Genioplasty: Jaw deformities ranging from mild deformity to
severe defects are very common in human beings. A deficient chin may require
advancing and an asymmetry may require a correction in the center line. It may be required to increase or decrease
the height of the lower part of your face, or it may be required to camouflage
the horizontal length of a deficient lower jaw. All these corrections can be
done using a common procedure which is known by the broad name genioplasty.
Your maxilo facial surgeon will be the right person to decide which operations
will be the most suitable one for your needs and how they have to be
implemented.
Sliding genioplasty: This is a versatile procedure
the use of which can produce a transforming effect to your face. This is a
procedure which can be used for reducing or augmenting your chin and is
generally known as sliding genioplasty. As the entire operation is carried out
through the incisions inside the mouth no external scars will be visible after
the surgery. In this surgery the jaw bone is dissected in such a way that it
will be slide freely in the forward and
backward directions. The height of the
lower face can be increased or decreased depending on the cosmetic needs of the
patient. Small screws fixed at the site heal very fast. The only risk factor in
this surgery is the potential numbness that may be caused to the area
containing the lip and the chin. The
numbness may vanish in due course of time. In some cases the numbness
remains permanent. But human brain has the capacity to adapt to this numbness
and the patient may not be aware of the numbness after a few months.
Implant genioplasty: This is a procedure in which a
synthetic prosthesis is implanted inside your mouth to augment the existing jaw
bone so that the aesthetic appearance is increased and the self esteem and
confidence of the patient is restored. But surgeons who are familiar with
sliding genioplasty prefer this surgery rather than implant genioplasty for
various reasons. It has to be understood that implant genioplasty can be used
only for an advancement of 5 mm or less. As the implant is made from a
synthetic material the chance of
getting infected and implant being rejected by the body cannot be overlooked.
The possibility of erosion of the implant as a result of the pressure on the
sides of the implant exerted by the bone above the implant cannot be ruled out.
The implants do not integrate with the body as they are made out of synthetic
materials.
Asymmetric chin correction: Asymmetrical jaw is very
awkward and chin correction is the only solution to such a problem. A plastic
surgeon who is very well versed and experienced in plastic surgery will be able
to find out the actual reason for the asymmetric chin which may include a dental malocclusion, growth disorder of
joints and jaws etc.
Asymmetric chin correction: The term normal facial appearance implies that
the features of the face like the nose, the chin and the cheekbones are in
their proper place and are having their proper proportions. If any of the
features are out of size or is improperly positioned it may look awkward and
such a person may feel very depressed and harassed especially if he is beauty
conscious. Bone reshaping is a procedure which can be very helpful in reducing
the difficulties and ill feeling of such
persons. The incision for this operation is made in between the lower lip and
the gum and if an implant is to be carried out the surgeon will suggest making
the incision through the natural crease under the chin. To make the cheek bones
flatter implants are inserted through the cuts made inside the mouth through
the meeting place of neck and the upper gum. The implants are tolerated by the
body if they are made out of silicon or other such suitable materials. If a
bone graft is needed the bone for this purpose is taken from hip which results
in a scar which will be noticeable. One important aspect of this surgery is
that this can be done along with other cosmetic surgeries like face lift etc.
Reduction: A larger chin may give a feeling that the other
features like nose and lips are oversized and may lead to a misconception about
the overall appearance and the personality of the person concerned. Chin
reduction surgery is indented to change the size of the chin in such a way that
it becomes proportionate to the other facial features and improves the overall
aesthetics of the appearance. Depending upon your requirements the surgeon
decides which of the three procedures given below the most suitable one for the
patient is and carries out that procedure.
Implant: Implanting is suitable where more projection or
pointing of the chin is required to be achieved. Implants are made of silicon
or polyethylene material which has been found to be very suitable for facial
implants.
Trimming of the bone: This surgical procedure is carried out in the
cases where the projection is okay, but a more female facial balance is
required. Electric grinders and saws specially designed for this purpose are
used for carrying out the shaping procedure.
Sliding genioplasty: This surgery is used to change the projection
and the height of the chin in a single effort. The chin is chopped into two
parts so that the parts can slide freely in the forward and backward
directions. This separated upper part of the lower jaw is placed above the
lower part with necessary screws and fittings so that the required projection
and height are obtained.
Double chin correction: When an excess fold of fat or skin is formed
below the natural chin it is usually referred to as double chin. Double chin in
young people is caused by the accumulation of fat consequent to overweight. A
small chin can also contribute to the appearance of a double chin. As the age
increases the effect of double chin becomes noticeable as the excess flesh and
skin starts sagging. If the angle between the jaw line and the neck is acute it
is a sign of youthfulness and as age increases this angle increases and turns
to be obtuse which gives a visual sign of increased age. In young men,
liposuction performed by an experienced plastic surgeon using fine cannula is a
most safe and popular practice for removing the double chin and for reducing
the angle of the chin to the neck. In most cases of double chin, excess fat is
found on the lower side of the face giving a chubby face look. This fat is also
removed in facial liposuction. If necessary the buccal fat pad where fat is
encapsulated in the cheek will also be removed to give the face a chiseled
look.
Facial liposuction: Liposuction is the name of a
surgical procedure which is performed to remove the excess and unwanted fatty
deposits in and around the body. When this technique is applied to remove the
excess fat in the neck, lips, cheeks etc it is known as facial liposuction.
Facial liposuction is usually performed along with procedures like brow lift,
eyelid surgery, nose surgery etc with an intention to give a more youthful and
attractive and sculpted look to the face of the person concerned. The surgical procedure starts with an
incision made in the skin in the area where the cleaning activity has to be
carried out. The skin over the area is removed and the area is flushed with
saline water. Lidocaine which chokes the
blood flow and epinephrine which is a local analgesic are also flushed above
the area. Now the surgeon removes the extra fat under the skins surface by
sucking it out using an extra thin cannula.
The extra skin in the face which has been left loose after removing the
fat is cut and removed and surgical stitches are attached to secure the skin to
the tissue below it. Four types of facial liposuctions known as dry facial
liposuction, wet facial liposuction, and super wet facial ultra sound facial liposuction
are now practiced by cosmetic surgeons. Depending upon the needs of individual
cases, the appropriate procedure suitable for an individual will be selected by
the surgeon.
After completing the procedure the face of the patient will look more
youthful with a dramatic difference. Your face will be more attractive as
youthful contours are regained.

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