Overview of the surgery:
Chin Advancement (Advancement Genioplasty) is one of the most advanced, precise and sophisticated types of chin surgery to take the lower front part of your chin and bring it forward. This procedure is more involved than placing a chin implant and requires making incisions in the bone and also stabilizing it at the end with space age technology of rigid fixation. In some cases bone grafting in front and the top of the chin plate may be necessary to create an attractive final results.
Duration of the operation:
The procedure will take approximately 30 minutes to perform
Post operative care:
Antibiotics are prescribed to control infection and swelling. Cold compress will be applied to face for 24 hours. Your chin will be taped following surgery. Do not remove the tape and reinforce it with additional tape if needed. Take your medications on time and finish the course of treatment. For the first day, liquid food is advised, cold food for 24 hours then soft food for the next five days. Rinse your mouth three or four times a day with warm salted water may brush your teeth if the brush is soft and you are quite careful to keep the bristles away from the stitches.
The recovery takes one to two weeks. Most people are back to work within a week or two. We encourage our patients to return to work as soon as they can within few days after surgery.
Possible risk and complications:
As with any surgery, there is always a possibility of complications following chin surgery, including infection, bleeding, a reaction to the anesthesia, hematoma (localized swelling filled with blood resulting from a break in a blood vessel), seroma (a mass or swelling), extrusion (the implant works its way back up to the skin surface), capsular contracture (excess tightening of the scar tissue) which may distort the implant, asymmetry, nerve damage and bone erosion.
Local Anesthetic (while you are awake), combined with a sedative to make you drowsy. You'll be awake but relaxed.
This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis.
Preparation before Surgery
- Avoid aspirin, any aspirin containing medication or any other non-steroidal anti-inflammatory drugs (NSAID), such as Motrin or Advil, for one week prior to treatment. Because aspirin thins the blood, it can interfere with normal blood clotting and increase the risk of bleeding and bruising
- Smoking inhibits the healing process, so stop smoking before your procedure and if you start again, make sure it is after you are completely healed
- Avoid drinking alcohol a few days before your surgery
- Make sure to not to eat or drink for at least 8 hours prior to your surgery
- Make sure that you arrange for someone to bring you home
- Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
- Blood and urine samples will be collected for routine preoperative laboratory tests. X-rays may be taken to evaluate the individual's bone structure.
- Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
- You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
- Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.
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