Mentoplasty: Miracle or Menace
Mentoplasty - is a term that refers to plastic surgery procedures for the chin.
If you have a double chin, cosmetic chin surgery can reduce (mentoplasty) the chin to give your face a more balanced appearance making you feel better about yourself. But what does mentoplasty involve?
Chin surgery, whether it is Genioplasty (chin augmentation) or Mentoplasty (chin reduction) is usually performed under local anesthesia, which means you may just be sedated , numbed, or even awake for the operations. For more complicated cases, doctors will use general anesthesia.
You may return home within hours of mentoplasty, but your operation may require an overnight stay depending upon the extent of the case. The surgeon will examine your chin and jaw, and weigh factors that could influence the outcome of surgery, such as your age, skin type, and whether you are psychologically prepared for treatment.
Many times before you have the mentoplasty to lessen your double chin, a plastic surgeon may use Tumescent Liposuction to remove excessive fat in the chin area and neckline.
With the liposuction procedure, a small incision is made under the chin. The fat is then suctioned out and the incision is closed and a chin bandage is put in place under the chin to help the skin redrape. With the liposuction, there is little bleeding and very little trauma is done to the tissue.
The skin of the chin does retighten, as well as the skin of the neck; however, your procedure is not finished. You have to wait for your chin to heal from the liposuction before your surgeon can reduce your chin even more and make it symmetrical to your face.
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Post Tumescent Liposuction
Mentoplasty Continued
Once your chin has healed from the liposuction, it is time for the rest of the mentoplasty procedure.During this operation, the doctor will make an incision in one of two possible locations: either under the lower lip inside the mouth or under the chin in an inconspicuous location.
He will then use an electrical instrument, a bone burr or drill, to reduce and reshape the bone to create a more natural appearance.
For orthographic surgery, the surgeon will make an incision inside the mouth and reposition the facial bones.
Remember this is all done while you are under local anesthetic.
After the bones are repositioned or reshaped, he will then stitch the incision closed and apply tape to the chin area.
This dressing will remain in place for two to three days. You will experience a lot of soreness and tenderness, which can be controlled with prescribe medications.
Chewing will be limited immediately after the procedure, and you will have to succumb to a liquid and soft food diet.
After the surgery, you will experience significant swelling or discoloration in the treated area, which should subside over several weeks. Stitches will be removed within seven days of the procedure, pending your chin is healing appropriately.
More information about Tumescent Liposuction
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Complications and Risks of Chin Surgery
Infections, Bruising, and Anesthetic Risks
Some patients may develop an infection in the chin or lip area, which may be treated with antibiotics; however, the surgeon may recommend a waiting period to see if the infection resolves itself without antibiotic treatment.
Sometimes an infection requires surgical drainage.
Haematomas, which is a collection of blood under the skin that leads to severe bruising, may occur and these need to be evacuated rapidly.
The risk of haematoma rises considerable when medicines that can cause bleeding are taken before and after the procedure.
In the first hours after the surgery, there is generally moderate bleeding. A haemorrhage may occur that will need to be treated surgically.
There are also several risks from the anesthesia that is used.
As long as the anesthetist is competent and working in a recognized establishment, your risks are slight; however, the effect of anesthetics on the body can be difficult to predict or treat.
Anesthetic risks include unexpected tissue reactions that can lead to an excessive, insufficient, or asymmetric result.
The results can be touched up, but that would involve a second operation, and that operation can only occur once you have healed from the first.
Additional Risks
Necroses and Skin Slackening
Mentoplasty can lead to a high amount of sensitivity of the upper lip and chin regions that can last for three to six months.Simple wounds or erosions of the skin usually heal without leaving marks, but necroses, which is when your skin has a seizure, can require specific care that is often long and leaves a small scar.
The risks of necroses increases if you smoke.
If your skin is of a poor quality, or if too large an amount of fat is removed, or if the operation is followed by a significant weight loss, the skin risks slackening again and can cause a crease under the chin, leading to what is called an "oval lift" several months after the operation.
Another great risk is that over time portions of the bone may erode causing medical concerns, discomfort, and changes in the appearance of the chin.
Cost of Surgery
Cosmetic chin surgery costs consist of three fees: the anesthesia fee, the hospital or facility fee, and the surgeon's fee.Costs vary depending on the complexity of the procedure.
For example, a more complicated surgery may take several hours: this factor increases surgical, anesthesia, and facility time, significantly affecting the total cost of the procedure.
If general anesthesia is administrated and an overnight hospital stay is required, the costs will be greater than if local anesthesia is used without hospital stay.
The facility where the procedure is performed impacts the cost as well.
A comprehensive treatment plan may include more than one procedure.
Insurance may pay all or a portion of the procedure only if the procedure is deemed medically necessary as the result of a birth defect or traumatic injury.
Insurance does not cover surgery that is purely for cosmetic reasons.
Find out more!
Secrets of a Beverly Hills Cosmetic Surgeon: The Expert's Guide to Safe, Successful Surgery
Amazon Price: $19.96 (as of 01/03/2010) 
Straight Talk about Cosmetic Surgery (Yale University Press Health & Wellness)
Amazon Price: $3.49 (as of 01/03/2010)
Cosmetic Surgery For Dummies
Amazon Price: $18.80 (as of 01/03/2010)
The Essential Cosmetic Surgery Companion: Don't Consult a Cosmetic Surgeon Without This Book!
Amazon Price: $14.96 (as of 01/03/2010)
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- millstonerobert millstonerobert Nov 6, 2009 @ 11:17 am
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by doublechin
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