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- Anesthesia and Pain Management
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- What is Chin Augmentation?
- Effects of Chin Augmentation
- Candidates for Chin Augmentation
- Your Consultation
- The Chin Augmentation Procedure
- What type of anesthesia is used for chin augmentation?
- How is chin augmentation performed?
- Where are the incisions made for chin augmentation?
- Does chin augmentation leave scars?
- Is chin augmentation a painful procedure?
- When will the stitches be removed after my chin augmentation procedure?
- When will I be able to resume work after my chin augmentation surgery?
What is Chin Augmentation?
Chin augmentation is usually done to balance the face by making the chin longer compared to the nose.
You will have x-rays taken of your face and chin, which the doctor will use to determine what part of the chin to operate on.
One surgical approach is to make a cut inside the mouth along the lower gum. This gives the surgeon access to the chin bone. The surgeon uses a bone saw or chisel to make a second cut through the jaw bone. The jaw bone is moved forward to the desired position and wired or screwed in place. The cut is closed with stitches and a bandage is applied. Since the surgery is performed inside the mouth, you can't see any scars.
When you need only a little bit of chin augmentation to round out the chin, the surgeon may use real bone or an implant made of silicone, Teflon, or Dacron. For this procedure, a cut is made either inside the mouth or outside under the chin. A pocket is created in front of the chin bone and under the muscles, and the implant is placed inside. The cut is closed with stitches and a bandage is applied. The scar is barely visible.
Surgery to correct bite problems can be done at the same time as chin surgery.
Effects of Chin Augmentation
The procedure can balance a weak, or receding, chin and make a prominent nose seem less large. A weak chin can also make your neck look overly fleshy. Usually, a chin implant provides a more harmonious balance to your face and features so you feel better about the way you look, especially in profile.
Candidates for Chin Augmentation
A person in good health, without active diseases or any other pre-existing medical conditions and who has a chin too small for her face. Moreover, the human chin can lose projection with aging.
The operation also requires patience and stability in dealing with the healing period. Because swelling may be present for months, the defined, chiseled look that patients so desire may not become evident for three to four months. There is sometimes a lull or depression after surgery and if there is already an emotional problem, this low period can develop into a more serious issue.
You should also have no bone disorders and not have been on Accutane for the last six months or more. Chin implants are additionally used to correct congenital deficiencies and facial trauma.
During the initial consultation, BHMGs Board Certified Surgeon will ask for a complete medical history and will conduct a careful examination to evaluate your overall health.
Pre-operative and post-operative photos will be taken of every patient who wishes to undergo this procedure.
Antibiotics will be prescribed to prevent infection, and also avoid taking drugs with aspirin to minimize bleeding. You are also suggested to shower using an antiseptic soap on the night before or the morning of your surgery.
The Chin Augmentation Procedure
Chin augmentation operations can last thirty minutes to one and one-half hours, depending on the circumstances of your case.
The procedures can be performed with either a local or general anesthetic, depending on patient and surgeon preferences. The surgeon may use some bone or fat from your body, harvested cadaver tissue, silicon implants or a whole range of other synthetic or biological inserts which may even include specially prepared coral. Some implants are made of solid silicone, generally considered safe by most physicians because, they say, there is no scientific evidence that solid silicone is harmful.
In the operating room, your vital signs will be monitored while the surgeon selects the best size and shape to enhance your appearance. He then inserts it into a pocket under your chin. Or, the implant is inserted through the mouth, along the lower lip. Usually, the chin is taped after surgery to minimize swelling and discomfort. Sutures are usually removed in five to seven days.
Chin augmentation is also commonly combined with facial liposuction, where fat is removed from under the chin and under the neck. Chin implants conform to the bone and are usually undetectable. The implant is generally sutured to bone or attached with titanium surgical screws.
You will feel some discomfort and soreness, which you can easily control with medication. You might have to stick to a liquid diet for a day or two. You can resume light activity the day of surgery.
You should be able to return to work and your usual activity within 7 to 10 days. You'll probably have the outside bandage removed within a week of surgery.
The most common complications of chin augmentation are:
- Movement of the implant
Other possible complications include:
- Damage to the teeth
- Loss of sensation
Rare side effects include:
- Blood clots
Nicotine from smoking can delay healing.
What type of anesthesia is used for chin augmentation?
Chin augmentation is performed with general anesthesia.
How is chin augmentation performed?
For chin augmentation, a small incision may be made in the crease beneath the chin or inside of the lower lip. After making the incision, an appropriately sized implant is inserted and placed against the bone of the mandible.
Where are the incisions made for chin augmentation?
The incision for chin augmentation is a small one which may be made inside of the lower lip or in the crease beneath the chin.
Does chin augmentation leave scars?
When the incision is made on the inside of the lower lip, there is no visible scarring. Incisions made in the crease beneath the chin result in a small, well-concealed scar.
Is chin augmentation a painful procedure?
Patients may experience some discomfort, and it may be difficult to talk, smile or perform other facial movements at first. Medication can help to manage any discomfort that patients do experience.
When will the stitches be removed after my chin augmentation procedure?
Stitches are usually removed or dissolve on their own after five to seven days.
When will I be able to resume work after my chin augmentation surgery?
Work and most other normal activities can usually be resumed within about ten days after the chin augmentation surgery.