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Chin augmentation is the use of synthetics or biologicals to augment, or make the mentum/menton: the lower portion of the face lying below the lower lip and including the prominence of the lower jaw -- called also chin] bone structure of the face more prominent. It can give balance to an otherwise less defined face or further augment an already existent chin structure. The fleshy pad of the chin is normally from 8 to 11mm thick.

Are You A Candidate For Chin Augmentation?

You must have no bone disorders, are not or have not been on Accutane for the last 6 months or sometimes more (it causes excessive facial bone growth, called Hyperostosis, and increased, keloid-like scarring after skin trauma (such as incisions). Only a qualified plastic surgeon can determine this after speaking to you as well as going over your medical history, examining your facial structure and skin. You must realize that no doctor can perform miracles but a highly skilled surgeon can transform what you do have into a more balanced look altogether.

Do You "Need" Chin Augmentation?

Now the question is, do you need Chin Augmentation? If so, what area would you like enhanced? Is it the chin only or also the jaw line? What "look" are you trying to achieve and do you desire a very prominent chin, rejuvenation or subtle improvement? You can take a photo of yourself and draw a line from the most prominent part of your brow (between the eyebrows) to your chin. A balanced chin to brow ratio would be a vertical line from these two points. However, females can "get away" with having a smaller, or slightly deficient chin.

Risks, Complications & Contraindications Associated With Chin Augmentation:

Unfortunately, all surgeries have risks and complications. Although chin augmentation is not a comparatively difficult and invasive procedures - complications can and do happen. These include allergic reaction to the anesthetic used.

Infection

You could develop a post-operative infection and need to have the implant removed, the infection dealt with and still have to wait for several months before an additional surgery can be performed to re-implant. Infections usually occur with the first few weeks. Some possible infections and a more common one being Staphylococcus, or simply Staph. A more severe one is Methyl Resistant Staphylococcus aureus, or MRSA. This strain is a Methycillin-resistant "bug", but is not considered a "super bug" and is usually sensitive to at east 3 types of antibiotics. In itself it is very rare, much less with BA.

Be sure your thoroughly wash the face and neck area with an anti-bacterial soap such as Hibiclens or Anti-bacterial Dial for a few days before surgery.

Some patients are instructed to wash with these anti-bacterial soaps every day for 3 days beforehand. This precaution will assist in ridding the immediate area of Staph which naturally occurs on the skin. Your surgeon will also "scrub" your face and neck with Betadine solution right before your incision is made.

Hematoma Seroma

There is a risk of developing a hematoma [: a mass of usually clotted blood that forms in a tissue, organ, or body space as a result of a broken blood vessel ] or a seroma [: a collection of the watery portion of the blood of an animal which may need to be aspirated]

Implant Shifting (Displacement) & Asymmetry

There could be asymmetry due to malposition of the implant by the surgeon, swelling, trauma, hematoma, or general . There is also the risk of "shifting". If this happens a second surgery may be needed to reposition the implant.

Extended Loss of Sensation (Numbness)

Although you will be numb from the anesthetic and swelling -- as you heal various areas will regain sensation before others. Remember that you are healing and to be patient. Numbness of the lips should subside in 2-3 weeks post op. If not, the implant sometimes may need to be trimmed or the "wings" (if applicable) moved downwards soon after to prevent permanent loss of sensitivity. Let your surgeon know if you still have lip numbness after the 3 week period. The surgery to correct this is usually performed within 4 weeks after the original surgery.

Chin Surgery

Insertion of a chin implant may take anywhere from 30 minutes to an hour. During the procedure, the surgeon selects the proper size and shape implant to enhance your appearance and inserts it into a pocket over the front of the jawbone. The small incision to create the pocket and insert the implant is placed inside the mouth (along the lower lip) or in the skin just under the chin area.

Usually, the chin is taped after surgery to minimize swelling and discomfort. Sutures in the skin will be removed in five to seven days. If an intra-oral incision is used, the sutures will dissolve.

Recovering from Chin Surgery

You will experience some discomfort and swelling in the affected area for several days. It's normal to experience some temporary difficulty with smiling and talking. Black and blue marks may be visible around the chin and neck. Your plastic surgeon will instruct you about dental hygiene, eating and any restrictions to your activities after surgery.

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Cosmetic-Surgery Blog by Dr A. Mounir

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