Mentoplasty

Summary

Purpose (Indications)

Receding chin

Sagging or down turning at corners of the mouth

What It Does

Repositions the chin and a more anterior position

Improves neckline

Can reduce sagging of tissues at corner of the mouth

Does not change occlusion or alignment of teeth

Technique

Incision made inside mouth

Medical grade implant inserted over chin to improve projection

Dissolvable sutures used to close intraoral incision

Flesh colored tape placed over chin to secure implant position for one week

Recovery Time

7 days

Recovery Instructions

Ice compresses for first 48 hours to minimize swelling and bruising

Sleep with head elevated for two weeks

Liquid diet for five to seven days

Clean teeth with washcloth or baby tooth brush for one week / do not use adult toothbrush

How Long It Lasts

Permanent

Ancillary Procedures Commonly Performed In Conjunction With Mentoplasty

Blepharoplasty

Facelift

Nasal surgery

Neck lift

Skin rejuvenation procedures

More Information

Very often it becomes necessary to recommend correction of a receding chin in connection with a nasal plastic operation. This occurs because the facial surgeon does not consider the nose as an isolated feature but, rather, as part of the face. He thinks in terms of the best profile obtainable for the patient.

Too much recession of the chin, particularly when accompanied by a slanting forehead, will cause the features to taper to a point if only nasal surgery is done in such cases. Actually, we may advise against any surgery for these individuals unless the projection of the chin is increased at the time of the rhinoplasty.

Of course, these are people who desire chin augmentation alone for a receding or weak chin which has resulted from long-term nasal blockage, enlarged adenoids, or dental problems.

The surgery may be done under “twilight” anesthesia from time of adolescence onward. The operation is usually performed from inside the mouth. When the submental lipectomy or double chin operation is performed at the same time the implant is placed from the incision under the chin. Healing is usually “complete” in one week. In many circumstances, this procedure is done in our office, therefore, it is not necessary for the patient to remain in the hospital any longer than if only the nasal surgery is performed.

A medical grade solid or mesh implant is used to increase skin projection by supporting the soft tissue overlaying the mandible (“chin bone”). This type material is used to make artificial heart valves, or arteries, reconstruction about the eye, and for many other purposes in surgery in almost every part of the body. It has been used in thousands of cases and has a high record of safety and satisfaction. After a short time has elapsed, it becomes practically the same consistency as the tissues an becomes incorporated into them.

With chin augmentation one must be willing to accept certain risks that may occur with any surgery on other areas of the body, (i.e., infection, rejection, paresthesias, swelling and discoloration).

This procedure carries a high success rate and in most cases adds the “finishing touch” when reconstructing facial harmony.

During your consultation your chin will be analyzed to determine if augmentation should be contemplated. Generally speaking, if one examines his profile in a mirror, the chin projection should approach a vertical line dropped from the lower lip.

Frequently this procedure may be combined with the “Double Chin Removal” or Submental Lipectomy to “lengthen” a short neck-chin line.

How to Schedule a Treatment

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