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When I place a chin implant, I secure it in place under the muscle, use an absorbable subcutaneous suture and make small holes in the implant for tissue ingrowth to further stabilize the implant in the desired location. There is no need for external dressings. In my opinion, they serve no function. I do place a small amount of tape on the overlying skin overnight only as a reminder to the patient to avoid contact with the chin region.
Some physicians use compression garments with a chin implant, and some don’t. If your physician has told you to wear a compression garment, it is probably best to leave it on for approximately one week after the surgery.
Sterility is more of an issue here than anesthesia. The implant is in an area that must be kept very sterile during its insertion. An operating room is the most sterile place to perform this. As far as anesthesia goes, it may be painful to do just under local. Therefore, I would recommend at...
Most chin augmentation as well as rhinoplasty procedures are done on adults when final chin growth is finished. However in certain cases of malocclusion and undergrowth that is severe a chin augmentation may be warranted The reason we recommend waiting is to not intefere with potential...
Chin implants are great for improving the projection of your chin as well as correcting any asymmetries. For you, I would most likely use a Medpor implant as it can be carved out during the operation to provide you the symmetry that you're looking for. It's an outpatient procedure and very...
You are correct bone resorption can occur with a chin implant, The exact reasons for this are not known, Newer implants have been designed that are either fixed to the bone or have a porous structure that promotes tissue ingrowth and is claimed to minimize bone resorption. Going with a larger...
Your photo seems to show a long, pointed appearance to your chin. It seems that your surgeon thinks the same by describing it as "pulled down by the sutures". You have a difficult situation, and I think you need to be examined. Before doing the in-office revision, get a 2nd opinion...
The Choice of Surgeon more important than choice of implant is the most important thing. I personally prefer Silastic over Medpor as it has better handling characteristics but both products are good choices. Goretex, Silastic or Medpor are more predictable than Mersilene. This is because...
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