Chin plastic surgery — mentoplasty

The shape and size of the chin largely determine the expression of the face, as well as the overall impression that a person has. A strong-willed chin adorns a man, but it can look disproportionately on a woman's face. On the contrary, a small rounded chin can make a man's face look too soft. A special operation, mentoplasty or genioplasty, helps to change the shape of the chin. At the EMC clinic, chin plastic surgery is performed by the best plastic surgeons in Moscow.

Types of mentoplasty

Depending on the patient's request, various types of mentoplasty are used:

1. Endoprosthesis is the correction of the chin with the help of an implant (endoprosthesis). The endoprosthesis can be standard (format) or made individually for the patient. The operation is performed through a small incision in the chin area or on the side of the oral mucosa, the prosthesis is invisible externally and to the touch, does not cause rejection. This is the most effective and long-term option, and the results last a lifetime.
2. Contouring — in this case, injections of dense gels (fillers) based on hyaluronic acid are used to correct the shape of the chin. This way you can correct the asymmetry, remove wrinkles, dimples and creases. The effect lasts until 1 year. At the patient's request, the procedure is combined with contour modeling of the face.
3. Lipofilling is an increase in the chin with the patient's own fat. The surgeon removes adipose tissue from the abdomen or thighs with a cannula needle or after liposuction, and then inserts it into the chin correction area. Most of the fat cells take root, but for the best effect, it is better to repeat it after 6 months. This operation is perfectly complemented by lipofilling in other areas of the face: the corners of the lower jaw, forehead, temples, cheekbones.
4. Chin reduction. In this case, various techniques are available to the surgeon, depending on the indications and the desired effect, including bone resurfacing. One of the least traumatic is liposuction, the removal of excess adipose tissue using a cannula needle. Another option is thread lifting, biodegradable threads are inserted under the skin, which then dissolve, and in their place remains a framework of collagen fibers that tighten the skin and form a clear oval face. The result is noticeable immediately after the procedure and persists for 2-4 years.

The cost of genioplasty depends on the complexity of the operation, the type of supplies used, and the qualifications of the surgeon.

Indications

• underdeveloped, narrow, sloping chin;

• congenital defects in the development of the facial skeleton and mandible;

• excessively massive, protruding chin;

• complex plastic surgery for facial rejuvenation with the elimination of soft tissue deformities (accumulation of chin fat, "witch's chin", ribs);

• visual defects: asymmetry, split chin;

• consequences of injuries;

• the need to balance the proportions of the face after other plastic surgery (for example, rhinoplasty).

Contraindications

Contraindications for surgery are only serious health disorders: inflammatory or infectious processes in the acute phase, decompensated chronic diseases, blood clotting disorders, oncological pathologies.

How the operation is performed

The total time ranges from 30 minutes to an hour and a half, depending on the chosen correction method. The actions of the doctor also depend on this: for example, modeling with fillers is performed using injections, and incisions are necessary for endoprosthetics. You will be able to discuss all the details of the surgical procedure with the surgeon at a preliminary consultation.

Rehabilitation

After the operation, the patient is under medical supervision for 24 hours, after which he is discharged home. The bandage will need to be worn continuously for the first week. The patient will also need to:

• give up physical activity and training for 1-2 months after surgery;

• avoid visiting baths, saunas, and swimming pools.

The swelling, soreness and bruising after surgery disappear within 2 weeks, but the effect is noticeable immediately. General tissue repair takes up to 2 months, and it will be possible to fully evaluate the results of the operation in 6-12 months.

Question-answer

Under what type of anesthesia is mentoplasty performed?

Depending on the complexity of the operation, general anesthesia or local anesthesia with sedation may be used. The decision in favor of one type of anesthesia is made by a plastic surgeon and an anesthesiologist.

Do I need to follow any special recommendations after surgery?

Recommendations after surgery for chin plastic surgery depend on the type of surgical intervention performed. For example, in some types of mentoplasty, the patient will be advised to take only liquid and mashed food at first, and then switch to soft and mashed foods. The doctor will provide the exact instructions to the patient. As a rule, a complete return to the usual lifestyle is possible after 1-2 weeks.

How long does the result last?

Unlike contouring methods, surgical mentoplasty changes the bone base of the chin, therefore, it gives a lifelong result.

What are the possible risks and complications?

If the genioplasty is performed by a highly qualified plastic surgeon, and the preparation for the operation was carried out efficiently and in full, the likelihood of complications is very low. Possible risks include:

• hematoma;

• infection of the wound;

• temporary decrease in sensitivity;

• displacement of the implant;

• rejection of the implant;

• hair loss on the chin (in men).