Skip to content

The Face

Chin Feminization Surgery (Chin Reduction)

Chin feminization makes the chin shorter, narrower and rounder — reducing its height and width and softening the square front that is one of the clearest masculine markers of the lower face.

Last updated: 22 September 2026 Medically reviewed by: Hetzner Health Medical Board

Chin feminization reshapes the front of the lower jaw to make it shorter, narrower and rounder. Depending on how much change is needed, it is done by shaving the bone surface or by cutting the chin segment free, reshaping it and fixing it back in a new position.

Chin height and shape are among the most consistently sex-dimorphic parts of the facial skeleton. A male chin is typically taller, wider and squarer at the front, with a flatter profile; a female chin is shorter, narrower and more tapered.

How much does chin feminization cost in 2026?

Typical market ranges for surgeon, anaesthesia and facility fees. Indicative figures, not quotes.

CountryTypical rangeApprox. in EUR
United States$11,000 – $21,000€10,000 – €19,000
CanadaC$14,000 – C$25,000€9,500 – €17,000
United Kingdom£7,700 – £13,700€9,000 – €16,000
Turkey (Hetzner Health partner surgeons)€2,200 – €3,800€2,200 – €3,800
Usually includedUsually extra
Surgeon’s fee and surgical teamFlights to and from Turkey
General anaesthesia and anaesthetistHotel nights beyond the planned stay
One night in hospitalJaw contouring, if added (see V-line)
3D CT or cone-beam scan and virtual planningLip lift or other soft-tissue work
Titanium plates and screws where a genioplasty is performedOrthodontic treatment, if your bite needs it
Chin support dressing, antibiotics and medicationTravel insurance
Transfers and interpreter for every appointmentRevision surgery, if it is ever needed

About these figures: indicative ranges for budgeting, not an offer. A real price follows review of your scan. See our Medical Disclaimer.

What does chin feminization change?

FeatureTypical starting pointFeminization goal
Chin heightTall, lengthening the lower third of the faceShortened by 3–8 mm
Chin widthBroad and square across the frontNarrowed, tapering to a soft point
Front shapeFlat plane with defined cornersRounded, with the corners softened
Profile projectionStrong forward projection, or a flat ledgeBalanced against nose and lips
Mentolabial foldDeep crease between lip and chinSoftened
Lower facial thirdsLower third dominantProportionate to the middle third

Vertical height is the measurement to watch. Patients usually describe their chin as “too big”, but on examination the problem is most often that it is too long rather than too projecting. Reducing height changes the face more than reducing projection, and it is the part a chin implant cannot do.

Burring or sliding genioplasty?

Burring (shaving)Sliding genioplasty
What is doneThe outer bone surface is reduced with a burrThe chin segment is cut free, reshaped and re-fixed
Height reductionMinimalUp to 8 mm, sometimes more
Width reduction2–3 mmSubstantial, by removing a central strip
Can move the chin backwards or forwardsNoYes
Fixation neededNoneTitanium plates and screws
Operating timeShorter1–2 hours
SuitsMinor squaring or a small bony prominenceMost feminization cases
Risk to the nerveLowerSlightly higher, managed with planning

Most transfeminine patients who want a visible change need a genioplasty. Burring alone is a reasonable choice for minor corner softening, but it will not shorten a long chin — a limitation worth confirming at consultation, since it is a quicker and cheaper operation to be offered.

Who is a good candidate?

You are likely suitable ifWhy it matters
Your chin is tall or square in front viewHeight and width are what this operation reduces
Your lower facial third looks long in proportionShortening rebalances the thirds
Your dental health is goodThe incision is inside your mouth
Your bite is normalOtherwise a different, larger operation may be indicated
You are in good general health and do not smokeNicotine raises infection risk in intraoral bone surgery
You can stay in Turkey 9–12 daysWounds and swelling need review before you fly

When should surgery be postponed or avoided?

  • Untreated dental or gum disease, which must be resolved before intraoral bone surgery.
  • An untreated bite discrepancy — if your teeth do not meet properly, chin surgery may camouflage rather than correct, and orthognathic surgery should at least be discussed.
  • Roots of the lower teeth sitting unusually low on the scan, which may limit or contraindicate the osteotomy.
  • Active temporomandibular joint disorder, which surgery and prolonged mouth opening can aggravate.
  • Bleeding disorders or anticoagulant therapy, until managed.
  • Ongoing nicotine use, including vapes and patches.
  • Recent chin filler, which distorts assessment. Allow it to settle or be dissolved.

What preparation is needed?

WhenWhat happens
At enquiryPhotographs front and strict profile, lips relaxed and apart
Before the quote3D CT or cone-beam scan showing tooth roots and the mental nerve, virtually planned
Before travelDental check-up and treatment of any active disease
4+ weeks beforeStop smoking, vaping and all nicotine
2 weeks beforePause aspirin, anti-inflammatories, fish oil, vitamin E and ginkgo unless advised otherwise
2 weeks beforeNo chin filler
1–4 weeks beforePause or adjust oestrogen if your surgeon requests it
On arrival in TurkeyBloods, anaesthetic review, scan reviewed with you, plan confirmed

How is the procedure performed?

  1. Virtual planning on the 3D scan maps the osteotomy line safely below the tooth roots and below the mental nerve on both sides.
  2. General anaesthesia is given; the operation takes one to two hours alone.
  3. An incision is made inside the lower lip, along the gum line, and the chin exposed while protecting the mental nerves where they emerge.
  4. For burring, the bone surface is reduced and the corners rounded.
  5. For a sliding genioplasty, a horizontal cut frees the chin segment. A wedge of bone is removed to shorten it, and a central strip removed to narrow it.
  6. The reshaped segment is repositioned — set back, brought forward or rotated as planned — and fixed with low-profile titanium plates.
  7. The transitions are smoothed into the adjacent jaw so no step is palpable.
  8. The muscle layer is carefully reattached — skipping this is what causes chin ptosis, or witch’s chin — and the incision closed with dissolving sutures.

What does recovery look like?

TimeWhat to expect
Days 1–3Marked swelling of the chin and lower lip; numbness of the lip; liquid diet
Days 4–7Swelling peaks then eases; bruising may spread down the neck
Week 2Chin support tape usually discontinued; soft diet; talking easier
Weeks 2–3Back to desk work; swelling clearly reducing
Weeks 4–6Normal diet resumed; numbness beginning to improve
Weeks 6–8Most swelling gone; new shape recognisable
Months 3–6Final contour; sensation largely recovered

Aftercare:

  • Wear the chin support dressing or tape exactly as instructed — it supports the soft tissue while it reattaches to the new bone shape.
  • Liquid diet for three to five days, soft diet for three to four weeks.
  • Antiseptic mouthwash after every intake of food or drink.
  • Sleep with your head elevated for two weeks.
  • No strenuous exercise for four weeks; avoid any impact to the chin for eight weeks.
  • Avoid wide mouth opening for four weeks, including dental treatment.

What are the risks and possible complications?

  • Swelling of the chin and lower lip, universal and slow to settle
  • Numbness of the lower lip, chin and gums from mental nerve stretch — common temporarily, uncommon permanently
  • Chin ptosis (“witch’s chin”) — soft tissue sagging off the new bone shape when the muscle is not properly reattached
  • Asymmetry of the new chin position
  • Palpable plates or screws under thin skin
  • Injury to a lower tooth root, uncommon with proper planning
  • Infection, uncommon but relevant with intraoral incisions
  • Non-union or loosening of the bone segment, rare
  • Over-reduction, producing a weak or receding chin in profile
  • Deepening or flattening of the crease between lip and chin
  • Anaesthetic and thromboembolic risks common to any general anaesthetic

This list is not exhaustive. Seek urgent care for fever, spreading swelling, difficulty swallowing, heavy bleeding or pus from the mouth incision. Your individual risks belong in a documented consent discussion with the operating surgeon.

Can it be combined with other procedures?

Combined withWhy it is often done together
Jaw feminizationChin and jaw form one line; treating both avoids a mismatch at the junction
V-line surgeryThe combined chin-and-jaw operation planned as a single taper
RhinoplastyNose and chin projection are read together in profile and should be planned as a pair
Lip feminizationBoth change the lower-face proportions in the same region
Tracheal shaveAdjacent site, minimal added recovery

What results can you expect?

A shorter, narrower, softer chin, and a lower third of the face that no longer dominates. In profile, the chin sits in balance with the nose and lips rather than pushing forward as a flat plate.

The bone result is permanent and immediate; what takes months is the soft tissue draping over it. What the operation does not change is your bite, your jaw width or the skin under your chin.

On before-and-after photographs: each reflects that patient’s bone, nerve position, soft-tissue thickness and healing. They record one outcome, not a prediction.

How Hetzner Health arranges the process

  1. Online assessment — photographs front and strict profile reviewed by a partner surgeon.
  2. Imaging — 3D CT or cone-beam scan, virtually planned around your tooth roots and nerve position.
  3. Dental clearance — confirmed before intraoral bone surgery is scheduled.
  4. Written plan and quote — burring or genioplasty, millimetres of height and width reduction, whether jaw work should be added, inclusions listed.
  5. Travel — you book flights; we arrange hotel, transfers and an interpreter.
  6. Pre-operative day — bloods, anaesthetic review, scan reviewed with you and the plan confirmed.
  7. Surgery and one hospital night, with a coordinator reachable throughout.
  8. Before you fly — wound check, written aftercare and diet plan.
  9. After you are home — remote review at 1, 3, 6 and 12 months, with the contour judged at three to six months.

Before you decide: this page is general information and does not replace an examination. How much chin height can be removed depends on where your tooth roots and nerve sit, and only your own scan can answer that.

Questions, answered

Everything patients ask us most about chin feminization — before they ever get on a plane.

How much does chin feminization cost in Turkey?

As a planning figure, €2,200 – €3,800 in 2026 with our partner surgeons, covering surgeon, anaesthesia and one hospital night. The same surgery is typically €10,000 – €19,000 in the United States and €9,000 – €16,000 in the United Kingdom. A sliding genioplasty sits at the upper end of the Turkish range; simple burring at the lower end.

What is a sliding genioplasty?

It is an operation in which the chin segment is cut completely free from the rest of the jaw, below the tooth roots and the nerve, then repositioned and fixed with titanium plates. Because the whole segment moves, it can be shortened, narrowed, moved backwards or forwards and rotated. Burring the surface, by contrast, can only take a few millimetres off the outer layer.

Will I have a scar on my chin?

No. The incision is inside the lower lip, along the gum line. Nothing is visible externally. An external approach under the chin exists but is rarely needed for feminization.

How much shorter can my chin be made?

Typically 3 to 8 millimetres of vertical height, and a similar amount of width, depending on your anatomy and where the nerve and tooth roots sit. Your 3D scan sets the limit, not the surgeon's preference. Chin height is one of the most consistent differences between male and female faces, so even 4–5 mm is clearly visible.

Will my lower lip be numb afterwards?

Numbness or tingling of the lower lip and chin is very common in the first weeks, because the mental nerve is stretched during the approach. It usually recovers over three to six months. Permanent numbness is uncommon but is a recognised risk of any chin bone surgery.

Are the titanium plates permanent?

Yes. After a sliding genioplasty the plates and screws stay in place for life. They do not need removing, are safe with MRI, and do not trigger airport security. Occasionally they can be felt through the skin in very thin patients, and removal after full healing is possible if they cause discomfort.

Can a chin implant do the same thing?

No — an implant adds projection, it cannot shorten or narrow a chin. For a chin that is too long or too square, adding an implant makes it worse. Implants have a role when the chin is under-projected in profile, which is less common in transfeminine patients than an over-long, square chin.

What is the difference between this and V-line surgery?

Chin feminization treats the chin alone. [V-line surgery](/facial-feminization-surgery/v-line-surgery/) treats the chin and the jaw as one continuous contour, so the taper runs unbroken from the angle to the point. If your jaw is already narrow and only the chin is square, this operation is enough.

Does it change my bite?

No. The cut is made well below the tooth roots, and the tooth-bearing part of the jaw is not moved, so how your teeth meet is unchanged. If your bite is the problem, that requires orthognathic surgery with an orthodontist, which is a different operation.

How long before the result is visible?

The lower face swells substantially for the first two weeks, then eases. By six to eight weeks the shape is recognisable, and the final contour is settled at three to six months. Chin swelling is stubborn because the soft tissue there is tightly bound to bone.

Sources & further reading

The reference list for this page is being compiled alongside the final medical copy and will be published with it. Every citation on this site is verified against the original journal or institution before release.

About the reviewer

Hetzner Health Medical Board

Clinical Review Board

Our multidisciplinary review board — plastic & reconstructive surgeons, an endocrinologist, an otolaryngologist and a WPATH-aligned mental-health professional — reviews every page of medical content on this site for accuracy and currency. Individual member profiles are being prepared.

Your journey begins with a conversation.

Tell us where you are — we will answer with a plan: surgeons, timeline, quote and every question in between. Free, private and without obligation.

WhatsApp