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Incision Placement Options

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.  

Chin Implants
The first being intraoral, this inc
ision 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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