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W.
Ronald McIlwain, D.M.D.
J. Terry Carlson, D.M.D., M.D.
James J. Link, D.D.S.
S. Craig Fairburn, D.M.D., M.D.
     
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In some cultures, a prominent chin and neckline is considered
a sign of strength and intelligence, and so is desired by some
people lacking these characteristics. A weak chin is usually the
result of an underdeveloped lower jaw (mandible), which also causes
problems with how the teeth come together. This is best corrected
by a combination of orthodontics and surgical advancement of the
mandible (orthognathic surgery). In patients
who have a normal dental relationship, the chin can be enhanced
by surgery known as mentoplasty. An artificial chin implant
can be placed in front of the bone to make the chin more prominent,
or the bone of the chin can actually be cut and fixated in a more
forward position, using screws and wires. An overly prominent
chin can be corrected by the same procedure of cutting the bone
and moving it back. This procedure is called genioplasty.
FACIAL LIPOSUCTION is also used to improve the appearance
of the neck and face. Even people who are not overweight can have
a double chin, saggy jowls or very round face. Fat deposits in
these areas may be resistant to exercise and weight control. Tiny
incisions are made in cosmetically-hidden areas of the face and
jawline. A tube attached to suction is inserted into the fat and
moved back and forth to loosen excess fat and vacuum it away.
Afterwards, a compression dressing is applied to reduce swelling
and allow the skin to heal smoothly and evenly. The tiny incisions
heal quickly and are usually difficult to notice. Frequently,
patients will choose to combine facial liposuction and chin enhancement
to produce a better overall facial appearance.
A consultation is performed prior to any surgery. An overall facial
examination and medical history evaluation is done to construct
a plan of treatment conducive your personal esthetic needs. Pre-operative
instructions and pertinent prescriptions will be given and
explained. Cosmetic procedures are done in-office or hospital
with intravenous sedation or general anesthesia depending upon
patient preference and doctor recommendation. Actual surgery time
varies according to procedure to be performed. After surgery,
the patient is observed for 30 minutes or until discharge criteria
is met. Post-Operative Instructions
for Cosmetic/Soft Tissue Surgery will be reviewed with accompanying
caregiver. Recovery time depends on the procedure performed and
individual factors.
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