Chin implantation creates a pleasing balanced profile by inserting a medical-grade implant to advance a recessed chin. An implant is frequently used to improve a "weak" chin that may be the result of long term nasal blockage, enlarged adenoids, dental problems or heredity. This surgery improves facial harmony and often results in increased self-confidence. It is one of the more gratifying procedures in facial profile correction. The improvement can be dramatic.
Recent improvements in surgical materials have resulted in implants that become incorporated into the chin tissue. Implants are available in many shapes and sizes so the procedure can be customized for each patient. Shortly after implantation, the materials become attached to the surrounding tissue. Materials that compose the implants have been used for many years and are considered safe.
During consultation, Dr. English analyzes the chin and jaw to determine if an implant will improve the facial profile. In considering the profile, the chin projection should usually be even with or slightly in front of a line drawn downward from the lower lip. A well-defined chin gives balance to the face and creates a major portion of the lower facial profile.
Many surgeons will recommend a chin implant along with nose surgery, facelift, or facial liposuction. This recommendation is made because the surgeon does not consider the chin as an isolated structure, but as an important feature of the face. The combination of procedures may result in better facial harmony.
Many surgeons will recommend a chin implant along with nose surgery, facelift, or facial liposuction. This recommendation is made because the surgeon does not consider the chin as an isolated structure, but as an important feature of the face. The combination of procedures may result in better facial harmony.
The Procedure
At the English Plastic and Cosmetic Surgery Center Surgi Spa, a chin implant is performed by using local anesthesia with I.V. sedation or general anesthetic, if combined with other procedures. A small incision is made either in the natural crease line just under the chin or inside the mouth just above where gum and lower lip meet. The implant is inserted into a small space that is created by the surgeon then fine sutures are used to close the incision. If the incision is inside the mouth, no external scarring is visible. If the incision is under the chin, the scar fades over time, becoming nearly imperceptible.
Recovery
Immediately after the procedure,?Dr. English may apply a pressure bandage that is removed in the office the day after the surgery. After the pressure bandage is removed, there may be tape over the incision. This tape stays in place for five to seven days and is removed at the next office visit.
Recovery is rapid although there is mild to moderate discomfort that is controlled with prescribed medications. Chewing is limited immediately after chin implant surgery, and a liquid or soft food diet is required for several days if the incision is inside the mouth. Some activities, such as lifting and bending are limited for several days following the procedure. Facial expressions are also restricted to avoid slippage of the implant for 2 - 4 weeks.
Numb and firm areas are common following chin surgery, but are rarely long lasting. After approximately six to twelve weeks, most numbness, as well as swelling and bruising are gone.
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