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Incision Placement
Options
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There are, of course, not many
options for incision placements with chin augmentation. Considering the area there are understandably,
only two. The incisions are usually approximately 3/4 of an inch to
1.5 inches in length.
Please
review your options. Do not go into a surgeon's office knowing only
about one incision placement. Be sure
to ask your surgeon at your consultation so there is no misunderstanding beforehand.
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Chin
Implants
The first being intraoral,
this incision is placed within the lower portion of the inside of
the mouth between the lower gums and the bottom
lip/chin area. This is beginning to be the incision placement of
choice for most surgeons. Although the intraoral incision has the advantages of no
visible scar, it runs the risk of a higher rate of infection due to
the bacteria present in the mouth. Be sure to tell your doctor if you smoke
or have any gum disease or cavities. These two factors could cause an
infection as well as significantly impede healing.
The
second option is referred to as a mandibular intradermal incision, extraoral
incision or quite simply "under the chin".
This incision is placed approximately an inch posteriorly from the front
of the chin. If submental lipectomy (liposuction of the under chin
area) is performed the liposuction can be performed through the same
incision as well.
Most surgeons
offer only one incision option due to personal preference. Be sure
to ask your surgeon at your consultation so there is no misunderstanding beforehand.
"Sliding
Genioplasty" or Chin Advancement
This surgery involves a larger, intraoral incision (or sometimes an
intra-dermal incision) and a longer healing
time. The incision will be wider allowing the tools to
properly remove a piece of bone, placement of the bone graft by sliding it forward and fixation with bone plates and screws.
Incision
Care and Scar Lessening
Intraoral incisions have a higher rate of infection so please take care to
be sure all meats are cooked thoroughly, this includes no sashimi (sushi),
steak tar tar, even seviche/ceviche. Also be sure that all raw
fruits and vegetables are thoroughly washed or avoid them altogether until
your envision is healed.
No tonguing
the incision or touching it with your fingers or any other object unless
specifically told by your surgeon (i.e. sterile antibacterial ointments
with a sterile cotton swab).
Extraoral
scars may be lessened with the use of silicone gel sheeting-backed foam
squares which your surgeon may use as padding under your chin in
conjunction with your support garment. Some surgeons simply use
Steri-Strips which may work equally as well.
Some surgeons choose tissue
glue whereas many use conventional suture material. If no
post-operative therapy was used immediately after -- you may choose to use
scar gels such as Mederma or silicone sheeting such as from www.BioDermis.com.
Injectable
Fillers
Injectable products for chin augmentation can deliver immediate
results and can be in many cases, very rewarding. Some are temporary
and can be used as a "try on" to ascertain if you'd even like an
enhanced chin before actually going through with a more permanent
procedure.
There are, of course, no
incisions with injectables but swelling will be an issue, the severity
depending upon the type and amount of product.
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