Genioplasty: How to prepare for surgery? – 2022

It is important to follow the surgeon’s recommendations before performing the procedure. Genioplasty…

Chin Implant vs. Chin Lipo

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What is mentoplasty (chin surgery)?

Mentoplasty or genioplasty is a surgical intervention that allows correcting anomalies of the facial profile in the chin area. It can be done with the use of a prosthesis or other filling material or with a bone graft. If the mentoplasty is reduction, then it is performed by osteotomy.

Common chin problems

The chin plays a prominent role in defining the profile of the face. With genioplasty, the most common imperfections can be corrected, whether they are traumatic or congenital deformations. The shape of the chin depends in part on the static and dynamic anatomy of the mouth and the spatial relationships of the skull base that can be detected by a cephalometric study. The most common blemishes generally fall into five categories:

• chin thrown back, often determined by a condition called micrognathia, which is the absence of a well-defined contour between the neck and the chin. Surgery allows to increase the volume of the chin thanks to the placement of a prosthesis.
• protruding chin, when it is displaced forward and must be moved backwards with surgery.
• A small chin, common on thin and disproportionate faces, causes the common “short face” effect.
• marked chin, contrary to the previous case, it will be necessary to lift the chin to restore harmony to the face, eliminating the “long face” effect.
• asymmetrical chin, it will be necessary to relocate the chin, centering it with respect to the rest of the face.

Am I a candidate for chin surgery?

The ideal candidate is a person who is not comfortable with the general appearance of their face and especially with the shape of their chin or chin. The benefits of this surgery are:

• Harmonizes the face by improving the contours of the face.
• Harmonize the result of a rhinoplasty with the chin, here we talk about rhinoplasty.
• To increase the chin when it is underdeveloped.
• To mark the angle between the neck and the chin.

As in all cosmetic surgery procedures, the ideal patient is a healthy person, who has reached the age of majority, who is aware of all the benefits and risks of said surgery.

The first consultation for mentoplasty

During the first visit, the doctor will assess the patient’s motivations and expectations, carefully analyzing their case. Many surgeons offer a computer simulation for the patient to imagine the results. The chin style should always harmonize with the rest of the face.

Next, the doctor will explain the procedure, the anesthesia to be used, the possible risks and complications of the surgery and will comment on the benefits that can be obtained. Take advantage of this first consultation to ask all the questions you want and clarify all your doubts. The surgeon will order complete preoperative tests to monitor the general health of the patient.

How to prepare for surgery?

It is important to follow the surgeon’s recommendations before performing the procedure. It is necessary to stop taking aspirin or derivative medications at least 10 days before surgery and stop smoking 1 month before and 1 month after the operation to facilitate the healing process and achieve better results.

Anesthesia and hospitalization

Anesthesia will depend on the type of surgery to be performed. We often speak of general anesthesia in the case of chin osteotomy, while genoplasty can be performed under local anesthesia and sedation. In the event that the placement of the prosthesis is carried out, the use of general anesthesia is recommended for greater patient comfort.

In general, the medical indication is to spend only one night in the hospital, but the surgery can also be performed on an outpatient basis.

How is mentoplasty performed?

There are several ways to perform a mentoplasty:

Implant Mentoplasty. This technique is used when the chin recedes and needs an increase in volume. The easiest way to perform the procedure is to apply a prosthesis to the chin which will permanently fix the problem. This intervention lasts from 30 minutes to 1 hour. There are three-dimensional implants of various shapes and sizes that adapt to the anatomy of each patient. An incision is made inside the oral cavity to create a pocket in the front area of ​​the chin, where the prosthesis will be placed. Then it is sutured and the use of a compression band is required during the first days after surgery, to facilitate the healing process and prevent displacement of the implant.

Reductive mentoplasty. It is a more invasive operation than the previous one, which lasts approximately 1 hour and 30 minutes. The surgeon makes an incision inside the mouth and reshapes the bone according to the desired effect and proportions of the face. The incision is then sutured and an external bandage is placed to facilitate the healing process. The dressing is removed 3 days after surgery.

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