Dr. Oldham is announcing that Covid-19 realities have led him to accelerate his timetable for retirement.  Dr. Michael Vincent, a widely respected local plastic surgeon, has agreed to be available to see Dr. Oldham's patients who need plastic surgery services. Rated as a "Top Plastic Surgeon" by Washingtonian Magazine, Dr. Vincent also served as Consultant to the White House and Congress and as surgeon for two past Presidents before starting his career in private practice in Rockville.  

Dr. Vincent's contact information is:

15245 Shady Grove Road #155

Rockville, MD 20850

240 912-4708

Thank you for your interest in our practice.

Improve Your Facial Harmony with Chin Augmentation Surgery

Proper proportions between the eyes and the nose, as well as the cheeks and the chin contribute to an attractive appearance. While a strong, proportionate chin can bring balance to other parts of the face, an undersized chin can detract from your overall facial harmony. A recessed chin can make the nose appear more prominent, or contribute to sagging along the neck. If you are unhappy with the appearance of your chin, Dr. Roger J. Oldham can perform a chin augmentation procedure at his Bethesda, MD, practice, tailored to your unique facial features.

Am I a Candidate for Chin Augmentation?

Ideally, the chin should fall between one millimeter to three millimeters behind a vertical line dropped from the border of the lower lip. If the chin is farther back, you may suffer from inadequate projection and qualify for treatment. Patients primarily seek chin enhancement to address cosmetic concerns such as:

  • A receding or poorly projecting chin
  • A double chin, jowls, or a heavy neck 
  • A sagging jawline
  • A narrow or small chin
  • Disproportionate features, such as an excessively large nose
  • An overbite

Recent research reveals that facial bones can begin to shrink and thin as you age. However, chin implants have built-in contours to correct for bone loss and improve the silhouette of the neck. While chin augmentation can improve some malformations, certain patients are better served with other surgical procedures. Patients with more severe cases may not achieve desired results with a chin implant alone. The best way to ascertain if an aesthetic chin surgery is right for you is to contact our office and schedule a consultation to discuss your options with Dr. Oldham.

Your Initial Consultation

During your consultation, Dr. Oldham will evaluate your facial proportions, and determine if a chin augmentation can deliver the results you are looking for. He will also ensure you are generally healthy and do not suffer from conditions which can compromise your safety during or after surgery. Chin augmentation can be performed as a stand-alone treatment, or combined with another cosmetic facial surgery, such as rhinoplastyfacelift, or liposuction for more comprehensive results. Dr. Oldham can design a treatment plan that reflects your aesthetic goals and complements your features. Together you can select the shape and size of your implant, as well as determine the target area for placement. Implants come in small, medium, and large sizes and can be composed of a variety of materials. Typically, the implant is made of biocompatible, medical-grade silicone, and can be placed in the pre-jowl area or the very front of the chin.

The Procedural Process

Chin augmentation is an outpatient procedure. It can be performed under either sedation or general anesthesia, and may last between 45 minutes to one hour and a half. Once you are sedated, Dr. Oldham will make a very small incision concealed under your chin or inside the mouth, where your lip meets the gums. Intra-oral incisions can also be used but they carry a higher risk of infection. Ultimately, the choice of implant method will depend on your facial structure and your individual needs.

A chin enhancement helped this patient achieve a smooth, youthful jawline, rejuvenating her overall appearance.

Through the incision, Dr. Oldham can create a pocket directly over the bone along the lower jaw. This area is designed to accommodate the implant. Using sizers, Dr. Oldham can reshape or trim the implant as needed to ensure optimal results. He can then place the chin implant along the lower border of your jawbone, making any necessary modifications before securing the center of the implant in place with sutures. Finally, Dr. Oldham can tighten the overlying tissues over the implant and close the incision.

As a board-certified plastic surgeon with over three decades of experience, Dr. Oldham has been repeatedly recognized as a Top Doctor in Washingtonian Magazine. He will work with you to design a procedure tailored to your unique needs.

Recovery and Aftercare

It is common for patients to experience mild discomfort after a chin augmentation procedure. You may notice some bruising, swelling, and stiffness, which can be managed with over-the-counter or prescription pain medication. Swelling and bruising typically fades in seven to ten days. Your ability to chew properly may also be limited. As such, we generally recommend patients eat soft foods and liquids for the first few days.

We will provide you with a light supportive garment to help maintain the correct position of your new implant and minimize swelling during the healing process. The compression bandage along with cold compresses can help to accelerate healing. Be sure to change bandages regularly. While complications from this procedure are rare, it is important to schedule regular follow-up appointments with our team, so we can monitor your progress.

You should expect about ten days to two weeks of downtime. Physical activity will be restricted for about six weeks to allow the chin to heal fully and properly. Your chin enhancement may appear slightly larger for the first four to six weeks until swelling as dissipated. 

Choosing Your Facial Plastic Surgeon

Choosing the right surgeon is the first critical decision you will make regarding your chin augmentation. As a board-certified plastic surgeon with over three decades of experience, Dr. Oldham has been repeatedly recognized as a Top Doctor in Washingtonian Magazine. Pairing technical skill and an eye for beauty, he will work with you to design a procedure tailored to your unique needs. When you entrust your care to our team, you can feel confident that you will receive the highest quality services and exceptional results.

Schedule Your Consultation Today

Whether your cosmetic goal is to create a stronger jawline, enhance your profile, or achieve greater balance between your features, a chin augmentation may be the solution. To learn more about your candidacy for this procedure, please reach out to our practice online or by calling (301) 530-6100 to schedule your consultation today. Our friendly team would be happy to answer any questions regarding the treatment process, recovery, and financing options.

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Phone: (301) 530-6100
Fax: (301) 530-6104