Genioplasty: About The Operation

Additional indications for surgery can be determined by the plastic surgeon during the initial consultation. Genioplasty…

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About The Operation

Indications

Plastic surgery, designed to change the shape of the chin, may be recommended if there are the following indications:

• underdevelopment of the chin, too small size, obliqueness;
• too large, protruding, massive chin;
• congenital or acquired, post-traumatic asymmetry of the chin;
• change in the shape of the chin due to bite problems, anomalies of the skeletal system.

Additional indications for surgery can be determined by the plastic surgeon during the initial consultation. Sometimes the doctor combines chin shape correction with other operations – nose, forehead, zygomatic area correction.

Contraindications

Among the key contraindications to mentoplasty, whether it be chin reduction, implant correction or other interventions, we can highlight:

• any type of malignant tumors;
• damage to the heart and blood vessels, which lead to a general severe condition of the patient;
• disorders in the endocrine system (including diabetes mellitus);
• pathology of the coagulation system, vascular lesions;
• acute infections, exacerbation of chronic pathologies;
• tendency to form keloid scars.

After consultation and examination, the doctor can determine additional contraindications to the intervention.

Preparation

Depending on the volume of mentoplasty (increasing, reducing plastic of the chin), the volume of preliminary examinations will vary. Consultation with an orthodontist and dental surveys may be required, especially if bite correction is required. This can be a determining factor in choosing the method and duration of the operation. Before the intervention, the doctor specifies how much the chin plastic surgery costs, prescribes the necessary tests and instrumental studies. The list of preparatory activities includes:

• laboratory tests – general analysis of urine, blood, biochemical tests, coagulogram, tests for HIV, syphilis, viral hepatitis;
• electrocardiogram;
• fluorography.

It is also necessary to consult a general practitioner, examine an anesthetist, if necessary, a consultation with orthodontists and maxillofacial surgeons.

Types Of Operations And Stages

If it is necessary to perform a reduction mentoplasty or an increase, correction of the shape of the chin, the doctor can use one of the options for surgical access – internal or external. With external access, the incision is made in the area of ​​the skin fold under the chin area. With internal access, the incision is made in the lower arch of the vestibule of the mouth, in the area where the lips pass into the gums. This approach is less traumatic, does not leave visible scars after surgery, and reduces the recovery time after plastic surgery.

In the presence of a beveled, small chin, the doctor can apply plastic surgery using implants, or form bone bridges. For prosthetics, silicone prostheses or biocompatible ones made of cartilage are used. They are installed using intraoral access.

If it is necessary to correct the chin without the use of implants, bone mentoplasty is performed – dissection of the jaw bone with its forward movement and subsequent fixation with plates with screws. With asymmetry, osteotomy is used with the displacement of parts of the bone to the midline.

With an excessively protruding chin, the bone bridge is removed, an osteotomy is performed, the bone fragments are shifted back, sometimes partially removed. Additionally, the tissues that form the double chin are corrected, and the tissues are lifted. The operation is performed under general anesthesia, depending on the complexity, it lasts from an hour to 3-4 hours.

Postoperative Period

The rehabilitation period depends on the scope of the intervention and the type of anesthesia. When correcting soft tissues with local anesthesia, the patient is observed for about 2 hours, then he goes home. When performing general anesthesia and extensive intervention, you need to stay in the hospital for up to two days. The patient is under the supervision of a doctor and nurses.

In the first week after the operation, there is swelling of the tissues in the area of ​​intervention, bruises in the area of ​​the cheeks and lips. Soreness when chewing and talking can be eliminated with the help of analgesics. For recovery, it is recommended to wear a special fixing bandage, use warm semi-liquid and soft food, avoid spicy, hot and irritating drinks and foods.

It is important to regularly brush your teeth and rinse your mouth after each meal, avoid physical activity, especially bending over. At the time of rehabilitation, a trip to the sauna and bath, swimming pool, and the beach is prohibited. It takes up to 4-6 weeks to get used to the implant and heal the tissues.

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