicomental angle

    A weak chin with submental fullness gives a poor jaw-neck angle. A chin implant with masseter Botox and possibly submental liposuction gives a sharper profile.

  • A trial with filler before surgery

    A 1 to 2 mL HA filler session is a low-risk way to preview an implant result. If you like it, the definitive procedure can be planned.

  • Red flag: TMJ pain or open bite

    Jaw joint pain, clicking or an open bite is a functional problem. It needs orthognathic and dental assessment before any cosmetic work is discussed.

Procedure options

Chin augmentation is a family of techniques.

What each option actually involves, from a 30-minute filler top-up to a full orthognathic BSSO. Chosen with you, planned on CBCT.

  • Chin filler (HA)

    Juvederm Voluma, Belotero Volume or Restylane Lyft. 1 to 2 mL under local. Immediate result, 12 to 18 months, reversible with hyaluronidase if you dislike it.

  • Silicone chin implant

    A soft Silastic implant placed subperiosteally through an intra-oral or submental incision, fixed with titanium screws. Removable if needed.

  • Medpor porous polyethylene implant

    A porous implant that allows tissue ingrowth for a very stable long-term result. Harder to remove, so used when a permanent commitment is wanted.

  • ePTFE (Gore-Tex) implant

    A soft, well-tolerated implant with good bone contour. Slightly softer feel than silicone, still removable in most cases.

  • Custom 3D-printed implant

    CT-planned, patient-specific implant milled or printed to the exact chin shape. Ideal for asymmetry, revision cases or unusual anatomy.

  • Sliding osseous genioplasty

    A horizontal osteotomy of the chin, sliding the anterior segment forward, back, up, down or asymmetrically, fixed with a titanium plate and 3 to 4 screws. The most versatile option.

  • Combined chin and jaw slimming

    Chin implant or genioplasty with masseter Botox to soften a square jaw. Common in patients wanting a longer, more oval lower face.

  • BSSO orthognathic correction

    Bilateral sagittal split osteotomy of the mandible, advancing the whole jaw. Chosen when the bite is class II, not just the chin. Planned with orthodontics.

Safety and recovery

What to expect afterwards - honestly.

Chin augmentation is well-established but not risk-free. The things worth planning are your infection risk, your nerve sensation and your swelling timeline.

  • Filler: bruising and vascular risk

    Bruising and swelling for 3 to 7 days. Vascular occlusion is rare in the chin but treated urgently with hyaluronidase. Always done by a medically qualified injector.

  • Implant: infection 1 to 3%

    Infection is the main reason an implant is removed. Prophylactic antibiotics, chlorhexidine mouthwash and clean intra-oral technique bring the risk down.

  • Implant malposition or extrusion

    A poorly-fixed implant can shift or, rarely, extrude through the incision. Titanium screw fixation and correct pocket dissection reduce the risk.

  • Bone resorption under an implant

    A well-known long-term finding under silicone chin implants. Usually cosmetically silent but relevant if you may need dental implants later.

  • Genioplasty: inferior alveolar nerve

    Numbness of the lower lip and chin is common in the first weeks. Around 5 to 10% have longer-lasting altered sensation, with 90% recovering by 6 months.

  • Genioplasty: plate palpability

    The titanium plate can occasionally be felt through the gum or skin. It is usually left in place, but can be removed under LA after a year if it bothers you.

  • Swelling and recovery timeline

    Filler: no downtime. Implant: 5 to 7 days of visible swelling, soft food for 1 week. Genioplasty: 2 to 3 weeks of swelling, final result at 3 to 6 months.

  • Occlusion is protected

    A well-planned sliding genioplasty moves only the chin segment below the tooth roots. The bite is untouched, which is why orthodontics is not needed.

  • Red flags after discharge

    Increasing pain, spreading redness, pus at the intra-oral incision, fever, or new numbness spreading beyond the lip - call the unit the same day.

Reading your surgical plan

Your plan in four parts. Read the last one first.

Whichever technique is chosen, the plan the surgeon sends you keeps the same shape.

A London facial surgeon reviewing a CBCT plan for genioplasty

A quiet reminder

Facial surgery language is precise and can feel clinical - a plain-English explanation can help.

If anything is unclear, ask your clinician to talk you through it at your next appointment.

  1. 01 Header

    Diagnosis and facial analysis

    What the surgeon measured: chin projection in millimetres, vertical height, transverse symmetry, cephalometric angles, and the occlusal class.

  2. 02 Plan

    Recommended procedure and movements

    Filler volume, implant type and size, or the exact genioplasty movements in millimetres (advancement, vertical change, midline correction).

  3. 03 Findings

    Intra-operative notes

    Approach used (intra-oral or submental), pocket dissection, fixation method, plate and screw sizes, and any nerve encountered and protected.

  4. 04 Impression

    Aftercare and review schedule

    Read this first: mouth hygiene, soft-food period, when to resume exercise, sensation check dates, and long-term implant surveillance.

Recognised by major UK insurers

BupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealix

Cosmetic chin augmentation is usually self-funded.

Frequently asked

Common questions about chin augmentation.

Quick answers on filler versus implant versus genioplasty, cost, recovery and combining with rhinoplasty.

  • What is the difference between a chin implant and a sliding genioplasty?

    A chin implant adds a shaped piece of silicone, Medpor or ePTFE on top of the bone, fixed with titanium screws. A sliding genioplasty cuts the front of the mandible and slides your own bone forward, backward, up, down or across the midline, fixing it with a plate. Implants are quicker and reversible. Sliding genioplasty is more versatile, can correct asymmetry and vertical height, and uses your own bone.

  • How much does chin augmentation cost privately in the UK?

    Chin filler is roughly £550 to £950 per session. A chin implant is £4,500 to £7,500, or £6,500 to £9,500 for a custom 3D-printed implant. A sliding osseous genioplasty is £8,500 to £14,000. Combined with rhinoplasty, add £5,500 to £8,500.

  • Will chin filler give the same result as an implant?

    Filler is an excellent 1 to 2 mL trial and gives a very good result for mild retrogenia. It lasts 12 to 18 months and is reversible with hyaluronidase. For more than about 4 mm of projection, or for a permanent structural change, an implant or sliding genioplasty is the right answer.

  • Do I need orthodontics before a genioplasty?

    Only if your bite is wrong. A retrogenic chin with a normal class I occlusion is a pure chin problem and does not need braces. A class II mandibular retrusion, where the whole jaw is set back and the teeth do not meet correctly, needs orthodontics and a full BSSO or bimaxillary procedure, not just a chin move.

  • How long is the recovery from a sliding genioplasty?

    Most patients take 2 weeks off work. Swelling is marked for 7 to 10 days and settles over 2 to 3 weeks. Numbness of the lower lip and chin is normal for the first weeks, with the majority of sensation returning by 6 months. Final aesthetic result is at 3 to 6 months once residual swelling resolves.

  • Can chin augmentation be combined with a rhinoplasty?

    Yes, and it is a very common pairing. A weak chin makes the nose look more prominent, so patients seeking rhinoplasty often benefit from a small chin advancement at the same sitting. It adds around 60 to 90 minutes to theatre time and one night in hospital, and gives a much more balanced profile than either operation alone.

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