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CHIN AND MANDIBLE

1. Mentoplasty with Implant

WHAT IS IT FOR?

Improves the projection and contour of a receding chin

HOW IT WORKS

Chin implants are solid, appropriately shaped to better define the contour and volume of the chin, and can be made of silicone or MEDPOR. They involve a surgical procedure in which, through an approach that leaves easily concealed scars (inside the mouth or under the chin), the implant is placed next to the bone and fixed using screws or sutures. It has the advantage over volume augmentation with hyaluronic acid or fat grafting of providing a more defined shape, with more demarcated features (e.g., mandibular border or chin) and in a permanent way, unlike hyaluronic acid.

PROCEDURE DURATION

1 hour

OPTIONAL ASSOCIATED PROCEDURES

Fat grafting, b. toxin, facelift, minilift, blepharoplasty

TYPE OF ANESTHESIA

Local anaesthesia or general anaesthesia

SCARS

Can be placed inside the mouth or below the chin

HOSPITAL STAY

Does not require hospitalization

RECOVERY

Return to work in 2-3 days for mild activity, although some swelling may remain for about 3 weeks

RISKS AND MOST FREQUENT PROBLEMS

Initially swelling and bruising often occur. Asymmetry, infection and capsular contracture are risks that must be taken into account, in particular due to the fact that the implant is definitive and can remain in the body for many years. The displacement of the implant and eventually irritation or mental nerve damage is also a possible complication. Sometimes, with these complications emerging, the only way to correct them is to remove the implant

PROCEDURE LONGEVITY

Definitive

2. Dermal Fillers

WHAT IS IT FOR?

Increases the volume of the chin and jawline, up to the angle of the mandible.

HOW IT WORKS

The injection of fillers is a non-surgical procedure (unlike the filling with fat tissue, which is a surgical procedure), which uses filler substances to improve wrinkles, furrows and irregularities or even increasing volumes. It could also improve skin hydration, in the case of more superficial fillers. In our practice the preference falls on hyaluronic acid (non-permanent filler) for its better safety profile. Several brands are known, such as Restylane, Art Filler FillMed or Juvederm (registered trademarks) which vary in viscosity, water absorption capacity and characteristics of the molecule, with implication in the depth at which they can be injected, for the best results without visible "papules" and maximized durability.

The cosmetic indications to use hyaluronic acid include the emptying of the face with age, namely the disappearance of fat from the cheeks, deep furrows from the nose to the corners of the mouth, and in some furrows between the lower eyelids and cheeks. It is also one of the most common methods used for lip or chin augmentation. Furthermore, a filler can be used to smooth the irregularities present on the nose, improving its shape

PROCEDURE DURATION

15 minutes

ASSOCIATED PROCEDURES

B. Toxin

TYPE OF ANESTHESIA

Topical or regional anesthesia

SCARS

No scars

HOSPITAL STAY

Does not require hospitalization

RECOVERY

You can work on the same day, although some areas may be more swollen or red for 1 or 2 days

RISKS AND MOST FREQUENT PROBLEMS

During the first days there may be some swelling, bruising or redness. Rarely asymmetry, irregularities, hypo- or hypercorrection and infection

PROCEDURE LONGEVITY

It depends on the depth, location and type of product used, ranging between 6 and 18 months

3. Fat Grafting

WHAT IS IT FOR?

Improves the volume and contour of the chin and jawline using fat harvested from another area of ​​the patient's own body. In some cases, it can improve skin quality and texture.

HOW IT WORKS

Fat grafting, also known as fat transfer, fat injections or "lipofilling", is a surgical procedure (unlike hyaluronic acid, which is a nonsurgical procedure) that uses a patient´s own fat to fill irregularities and grooves or even increase volumes. Other aesthetic indications for "lipofilling" include correcting emptiness of the face due to age, particularly the disappearance of fat from the cheeks, deep furrows from the nose to the corners of the mouth, and in some cases lines between the lower eyelids and the cheeks. It is also one of the most common methods used in lip augmentation. Furthermore, the "lipofilling" can be used to smooth the irregularities resulting from a poorly executed liposuction.The volume enhancement of the breast or buttock (gluteal region – the famous “Brazilian Butt Lift”) using the patient's own fat is one of the most requested aesthetic procedures at the moment.

The fat required for a limited liposuction is obtained through one or more incisions of 3 to 5 mm. It is normally withdrawn from the abdomen or thigh.

It has the additional advantage of actually performing a liposuction of other body areas, taking advantage of the fat removed.

PROCEDURE DURATION

It depends of the treated area and whether it is associated with other procedures. It can vary from 30 minutes to 2 hours.

ASSOCIATED PROCEDURES

Buttock augmentation, liposuction, face lift, breast reconstruction, breast augmentation

TYPE OF ANESTHESIA

General anaesthesia, except for minor procedures that can be performed with local anaesthesia (with or without sedation)

SCARS

Small scars of 3-5mm in fat harvesting areas, usually hidden by underwear or within less visible areas

HOSPITAL STAY

Depends on the size of the procedure and other associated procedures, but it can be done on an outpatient basis or require 1 day of hospitalization

RECOVERY

The swelling usually decreases from the third day, and social activities can be resumed after a week, sometimes with the help of some make-up

RISKS AND MOST FREQUENT PROBLEMS

Asymmetry, irregularities, overcorrection and infection

PROCEDURE LONGEVITY

Part of the grafted fat (about 30-50%) is reabsorbed over 6 to 12 months, by which time the result often becomes final and definitive. Therefore, a slight hypercorrection is made taking into account the subsequent loss. The great advantage of fat as compared to fillers with hyaluronic acid is the available volume and durability. Large variations in weight can, however, change the volume of the fat, as it does with the remaining body fat

4. Genioplasty / Mentoplasty

WHAT IS IT FOR?

Changes the facial skeleton at chin level, improving its aesthetics

HOW IT WORKS

Chin bone movements are obtained through a controlled fracture of the anterior mandible and its fixation with plates and screws, allowing correction of lateral deviation or reduced or exaggerated projection, by changing the position and dimensions of the chin

PROCEDURE DURATION

1h30

ASSOCIATED PROCEDURES

Orthognathic surgery

TYPE OF ANESTHESIA

General anaesthesia

SCARS

The scars are inside the mouth, unnoticeable

HOSPITAL STAY

Usually one day in hospital

RECOVERY

Swelling of the lower face is expected for a few days, gradually reducing in the following weeks. You can return to work after 5-7 days and resume physical activity at 4 weeks

RISKS AND MOST FREQUENT PROBLEMS

One of the most significant (although infrequent) risk of genioplasty is lower lip numbness, usually temporary if there is only blunt trauma, but it may be permanent or have protracted recovery in the event of section of the inferior alveolar nerve or mental nerve, which are directly related to the mandible (relatively rare situation). Other complications of genioplasty are infection, fracture or displacement of plates or screws (which can be removed after a few months if necessary), injury of dental roots or teeth, bone resorption

PROCEDURE LONGEVITY

Definitive