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During a chin augmentation the chin is reshaped through the use of
an implant, an injectable paste, or by changing the shape of the
bone. Though most people considering facial plastic surgery are
concerned with other areas of their face such as their nose, eyes,
and ears, a chin augmentation is often performed to achieve symmetry
with other facial features, and is sometimes done in combination
with other procedures such as nose surgery. One other distinction
that separates chin augmentation from many other cosmetic procedures
is that it, along with gynecomastia (male breast reduction) surgery
and hair transplants, is one of only three procedures performed more
frequently on male patients than on female ones.
How It's Done
Chin augmentation is an outpatient procedure performed under general
anesthetic or local anesthetic with sedation. The surgeon begins the
procedure by making a small incision under the chin or inside the
mouth. Though incisions placed inside the mouth do not create
visible scars, the chance of infection is increased, especially if
plaque or other oral bacteria is present. Incision placement should
be discussed with your doctor before surgery.
After the incision, the surgeon stretches the tissue to allow for
implant insertion. After the implant, or synthetic paste, is molded
into place inside the skin, sutures are used to pull the skin
together. If the chin size is being reduced, the surgeon, after
making a similar incision, sculpts the bone of the chin to change
the appearance. Total surgery can last between 1 and 3 hours.
Technology
Since about 1956 chin implants have been used for augmentation.
These days, of course, technology has advanced and there are many
different options available: everything from silicone to more
porous, flexible, and biocompatible materials. Now there is even a
synthetic paste that can be used to mold a new chin. Because there
are many different options available you should discuss which type
your surgeon prefers and why. For some, the paste is a less
appealing option because the form can change for up to two days,
while others have had success.
Recovery / Post Op Expectations
After surgery patients are required to wear a protective covering
over their chin for the first few days. Some bruising and swelling
should be expected. There is a relatively small amount of pain, in
comparison with other surgeries, but pain medication usually is
prescribed. Numbness can last as long as 3 months, and soreness and
tenderness can last just as long. Return to work should be expected
the week following surgery.
Complications
As with any major surgery, there are risks and complications
associated with chin augmentations. Infection is always a threat, as
is adverse reaction to anesthesia. Procedure specific complications
include:
-
Implant moving, or shifting out of alignment
-
Blood clots
-
Rejection of implant by body, resulting in necessary removal
Am I A Candidate?
Candidates for surgery should be at least 18 except in instances of
medical necessity. Additionally, patients should be well informed
and in good physical health. Most patients are unhappy with their
appearance due to a weak or asymmetrical chin.
Cost
The national average physician's fee for 2003 was reported as $1,693
by the American Society of Plastic Surgeons (ASPS). When anesthesia
and other additional charges are included, the total price tag can
range from $2,500 to $5,000.
Source from: http://www.locateadoc.com/
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