Local anaesthesia for chin implant? Local anaesthesia for jaw angle implants?

Question

I'm in my mid forties and have had general anaesthesia 6times with no problems. However, my folks are very concerned and it's made me concerned now that I'm more aware of it's potential dangers. I want to have chin implant, is it possible to have this done under local anaesthesia?If so, what kind of local? Also, I want to have jaw angle implants, is this possible under local anaesthesia?If so, what kind?

Raymond E. Lee, MD · Answer

Thanks for your question.  I have performed many chin implants under local anesthesia and oral sedation. It is very tolerable by the patients and an easier recovery. It is a relatively simple procedure and the regional nerve blocks are very effective. Lidocaine with epinephrine is used to block the nerve to the lower lip and chin.  Some additional lidocaine is also infiltrated into the soft tissue for additive effect.  The procedure will take less than 30 minutes. Please consult with an experienced board certified surgeon for further details.

William Portuese, MD · Answer

In our practice, we perform most stand-alone chin implants under local anesthesia as an outpatient surgical procedure.  We usually recommend jaw angle and implants to be performed under general anesthesia. Most patients would find it significantly uncomfortable to have all 3 implants placed under local anesthesia

Francis R. Palmer, III, MD (retired) · Answer

I have been performing chin implant surgery for many years and yes, it can be performed under local anesthesia.  As for the jaw (mandibular angle), I use Radiesse to augment the angle.  It is a quick, injection to provide angularity to the jawline.  The product lasts a year and looks great.

Donald Nunn, MD (retired) · Answer

A chin implant could be done under local anesthesia in a cooperative patient with a surgeon knowledgable in dental nerve blocks.  It may be more than you would want to tackle to do mandibular angle implants under local anesthesia since these will be more difficult to anesthetize with nerve blocks alone.  There is a lot of pressure exerted in the jaw and neck region to insert angle implants.  It could be done under local anesthesia with IV sedation vs general anesthesia.  Find a surgeon well versed in jaw implants for the best result.  Good luck.  Donald R. Nunn MD,DDS  Atlanta Plastic Surgoen

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