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Plastics of face and neck

Chin plasty (mentoplasty)

Chin plastic surgery is a surgical method for correcting facial contours, asymmetry and defects in the lower face third. Surgery is performed in the following cases: chin asymmetry, posttraumatic and congenital defects. Sometimes, for facial imbalance correction, chin plasty is performed in conjunction with rhinoplasty. Various materials are used to change chin volume and size. They are: silicone implants, hyaluronic acid based fillers and calcium hydroxyapatite based fillers. Regardless of a selected method, visual effect is achieved immediately after the procedure.
DURATION OF OPERATION:  depends on a method of correction.
PERIOD OF REHABILITATION AFTER CHIN PLASTY:  Depends on a method of correction.

INDICATIONS TO CHIN PLASTY

  • Congenital chin deficiency.
  • Traumatic injuries.
  • Insufficient chin volume.
  • Face asymmetry.
  • Removal of the second chin.

PRELIMINARY CONSULTING

At the meeting, we will discuss your medical history, especially as regards previous injuries (damages), allergic reactions and previous plastic surgeries, if any.

We will consider in detail all the problems that you are experiencing, which, you think, are undesirable and must be corrected.

After examining external chin characteristics, we will discuss in detail your wishes and on how much, in our opinion, the operation will meet them.

Also you will be informed about all the details of the upcoming mentoplasty, its duration, rehabilitation period and possible complications.

PREPARATION FOR OPERATION

  • When preparing for mentoplasty, medical examination is mandatory to determine possible contraindications to the operation. And preoperative photographs are also taken. Before the operation, we will thoroughly analyze these images, and we will use them together with the data obtained after the examination to compile an individual operation plan.
  • 14 days before the surgery, you should stop taking aspirin and aspirin-containing medications because they affect normal blood clotting. If you are in doubt about any preparation, carefully read the instructions on the label or consult our clinic. Tell us about all the drugs that you will take before surgery.
  • Also, two weeks before the surgery, it is necessary to give up cigarettes or minimize their number, since nicotine leads to the reduction of blood vessels and can worsen blood circulation in tissues during and after the surgery.
  • 7 days before the operation, it is necessary to exclude from the diet spicy and fatty dishes, as well as to stop drinking alcohol.
  • Do not eat or drink 8 hours before the surgery. For safe anesthesia, your stomach should be completely empty before surgery.
  • On the day of the surgery, wear comfortable, loose clothes that will not need to be removed through the head.

POST-OPERATIONAL PERIOD

  • After discharge from the clinic, you will receive recommendations on the use of painkillers and antibiotics. Strictly follow their instructions.
  • The first 2-3 days the patients should sleep with a slightly raised head. Elevated head position minimizes postoperative edema and discomfort.
  • You will come to bandaging and to a surgeon examination with the frequency that will be prescribed by your attending physician, taking into account the specific course of the postoperative period.
  • Edema, as a rule, passes 90% after 4-6 weeks, and the bruises disappear in the period from 2 to 3 weeks.
  • Within 2 weeks you should give up cigarettes, nicotine worsens blood circulation in tissues and as a result increases the rehabilitation period.
  • Do not exercise for 3 weeks after the operation, which requires a lot of physical activity. In order to minimize the chance of the postoperative complication, avoid such actions as low slopes or lifting of weights, and also the position when the head is below the body level.
  • After chin plastic surgery, it is not recommended to fly for 2 weeks on airplanes, and 4 weeks – to visit sauna or swimming pool, it is forbidden to dye hair for one month.
  • Be sure to let us know if after the discharge from hospital discomfort or bleeding increases, also if you shiver and have the temperature above 38 degrees Celsius.
  • During the operation, a partial injury to small skin nerves occurs, therefore sensitivity in some areas of your face skin is restored only in a few weeks, sometimes even months.
  • During the rehabilitation period, food rich in vitamins and microelements should be included into the diet.

RISKS AND POSSIBLE COMPLICATIONS AFTER CHIN PLASTY

  • During the postoperative period, development of general surgical complications and corresponding complications of this operation is possible. The risk of the onset of the first (suppuration, bleeding, thrombophlebitis, thromboembolism) is reduced through an appropriate preoperative examination and, if necessary, through medicinal preparation.
  • Under skin, blood (hematoma) and tissue fluid (seroma) can be accumulated, and hardenings (scars) can also form in adipose tissue. They gradually dissolve within several weeks and even months.
  • In cases of severe skin nutrition disorders, its partial death (necrosis) is possible with subsequent scarring.
  • There is a possibility of injury to branches of a facial nerve, in connection with which there is a mimic violation on the side of the injury. Conducted treatment, as a rule, eliminates this complication.
  • Implant asymmetry is possible.

All of the above-mentioned complications after chin plastic surgery are exceptions that arise periodically despite the leading standards in surgical practice. We have outlined them for the purpose of informing you properly and in no way intimidating.

Reviews

Iris Cibre (abdominoplasty)

12.12.2012

Andrei Kharkov is a very professional, caring and friendly at the same time. I didn`t get a full result yet since it is very early to talk but for now, even I am fond of it!

Reutter Elena, Switzerland

I'm his patient and operated on him 10 years ago, so I want to tell you what. All the surgeons of Kiev refused from me. And only he, this great man, saved his life with his well-coordinated team, and thanks to him I live a happy life! Thank you very much, Andrei Leonidovich, I always remember and thank you.

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