CHIN AUGMENTATION (MENTOPLASTY)
CHIN IMPLANT PREOPERATIVE INSTRUCTIONS
CHIN IMPLANT POSTOPERATIVE INSTRUCTIONS
1) How do I know if I need a chin implant, neck liposuction or facelift?
Chin implants add definition to the jaw line and improve balance of facial features. Balance is typically viewed as one of the fundamental components of beauty. Chin implants are considered a structural improvement more than rejuvenation.
Neck liposuction removes fat. If the neck skin has enough elasticity it will reshape to a more youthful neckline after the neck fat is removed. Neck liposuction will not remove a turkey wattle (that sagging skin that hangs down from the turkey's neck) or remove neck wrinkles or face lines in the skin.
Excess skin or baggy skin that no longer has enough elasticity to reshape after neck liposuction would require either a neck lift, minifacelift or full facelift, depending many factors including the state of the patient's skin, general health and expectations from surgery. A board certified cosmetic surgeon will show you exactly how he determines which procedure will best suite your expectations.
2) Why is a chin implant sometimes recommended with rhinoplasty?
It's all about balance. Facial features in good proportion are perceived as beautiful. Adding a chin implant readjusts overall facial proportions. In some cases, it is possible to reduce the appearance of the size of the nose just by adding the chin implant for balance.
3) For males, does a chin implant affect shaving?
Not really. For about three days the dressing covers the incision. Men may shave around the incision until the dressing comes off on the fourth day. Then they may shave the entire face and chin area with a straight edge blade for one week. It is best to resuming an electric razor at about ten days postoperatively.
4) Can a chin implant be done at the same time as neck liposuction or facelift?
Yes. Neck liposuction removes fat and a chin implant provides definition. The improved balance and outline results in a more youthful look. Facelift removes excess skin and tightens the underlying muscle layer. Combining these procedures often gives the best final result. By performing them at the same time, patients save on anesthesia and facility fees.
5) I have a fat neck with little definition to my jaw line but I feel like I'm too young for a facelift.
A "fat neck" is not always the sign of premature aging. In some patients it's a family trait or genetic. If your skin is still elastic, neck liposuction may be all that you need to remove the fat. A chin implant would be considered if you wanted to add definition to the jaw line.
6) When the neck fat is liposuctioned what happens to the extra skin?
Depending on the condition and elasticity of the skin, neck skin reshapes itself after the fat is removed. A plastic surgery consultation would be the best way to tell which procedure is correct for you. If the neck skin has lost its elasticity, a minifacelift or neck lift might be a better choice.A patient concerned about excess skin or a "turkey neck" would be better served with a facelift.
7) Will I be awake during surgery?
Using IV sedation (medicine administered through an IV) and a local anesthetic (numbing medication administered in the operating room), patients are asleep during the operation. Patients do not hear or feel anything and are comfortable during surgery. Patients wake up very soon after the surgery is completed. Intravenous sedation is a type of anesthesia; therefore all patients must have a responsible adult to stay with them through the night following surgery. Patients may not drive for 24 hours after their procedure and this time may be longer, depending on the procedure.
8) How long does my surgery take?
Most chin implant surgeries take about half an hour. If you are having multiple procedures, the length of surgery will be longer. The length of surgery depends on several factors including the complexity of each person's anatomy. It's not uncommon for patients who have previously had chin implants to be referred to the Lindsay House for revision surgery. Revision chin implant surgery can take a little longer because of corrections that need to be made as a result of the initial surgery.
9) How long will bruising and swelling last?
Postoperative bruising and swelling begins to resolve at the end of the first week. Full resolution of bruising or swelling may take two to six weeks. However, you may camouflage bruises fairly easily at seven to ten days with concealer stick.
10) Is it painful?
After any surgical procedure, some discomfort can be expected. All patients are provided with prescriptions for pain medication. Patients sometimes use the prescription medication two to three days after surgery and then switch to Extra Strength Tylenol. It is uncommon for patients to report unmanageable pain after surgery.
11) Do I go home after surgery?
Most chin implants are done on an outpatient basis. Because you will go home after receiving sedation, you will need to make arrangements for a responsible adult to drive you home, to stay with you overnight and to drive you to our office for your first postoperative appointment. Patients having surgery must stay in the immediate Rochester area overnight within 30 minutes of our East Avenue facility.
12) I'm from out of town. Where can I stay overnight in Rochester?
Accommodations are comfortable and convenient for Lindsay House clients. The Strathallen, located "just down the street" provides upscale, affordable accommodations for Lindsay House visitors. For added convenience following ambulatory surgery, some patients elect to stay in our Carriage House, located adjacent to the Lindsay House. For guests without the benefit of family or friends in the Rochester area, our staff will be happy to assist you with arrangements for a smooth, restful experience following your procedures.
13) How long should I stay in Rochester following surgery?
Most patients stay in Rochester about seven days following surgery. After that it's ok to fly or travel long distances.
14) When can I "work out?"
Aerobic activities should be avoided for three weeks following surgery. Any activity that potentially increases blood pressure will increase the amount of time it takes for postoperative swelling to resolve.
15) I really want to do this but I'm nervous. What if I get stressed?
It's ok to be nervous. (Frankly, we would be nervous if you were taking this step lightly!) One of the best ways to deal with nervousness is to see what other patients have gone through. Contact Us to talk to a patient who has had the procedure(s) you are considering or to talk to one of our experienced staff members. As you learn in how to Select a Surgeon an educated patient knows when and if the time is right for cosmetic surgery.
1) What do I do to prepare for surgery?
Although the preparation for surgery is pretty simple, it is an essential element in a successful outcome. To prepare for surgery, a preoperative appointment will be scheduled with one of our experienced nurses.
2) What happens at the preoperative appointment?
Many things! To name a few, you will meet with our nurses who review your health history, answer your questions, instruct you on how to prepare for surgery, provide prescriptions for use after surgery and tell you what to expect. Most of the instructions are listed here below. This list of questions, however, will not take the place of a preoperative visit, which is essential in determining a patient's understanding and readiness for surgery. We will be sure you are signing an informed consent.
3) What does informed consent mean?
Informed consent means you have an excellent understanding about the benefits of surgery as well as any risks, and all the preoperative and postoperative information. You are making an "informed" decision as to whether surgery is right for you.
4) What are the benefits and risks of a having a chin implant?
As part of your initial consultation, your physician will review your expectations for surgery. At that time, he can provide a realistic picture of what surgery can and cannot accomplish. Depending on which procedures you are interested in, we will provide you with a list of any risks reported in the medical literature associated with any procedures you are considering. Although risks from cosmetic surgery are uncommon, every patient should be fully informed of any risk associated with surgery.
5) Will I have any incisions?
Yes. See the diagram for placement of incisions just under the chin. Chin incisions, which typically are about one half inch long, heal very well and most patients and family members will not notice them after a few weeks.
6) What if I have a history of bad scars?
At the time of your consultation, it's important to show your physician any previous scars that are of concern to you so he can give you a realistic assessment of your healing potential following facial plastic surgery. Scars on the rest of the body typically are not an indication for how patients heal following facial plastic surgery.
The incision is tucked just under the chin and is camouflaged very well. Also, skin of the head and neck generally heals much better than areas of the rest of the body. If you have pierced ears, the way you healed there is a good indication of how you will heal from facial plastic surgery.
7) What are some of the other things to do to prepare for surgery?
We review your health history and any daily medications you may be taking.
8) What about my daily medications before surgery?
You will have a preoperative appointment well in advance of your surgery when our experienced staff will review all mediations with you. If you are on "blood thinners," you will be asked to stop them approximately one week prior to surgery.
9) I take vitamins and supplements. Do I need to stop them before surgery?
Most vitamins and supplements have few side effects. However, there are some such as ginko-bilova that can affect bleeding during surgery. We will provide a "medications list" of products to avoid before surgery.
10) Do I need any special prescriptions before surgery?
Most patients do not need any special prescriptions before surgery. Please let us know of any special medical concerns you may have. Because tobacco abuse impedes wound healing, you will be asked to stop for two weeks before surgery and two weeks following surgery. Our nurses will be happy to discuss aids to help you with this. You will also be instructed not to eat or drink anything after midnight before surgery. The medications needed after surgery are discussed below.
11) Why will I be asked not to eat or drink anything?
Anesthesia medications can cause stomach upset. The best way to prevent after effects from anesthesia will be to avoid food or drink from midnight the night before surgery. For patients with special concerns, such as a patient with diabetes, our nurses will be happy to address special arrangements with you ahead of time.
12) What happens when I check in for surgery?
Our nurses will help you get ready for surgery. Please let them know of any special needs you may have. Also, be assured that you have plenty of time for any last minute questions with your doctor. Because surgery and appointments take place at the same location, confidentiality and privacy are the cornerstone of care at Lindsay House.
13) How long will I be at the Surgery Center?
Most patients are asked to arrive about one hour prior to surgery. Chin implant surgery takes approximately one hour and recovery time takes about one hour. Depending on your individual response to anesthesia, you will be discharged from the Lindsay House approximately three to four hours from the time of admission.
14) Does someone have to stay at the Lindsay House while I have my surgery?
No one needs to stay at the Lindsay House during your surgery. However, you must have someone available by telephone at all times during your surgery.
15) I'm concerned about privacy.
During a recent independent study, privacy was found to be one of the advantages that attracted people most to Lindsay House. Because all consultations, office visits, surgical and nonsurgical experiences take place at the same address, the check-in process is confidential.
16) What other instructions are there?
Glad you asked! See the postoperative instructions below.
1) What do I look like when I wake up from surgery?
Following the procedure, you will have a dressing that adheres to the chin to prevent swelling and minimize bruising. You may have some bruising around the chin area, however, this typically is more pronounced 24-48 hours after the procedure.
2) Can I do anything to prevent bruising?
Most patents will have a little bruising. We can minimize bruising by using Arnica before and after the procedure. Arnica is a natural "herb" that helps prevent bruising.
3) What does it feel like when I wake up from surgery?
Your chin dressing may feel a little tight however patients tell us there is very little discomfort. We will make sure you are not nauseated or queasy. Our nurses will be right there with you as you wake up from surgery to give you special attention.
4) Tell me more about the sutures.
Fine little sutures are under the dressing. We ask you to keep your chin dressing dry and intact for three or four days. At that time you will come to the office for dressing and suture removal. After sutures are removed, steristrips (little Band-Aids) are applied that must be kept dry for four days.
5) Will I be able to eat?
Yes! Patients tell us they may have a dull ache, however the pain medication should keep you comfortable.
6) Will I need any special prescriptions following surgery?
Yes. Postoperative prescriptions are provided well in advance of surgery day so you arrive home completely prepared. Postoperative prescriptions and over-the-counter medications for chin implant patients include the following
A) An antibiotic to take after surgery to prevent infection.
B) Pain medication to minimize any discomfort following surgery.
C) Over the counter Arnica as previously mentioned to minimize bruising.
D) Vitamin C 3000 mg with food daily for one week following surgery to promote healing.
7) When do I start taking these prescriptions?
Patients take their pain medication as needed. The other medications all begin on the day following the procedure.
8) Are there any dietary restrictions following surgery?
No. Patients can eat whatever they want. Advance your diet from liquids to soft food to solids as tolerated. Please drink as much fluid as you can which will help you from becoming dehydrated.
9) When can I shower?
You may shower on postoperative day three or four following surgery â€“ the day you come to the office for suture removal. That morning it is ok to get the dressing wet. After the chin sutures are removed, we will place little steri-strip tapes that must remain dry and in place for four more days. You may bathe and wash your hair in the sink any time following the procedure.
10) When is my first postoperative appointment?
You will be asked to come to the Lindsay House the on the third or fourth day following chin implant surgery. Most patients describe removal of chin sutures as discomfort rather than pain. If you feel you have full range of motion of the head and neck, you will not need someone to drive you to this appointment.
11) Are there any instructions about regular daily activities?
Sleep with head of the bed elevated or use two to three pillows. Facial fullness, headache and disrupted sleep are very normal postoperative symptoms and will decrease as the healing process occurs. Absolutely no bending, lifting or straining. If you have little children, bend at the knees or sit on the floor and let them climb on to your lap.
12) When will I look normal?
Most of our patients tell us that they look "normal" at about two weeks. You will still notice swelling and your final result is still a ways off. However, at two weeks you know you are well on the way to recovery.
13) How long does healing take?
Healing from chin implant to evaluate the final result takes one full year. However, after three months, most patients have about 90% of their final result.
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