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FAQ BOTOX-INJECTION
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A. What is Chin Augmentation surgery for?
Originally chin implants were used for reconstruction
for birth defects and trauma related incidents. Now,
they are being applied aesthetically to enhance a
person's chin or to create symmetry within the facial
structure from a weak chin. With a chin implant, the
face is transformed into a more aesthetically pleasing
shape.
B. What are the chin implants made from?
They are normally made from hard Silicone:
Although, many medical device companies are
manufacturing newer types which are made from expanded
polytetrafluoro- ethylen (ePTFE), rigid polyethylene,
hydroxyapatite (processed coral; HA). The rigid
polyethylene implants are usually screwed into place
into the bones of the face to prevent shifting of the
implant post-operatively. The (ePTFE) implants are
designed to be porous so that the tissues can attach
themselves to the implant to prevent shifting.
C.What does a typical Chin augmentation consultation entail?
First off, Dr Mounir will discuss your goals with you
and he will explain what can be achieved realistically.
The usual goal of the typical patient is to "correct" a
lacking chin. Discuss with your surgeon the goals and
general result you would like to achieve. It is all
individual. Just like you!
Your doctor will take into account your facial
dimensions and natural face shape. There are not too
many types of chin implants but enough to go over with
your surgeon. The placement as well as the size of the
chin implants will be determined by you and your doctor.
Don't be afraid to speak your mind during this time.
D. How is Chin augmentation surgery performed?
The Chin augmentation operation is most frequently
performed using Light Sleep Anesthesia or combined with
other procedures, General Anesthesia. Light Sleep
Anesthesia is the use of medicines to induce a state of
relaxation and a light sleep. After your arrival
additional medications are given intravenously which
induce a profound state of relaxation. Patients usually
sleep during the operation. Much of the time patients
have very little memory of the operation itself. After
this state is achieved then medicines are given to
produce numbness of the surgical area.
This procedure takes from 1 to 1 and 1/2 hours to
perform. It may take longer if you choose to have chin
and cheek implants as well. Depending upon your facial
structure the incisions will be placed as
inconspicuously as possible. For chin implants the
incision can either where the mouth gums and lip/facial
skin meet of under the chin. The risk of infection is
higher if an incision is placed within the mouth area.
Although a strict post-operative oral hygiene regimen
can decrease this risk.
E. What are the different techniques in performing a Chin augmentation?
There may be surgeons who only wish to use a certain
implant type or a certain incision. surgeons would give
you a choice. As the updated techniques are less
scarring than the previous ones. The doctor may school
an oral approach where the only incisions are placed
within the mouth area. No visible scar is made and the
oral incisions heal much faster. However, oral
techniques sometimes are plagued by a higher rate of
infection. Especially in those with problems with plaque
build up or poor dental hygiene. Check with your doctor
on the preferred technique that he utilizes. He may very
well prefer the traditional methods out of not being
aware of the newer ones or he may very well offer only
the newer ones, with the thought that the older
techniques are "out of date". This subject varies with
surgeon to surgeon.
F. What should I expect post-operatively?
Although, there is normally no extensive pain related to
chin implantation, pain medication is prescribed
beforehand. You may feel a degree of numbness that
should disappear within 1-3 months. You may continue to
wear a support brace while you sleep to allow your
tissues and implant to heal in the desired position and
prevent shifting in the first few weeks,
Don't be alarmed at the presence of bruising and
swelling. The swelling will begin to disappear within
the first 5-7 days. Many patients return to work with
the help of camouflaging cosmetics at about 5 days
post-op. The swelling resembles inflammation of wisdom
teeth or their removal and sometimes this excuse is used
at "the office". Although please realize that the
swelling may be apparent for months and the defined,
chiseled look that you so desire may not become evident
for quite a while.
Things to be alarmed about that are not normal:
- Temperature elevation
- Sudden swelling or sudden discoloration
- Hemorrhage
- Increasing redness and tenderness of the wound edges indicating infection
- Allergic reaction to drugs
- Shifting of the implant
G. When will the sutures be taken out and does this hurt?
The sutures, if any, will be removed in approximately
3-5 days (sometimes 7-10). Your face will be swollen for
the first few days - this is normal. The removal should
not hurt extensively although your surgeon may feel the
implant through your facial tissues and this may hurt a
little. The swelling should very much dissipate after
the first two weeks.
H. Will there be scarring? If so where will the scars be located?
This depends on the incision choice by you and your
surgeon. It is quite possible to have either one of
these implants inserted with no visible scars
whatsoever. Ask your doctor if he is familiar with the
oral incision location and what he thinks about it.
I. Is there a lot of swelling involved with a chin implant?
There will be some considerable swelling associated with
the trauma to the tissues. Especially if there were
screws involved. Bone trauma may hurt a little more than
just tissue trauma so take this into account when you
decide on the technique. Although, it is hardly enough
pain to dissuade you from making an "incision decision".
Please go into this surgery well informed because many
re-operations or removals are due to patients not being
able to handle the swelling at first. It can be quite
overwhelming at first.
J. How long is the "down time" for this procedure; how long should I expect to be out of work?
You can expect to resume regular activities in about 1-2
weeks. Although exercising should be reserved for after
the third week. It really is individual but the swelling
is quite pronounced involving a facelift. There is
bruising and of course a support will be worn at night
to alleviate tissue stress and to support the healing
tissues correctly. I wouldn't make any plans to attend
any weddings or other functions where you will be high
profile for at least 4 weeks. Most patients return to
work within a week.
K. When will I be able to see the results?
The results are immediate, although you may think that
the implant is too big at first glance. Give your mind
time to recognize the difference in swelling and
augmentation. Most patients are very satisfied with the
augmentation results. Remember this key: men sometimes
think their chin after augmentation is too small where
women tend to think their chin post-operatively is too
large and pronounced.
L. What are the risks of a chin augmentation surgery?
There is a chance of hematoma (blood clots), seroma,
numbness from nerve damage and hyperpigmentation
(permanent discolorations) caused by the bruising -
although there is rarely bruising with facial implants.
There is the risk of implant shifting which results in
additional surgery to reposition the implant. There is
the chance of your disapproval which may result in a
re-do or removal. There is also a chance of asymmetry
from tissues healing differently.
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