Chin augmentation (mentoplasty) is an advanced plastic surgery procedure that can greatly improve the proportionality of the entire face. By enhancing the chin, Dr. Perez-Gurri can help the entire facial oval appear more harmonious. If you feel that your chin is too small in relation to your other facial features, please read on to learn how Dr. Perez-Gurri can help you correct this aesthetic imperfection by performing chin augmentation in Miami.
A mentoplasty can be performed under local anesthesia with intravenous sedation or general anesthesia. The procedure is performed as an outpatient allowing you to go home afterwards. We have found that most of our patients have a mentoplasty in combination with other facial procedures. Various techniques exist for performing a mentoplasty. In your case a small, silicone rubber prosthesis will be inserted through the inside of the lower lip. There will be no external incisions. This implant will be carefully selected to fit the contour and projection necessary to achieve the desired effect.
You will be allowed to go home after your surgery. At home, you should lie in bed with your head upright. Your chin will be taped. You will experience a feeling of tightness and discomfort in the first 24-48 hours. Bruising and swelling is sure to follow reaching its peak at 48-72 hours postoperatively. This is normal. We urge you to apply ice compresses to help reduce the amount of swelling and bruising. You cannot chew solid foods for the first 72 hours and we therefore recommend liquids through a straw. Although pain is unusual, pain medication will be provided for you and we suggest that all your post-operative medications be purchased prior to surgery. You should not be the person controlling the meds to avoid self-medication.
At home, it is suggested that you rest. You will be asked to come to the office the next day. Most patients require 7 days recovery before returning to school, work and/or driving their car unless your work requires strenuous activity in which case you may need 2 weeks. Exercise may be continued after 6 weeks. Always check with us. Household chores may be started within the second post-operative week. Every patient is unique and will recuperate differently. If you feel great, don't over do it.
Although complications are not frequent and percentages will vary, you need to be aware that the following complications may occur:
CONTOUR DEFORMITIES/IRREGULARITIES, MALPOSITION (crookedness of the implant) KELOID/HYPERTROPHIC SCARS, ASSYMETRIES, MOTOR/SENSORY LOSS TO THE LOWER LIP, OVER/UNDER AUGMENTATION, PALPATION OF THE IMPLANT, HEMATOMA, PERSISTENT SWELLING, DISTORTION
Some of these complications if severe enough, may delay recovery time, require further surgery for correction at additional costs and may involve other specialists within the medical field. Please be aware that smokers, diabetics and overweight individuals have a higher incidence of complications when compared to those who don’t smoke, have diabetes and/or are overweight. You should also note that patients undergoing combined procedures (i.e. Rhinoplasty and Chin implant) also have a higher complication rate than those undergoing a single procedure.
These procedures are considered enhancing in nature. They are not meant to totally change someone's looks.
We have found that one of the key factors in achieving patient satisfaction is patient expectation. No guarantee implied or in writing is given regarding how you will look postoperatively. All attempts will be made by Dr. Perez-Gurri to satisfy your requests, within reason. The end point of this surgical procedure is to make your chin look better and enhanced. Please note that all individuals are unique and will require a different surgical approach. A suggestion is made Dr. Perez-Gurri based on his professional experience as to the procedure(s) best suited to achieve your aesthetic goals. Remember that many things are taken into consideration but the one limiting factor is the skin elasticity, bony and cartilaginous structure and availability of good tissue.
There seems to be an inverse relationship with expectation and satisfaction. That is, the higher the expectation, the lower the satisfaction. Body image is unique and what the patient frequently sees may not be what is seen by the surgeon. Therefore, it is important that you become keenly aware of your expectations for the procedure, know its limitations and fully discuss any concerns that you may have regarding the procedure with Dr. Perez-Gurri. We encourage questions about your Chin Augmentation Surgery and have allowed ample time to answer them personally or with our literature and videotapes. Please realize that the results obtained through a mentoplasty may not permanent. Gravity continues to have an effect on the tissues and the aging process and laxity of tissues continue at the same rate as before. The chin may drift downwards with increasing age. Every patient is different and will have a unique experience.
Does smoking affect my Mentoplasty results?
Yes. Multiple studies have been done that show that smoking has an adverse effect on tissues and often times will delay healing. We ask that you stop smoking for 2-3 weeks prior to your surgery. Although this will not prevent all complications of healing, it will more probably than not improve pulmonary function.
How long does the procedure take to perform?
It will take approximately 20 minutes. However, it may take longer depending on how many procedures are performed in conjunction with the mentoplasty.
Is my Mentoplasty result permanent?
Very possibly. The normal processes of aging & gravity that cause continued laxity of the tissues eventually lead the tissues to sag again. This in turn may affect the position of your chin as you age.
Will I be very swollen and bruised?
Probably. Every patient will be different. However, most patients will experience moderate swelling and minor bruising following their mentoplasty. Do not be frightened. Swelling usually reaches its peak during the first 48-72 hours following your surgery.
The above chin augmentation surgery information has been compiled as a benefit to you. We hope that this document has served to better inform you on the proposed procedure. We encourage dialogue. Dr. Perez-Gurri and his staff at Imagos Institute of Plastic Surgery, Inc welcome your questions.
It is our sincerest wish that your surgical experience at IMAGOS INSTITUTE OF PLASTIC SURGERY, INC. be a pleasant and informative one. We recognize that all patients will experience pre-operative anxiety and fear of elective surgical procedures is normal. Our trained professional staff and doctors are here to serve your needs and answer your questions.
As a leading cosmetic surgeon Miami patients consult about sophisticated facial procedures, Dr. Jose Perez-Gurri offers a comprehensive array of procedures. For individuals wishing to turn back the hands of time, he performs facelift and blepharoplasty in Miami. For men and women who would like to improve the harmony of the face, Dr. Perez-Gurri offers chin augmentation and rhinoplasty in Miami. He also performs ear surgery for children and adults who would like to adjust their ear shape.
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9955 N. Kendall Dr., 2nd Floor
Miami, FL 33176