Chin implant helps to improve the underlying facial structure and create balanced facial features for a dramatically more attractive look. This operation can also be performed at the time of rhinoplasty to help to balance the facial proportions. It may be combined with a facelift, liposuction, or other facial implants as well.
Chin repression is important to the facial plastic surgeon. Facial beauty results from symmetrical and harmonious proportions. The weak chin-mandibular complex suggests a lack of character strength - a deficiency in forcefulness. Chin retrusion is of importance to the facial plastic surgeon as it is a commonly encountered defect patient seeking in rhinoplasty. Many patients are, however, unaware of the defect as a part of their facial imbalance. Patients with a retruded chin who are seeking rhinoplasty may be counseled not only with respect to the nasal profile but the whole facial profile including the chin can be taken into consideration in order to improve the results of surgery and enhance patient satisfaction. That also means chin implant and nose surgery can be considered together in maintaining facial imbalance if the patient has one. However, the vast majority of patients requiring chin augmentation usually have underdevelopment of the mandibular symphysis (microgenia) with normal occlusion. In these patients, mentoplasty alone is sufficient to provide an adequate profile.
Silicone implants are the most frequently used material for chin augmentation operations. Silicone is a firm, flexible, and highly resistant material available for chin augmentation. In addition, it is inert and relatively non-reactive to body tissue fluids and does not become absorbed or calcified, or undergo degeneration. There are various types of silicone available for augmentation mentoplasty. If necessary, these silicone implants can be carved and tailored to the patient’s needs.
Chin augmentation with grafting is also possible. Problems with the use of grafts include absorption, the necessity for another surgical procedure at a donor site, rejection, and subsequent change in shape, position, and final volume. For this reason, we use solid silicone implants for chin augmentation.
A small incision just posterior to the sub-mental crease is made extending 1/2 - 1 cm to either side of the mid-line. The pocket should be made just large enough to prevent the implant from shifting and doubling up if the pocket is too small. Then the implant is placed within the pocket and stitched up with dissolvable stitches. The incision line will become hardly visible in 3-4 weeks' time and almost non-visible at the end of the healing process.
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The aim of this article is to give you a general information about the surgical intervention in question. You need to make more research about possible complications and risks of this selected procedure in order to make an informed decision. Please note that complications occur more frequently with patients who are obese, smoke, and have a history or lung or other chronic underlying medical conditions.
Smokers are recognized to have a significantly higher risk of post operative wound healing problems with a subsequently higher potential of infection as well as operative and post operative bleeding. Patients should discontinue smoking for two weeks before and two weeks after surgery. Although it helps to stop smoking before and after surgery, this does not completely eliminate the increased risks resulting from long term smoking. Smoking also has a long term adverse effect on the skin and ageing process.
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