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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...
With respect to the receding chin, there are multiple issues going on here. The receding chin can be augmented with a chin implant, but it is probably best to wait until he is 18. If he is sleeping with his mouth open, that indicates that he may have a deviated septum and will require nasal...
A chin implant and possibly fat grafting along the deficient mandibular border will likely improve your facial symmetry significantly. A consultation with a qualified plastic surgeon is the next step in figuring out a plan specific to you.
