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Summary
Purpose (Indications)
Receding chin
Sagging or down turning at corners of the mouth
What It Does
Repositions the chin at a more anterior position
Improves neckline
Can reduce sagging of tissues at corner of the mouth
Does not change occlusion or alignment of teeth
Technique
Incision made inside mouth
Medical grade implant inserted over chin to improve projection
Dissolvable sutures used to close intraoral incision
Flesh colored tape placed over chin to secure implant position for one week
Recovery Time
7 days
Recovery Instructions
Ice compresses for first 48 hours to minimize swelling and bruising
Sleep with head elevated for 2 weeks
Liquid diet for 5-7 days
Clean teeth with washcloth or baby tooth brush for 1 week. Do not use adult toothbrush
How Long It Lasts
Permanent
Ancillary Procedures Commonly Performed In Conjunction With Mentoplasty
More Information
Very often, it becomes necessary to recommend correction of a receding chin, in connection with a nasal plastic operation. This occurs because the facial surgeon does not consider the nose as an isolated feature, but rather as part of the face. He thinks in terms of the best profile obtainable for the patient.
Too much recession of the chin, particularly when accompanied by a slanting forehead, will cause the features to taper to a point (if only nasal surgery is done in such cases). Actually, we may advise against any surgery for these individuals, unless the projection of the chin is increased at the time of the rhinoplasty.
Of course, these are people who desire chin augmentation alone, for a receding or weak chin, which has resulted from long-term nasal blockage, enlarged adenoids, or dental problems.
The surgery may be done under “twilight anesthesia” from time of adolescence onward. The operation is usually performed from inside the mouth. When the submental lipectomy (or double chin operation) is performed at the same time, the implant is placed from the incision under the chin. Healing is usually “complete” in 1 week. In many circumstances, this procedure is done in our office; therefore, it is not necessary for the patient to remain in the hospital any longer, if only the nasal surgery is performed.
A medical grade, solid or mesh implant is used to increase skin projection, by supporting the soft tissue overlaying the mandible (“chin bone”). This type material is used to make artificial heart valves, or arteries, reconstruction about the eye, and for many other purposes related to surgery in almost every part of the body. It has been used in thousands of cases and has a high record of safety and satisfaction. After a short time has elapsed, it becomes practically the same consistency as the tissues an becomes incorporated into them.
With chin augmentation, one must be willing to accept certain risks that may occur with any surgery on other areas of the body, (i.e., infection, rejection, paresthesias, swelling and discoloration).
This procedure carries a high success rate and in most cases adds the “finishing touch” when reconstructing facial harmony.
During your consultation, your chin will be analyzed to determine if augmentation should be contemplated. Generally speaking, if one examines their profile in a mirror, the chin projection should approach a vertical line dropped from the lower lip.
Frequently, this procedure may be combined with the “double chin removal” (or submental lipectomy) to “lengthen” a short neck-chin line.
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