What are facial implants?
A facial implant is a solid, pre-shaped piece of medical-grade silicone placed against the bone to add projection where the skeleton is short. In profile the face is read as proportions: when the chin sits behind the lower lip, the nose looks larger than it is and normal fat under the chin reads as a double chin. When the angle of the jaw is soft, the lower face has no edge from the front.
Facial implants in Beverly Hills at Dr. Cat Plastic Surgery add structure rather than volume: filler and fat add soft volume that settles, while an implant adds a fixed shape on the bone that holds a clean edge and is permanent. Three areas take implants: the chin (chin augmentation with an implant, by far the most common), the angle of the jaw (mandibular angle implants) and the cheekbones. Solid silicone has nothing to leak or wear out and can be removed; porous polyethylene, which the tissue grows into, is the firmer alternative.
Who is a good candidate for a chin or jaw implant?
The test is in profile. With your teeth together, a well-proportioned chin reaches close to a vertical line dropped from the lower lip; a chin well behind it is receded. From the front, a jaw that narrows steeply from the cheekbones to the chin is the case for a jaw implant.
You may be a good candidate if
- A short or receding chin in profile, with a normal bite
- A soft or sloping angle of the jaw, in a face that is slim at the jaw
- A double chin that is partly a short chin, often treated with chin liposuction in the same surgery
- An adult face, a stable weight, good health, and no nicotine for four weeks before and after surgery
Not yet, or a different plan, if
- A chin receded because the whole lower jaw sits back, with an overbite: an orthodontist or a jaw surgeon first
- A chin short in height as well as projection, or asymmetric: a sliding genioplasty may fit better
- A soft jawline from jowls rather than a weak jaw: a jaw implant sits under the jowl and does not lift it; jowls need a facelift
- An untreated dental infection or gum disease, a changing weight, or nicotine you cannot stop
The mouth must be healthy first, because the incision is often inside it and an infected implant has to come out. Blood thinners, aspirin, anti-inflammatories and most supplements stop two weeks before surgery (the list is in the pre-op instructions), and nicotine four weeks before and after. Our double chin page explains how a short chin makes a normal neck look full; our sagging jowls page, why a jowl needs a lift, not an implant.
Types of facial implants
Chin implant (chin augmentation with an implant)
The most common facial implant, in a range of sizes and two shapes: a central implant for the point of the chin, and an extended implant with tapered wings along the jaw, which also fills the hollow in front of the jowl. The size is chosen from your profile, a few millimeters at a time, because an over-projected chin looks operated on. For a chin implant in Beverly Hills at Dr. Cat Plastic Surgery, our facial plastic surgeon's fee is $8,000.
Jaw implant (mandibular angle implants)
Jaw implants sit on the angle of the lower jaw, beneath the masseter muscle. Placed as a pair, they widen the angle, add height to an angle that slopes, and give the lower face an edge; men ask for them as often as women. Our facial plastic surgeon's fee for mandibular angle implants is $10,000.
Cheek implants
Cheek implants add structure to the mid-face through an incision inside the upper lip, on the cheekbone (malar) or below it (submalar). Lost cheek volume in an aging face is more often restored with fat transfer; a cheek implant suits a flat cheekbone in a young face, and is quoted at the consultation.
How chin implant surgery is performed
The implant, the incision and the pocket
The surgeon measures how far the chin sits behind the line of the lower lip, the height of the chin and the fat and skin under it, and chooses the implant's shape and projection from that. The implant goes in through a short incision in the crease under the chin, which heals as a fine line, or one inside the lower lip, which leaves no scar on the skin. The surgeon lifts the soft tissue off the front of the jaw bone and makes a pocket the size of the implant, below the mental nerves that supply feeling to the lower lip and chin, centers it on the midline and fixes it with sutures or a small screw. Sutures under the chin come out at about a week; those inside the mouth dissolve.
Jaw angle implants
Mandibular angle implants go in through incisions inside the mouth, behind the last molars, so no scar shows: the masseter is lifted off the angle, a pocket is made over the bone, and the implant is seated and fixed before the lining is closed with dissolvable sutures. Under the masseter, they leave the jaw stiffer and more swollen than a chin implant does.
Surgery day
A chin implant takes about one to two hours; jaw implants, or a chin implant with liposuction, longer. It is done under local anesthesia with sedation in the practice's office, or under general anesthesia with a board-certified anesthesiologist in its QUAD A accredited surgery center on Rodeo Drive, decided at the consultation. You go home the same day with someone to drive you, with tape over the chin and, for an incision inside the mouth, antibiotics and a rinse.
Performed by our facial plastic surgeon
At Dr. Cat Plastic Surgery facial implants are placed by our board-certified facial plastic surgeon, whose whole practice is surgery of the face. He has been a colleague of Dr. Cat Begovic for more than a decade, and the two have operated together; his results are held to the practice's standard: natural, and nothing that reads as an implant.
Chin implant removal and revision
A chin implant can be removed, and it is not a difficult operation: the surgeon reopens the same incision, opens the capsule around the implant and lifts it out, usually in under an hour under local anesthesia with sedation; the tissue settles over a few weeks, and some patients have a smaller implant placed at the same time. Our facial plastic surgeon's fee for chin implant removal is $12,000.
Revision chin augmentation corrects an implant, from any surgeon, that has shifted, is the wrong size or shows its edge: it comes out, the pocket is remade, and a new implant is placed. Our facial plastic surgeon's fee is $12,000 to $15,000; the revision consultation is $1,500, credited toward surgery.
Chin implant, chin filler, fat transfer or a sliding genioplasty?
Four things can bring a chin forward, and they are not interchangeable.
Chin filler: the preview
Hyaluronic acid filler over the chin bone adds projection for about one to three years, in an office visit with no downtime; at the practice our facial plastic surgeon injects it, priced per syringe. It cannot add much projection without looking soft, but it is the best preview of a stronger chin; our facial fillers page and our post on chin implant vs chin filler compare the two.
Fat transfer
Your own fat, placed along the jawline or over the chin, is a permanent soft augmentation for a face that needs fullness rather than an edge; part of it resorbs and it cannot hold an implant's definition, so it is usually chosen for the cheeks. Our page on fat transfer to the face covers it.
Sliding genioplasty: the bone operation
A sliding genioplasty cuts the front of the chin bone through an incision inside the lip, slides the segment forward and fixes it with a small plate. Nothing foreign stays in the face, and it can lengthen a short chin or straighten an asymmetric one, which an implant cannot; the trade is a bigger operation on bone with a longer recovery, and the choice is made at the consultation.
Combining facial implants with other procedures
A chin implant is often combined, because it corrects a proportion rather than a feature. With rhinoplasty: the nose and the chin are read together in profile, so a prominent nose over a short chin looks larger than it is, and bringing the chin forward can do as much as reducing the nose. With chin liposuction: fat over a short chin is the commonest double chin in a slim patient, and the two work on the same angle from opposite sides in one surgery; our facial plastic surgeon's fee for neck liposuction alone is $5,000, and once the skin has loosened the operation becomes a neck lift.
With buccal fat removal: a slimmer lower cheek over a defined jaw. With a facelift: an extended chin implant adds projection to a jawline the lift has tightened. Each combination is one anesthesia and one recovery, quoted as one figure.
Facial implant recovery timeline
Recovery after a chin implant is short and mostly swelling; jaw implants add a week or two of stiffness. Our facial plastic surgeon gives you his own written instructions.
- The day of surgeryHome within a few hours with someone to drive you. The chin feels tight and numb rather than painful; most patients manage with Tylenol and a few days of prescribed medication.
- Days two to threeSwelling peaks and starts to fade; bruising, when there is any, sits under the chin. A soft diet, and a mouth rinse after meals.
- One weekSutures under the chin come out. Most patients are back at a desk; the chin still looks larger than it will.
- Two weeksMost visible swelling is gone and you are presentable. Light exercise resumes; nothing that risks a blow to the face.
- Six weeksFull exercise, including running and lifting; contact sports wait for the surgeon's clearance.
- Three monthsThe final shape: the deep swelling has gone, the implant feels like your own bone, and any numbness has usually resolved.
- One yearThe scar under the chin, if that incision was used, has faded to a fine pale line. The result is permanent.
Risks and safety
A chin implant is a small operation, and still surgery: what can happen and how the risks are reduced.
What can go wrong
- Infection, the risk that matters most with any implant: if it takes hold, the implant comes out and a new one is placed months later; the risk is higher in smokers
- Shifting: an implant off the midline, too high or low, or rotated, which shows as asymmetry and needs a revision
- Numbness of the lower lip and chin from stretch of the mental nerve, usually temporary; a hematoma or seroma in the first days
- A visible edge in thin tissue, or an implant that reads too large or small once the swelling settles; slight bone remodeling under the implant over years; the risks of anesthesia
How the risks are reduced
- A surgeon whose practice is facial surgery and who places chin and jaw implants regularly
- A healthy mouth, antibiotics around the operation, a mouth rinse for an incision inside the mouth, and no nicotine for four weeks before and after
- A pocket made to the size of the implant, below the mental nerves, the implant centered and fixed; a size taken from your profile, with a filler preview first when you are unsure
- Local anesthesia with sedation in the office, or a board-certified anesthesiologist in a QUAD A accredited surgery center, and follow-up visits through the first months
How much does a chin implant cost in Beverly Hills?
Our facial plastic surgeon's fee for a chin implant is $8,000, for mandibular angle implants $10,000, for chin implant removal $12,000, and for a revision chin augmentation $12,000 to $15,000; cheek implants are quoted at the consultation. Those are surgeon's fees: the operating room and anesthesia are quoted with them at the consultation, so your written quote is one figure.
The implant itself is a small part of the price; what you pay for is the judgment in choosing its size and the precision of the pocket, and revising a shifted implant costs more than the original surgery done well. Insurance does not cover a cosmetic facial implant; our plastic surgery cost guides explain what a quote at the practice is made of.
Consultation fee and financing
A consultation is $500, or $1,500 for a revision consultation, credited in full toward your surgery. The practice partners with Cherry, its primary financing partner, and also accepts CareCredit and Alphaeon Credit; see financing and payment plans.
Your consultation
It starts with a free 15-minute discovery call with our Patient Concierge, who books your consultation with our facial plastic surgeon: in person on Rodeo Drive or, for out-of-town patients, by private video consultation through OnPatient, the HIPAA-secure patient portal. He reviews your history, medications, dental health and any filler in the chin, then examines the face in profile and from the front: the chin against the lips, the bite, the fat and skin under the chin, and the jaw angles. You leave with a written quote and a plain answer to which implant, if any, your face needs.

