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Dr. Gustavo Miery www.gustavomiery.com SURGERY OF

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									                               Dr. Gustavo Miery
                                     PLASTIC FACE SURGERY



                           SURGERY OF THE CHIN

A well defined chin helps give balance to the face and creates
a major part of one's profile. When people look in the mirror,
most focus on the size and shape of their noses, their ears,
sagging jowls, or fine wrinkling of the skin. But even though
few examine their chins with the same discerning eye, having
a "weak chin" is certainly not an asset. Surgeons who
specialize in rhinoplasty, or surgery of the nose, are often the
first to suggest that changes in chin size or shape may
enhance a profile as much as rhinoplasty. It is common for the
facial plastic surgeon to recommend chin surgery in addition
to nose surgery when the surgeon sees that chin augmentation is necessary to
achieve facial balance and harmony. Fortunately, this is a relatively straightforward
procedure that can make a major difference.

If you are wondering how chin surgery could improve your appearance, you need to
know how the surgery is performed and what you can expect from this procedure. This
pamphlet can address many of your concerns and provide you the information to
begin considering chin surgery.

Successful facial plastic surgery is a result of good rapport between patient and
surgeon. Trust, based on realistic expectations and exacting medical expertise,
develops in the consulting stages before surgery. Your surgeon can answer specific
questions about your specific needs.

IS CHIN SURGERY FOR YOU?

As with all elective surgery, good health and realistic expectations are prerequisites. It
is also key to understand all aspects of the surgery. A pleasing, balanced profile can
be achieved by inserting an implant or moving the bone forward to build up a receding
chin, or by reducing a jutting or too prominent chin. The result can be greater facial
harmony and an increase in self-confidence.
Another possibility for improvement through chin surgery is submental liposuction in
which excess fatty tissue is removed to redefine the chin or neckline. When there is a


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contributing problem of dental malocclusions or birth defects in the structure of the jaw
itself, surgery of the jaw can improve the form and function of the lower face and
greatly enhance appearance.

Your consultation can help you decide on the type of surgery that addresses your
concerns. Your surgeon can also provide information on new medical techniques for
chin surgery and offer recommendations for supplementary surgery that can ensure
the greatest improvement.

MAKING THE DECISION FOR CHIN SURGERY

Whether you are interested in chin surgery for functional or cosmetic reasons, your
choice of a qualified facial plastic surgeon is extremely important. During the
consultation, your surgeon will thoroughly examine your chin and jaw to pinpoint
problems. In some instances, the surgeon will suggest chin surgery as a supplement
to rhinoplasty because a small chin can make the nose appear larger.




Your surgeon will weigh other factors that could influence the outcome of surgery such
as age, skin type, and attitudes toward surgery. The surgical procedure will be
described in detail along with reasonable projections. If you opt for surgery, your
surgeon will describe the technique indicated, the type of anesthesia to be used, the
surgical facility, any additional surgery, and risks and costs.

UNDERSTANDING THE SURGERY

To augment the chin, the surgeon begins by making an incision either in the natural
crease line just under the chin or inside the mouth, where gum and lower lip meet. By
gently stretching this tissue, the surgeon creates a space where an implant can be
inserted. This implant, made of synthetic material that feels much like natural tissue
normally found in the chin, is available in a wide variety of sizes and shapes. This
allows custom fitting of the implant to the configurations of the patient's face.



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After implantation, the surgeon uses fine sutures to close the incision. When the
incision is inside the mouth, no scarring is visible. If the incision is under the chin, the
scar is usually imperceptible.

In chin reduction surgery, incisions are made either in the mouth or under the chin.
The surgeon sculpts the bone to a more pleasing size. For orthognathic surgery, the
surgeon will make an incision inside the mouth and reposition the facial bones. The
procedure, depending on the extent of the work, takes from less than an hour to
approximately three hours.




WHAT TO EXPECT AFTER THE SURGERY

Immediately after surgery, the surgeon usually applies a dressing that will remain in
place for two to three days. You will experience some tenderness. Post-operative
discomfort can be controlled with prescribed medications. Chewing will probably be
limited immediately after chin surgery, and a liquid and soft food diet may be required
for a few days after surgery. Most patients feel a stretched, tight sensation after the
surgery, but this usually subsides in a week.
After approximately six weeks, most swelling will be gone, and you can enjoy the
results of your procedure. Rigorous activity may be prohibited for the first few weeks
after surgery. Normal activity can be resumed after approximately ten days.
Facial plastic surgery makes it possible to enhance your appearance and eliminate
signs of premature aging that undermine self-confidence. By changing how you look,
facial plastic surgery can improve your self-image.
Insurance does not generally cover surgery that is purely for cosmetic reasons.
Surgery to correct or improve genetic deformity or traumatic injury may be
reimbursable in whole or in part. It is the patient's responsibility to check with the
insurance carrier for information on the degree of coverage.




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