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To augment the chin and jaw line, an implant is placed deep below the skin surface and secured with permanent stitches into surrounding tissues so that is cannot move around. There is a wide variety of implant materials, shapes and sizes available. The surgery may also involve sliding the jaw line forward to increase the projection of the lower face.
Augmenting the chin is commonly done in conjunction with a Rhinoplasty (nose reshaping) to improve the whole profile, for a more harmonious appearance overall.
The incision for the implant is usually made under the chin, in the crease, and closed with stitches that have to be removed in five days. Occasionally the incision is inside the mouth, then closed with stitches that later dissolve on their own.
At the end of the surgery, the chin is often taped to minimise swelling, and a compression strap is worn. In horizontal osteotomy, the jawbone is fractured to allow the surgeon to bring forward the position of the bones (called chin advancement). An alternative to chin surgery is to add a filler such as Restylane* or fat to enhance the chin and jaw area.
Possible complications, though rare, include extrusion-where the implant works its way back up to the skin’s surface-hardening of scar tissue, which can distort the implant, asymmetry or mal-positioning, and bone erosion. The implant can sometimes shift slightly out of alignment or be placed improperly, and a second operation may be necessary to replace it in its correct position. If an infection occurs, the implant may have to be temporarily removed and replaced at a later date. With both a chin advancement, you may have numbness that usually resolves after several months, although long-term numbness is a potential complication. In rare cases, nerve damage may occur if the implant is resting on one of the facial nerves, or if the nerve is injured during surgery.
Swelling usually peaks 24-48 hours after surgery. You will be told to keep your head raised above the level of your heart when lying down. The area may feel tight and little stiff and movement of the mouth may be difficult initially, following the surgery. Cold compresses will reduce swelling and discomfort. Some difficulty talking, eating and smiling for several days following the surgery is normal.
Removal stitches are used for incisions under the chin and are taken out after five to seven days. You can return to work in one to two weeks, and resume exercise in three weeks. Avoid contact sports or any activity that may result in the face being jarred or bumped for several weeks.
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