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Genioplasty

What is Genioplasty surgery?

Genioplasty is a surgery for the reshaping of the chin. Genioplasty gives symmetry to the whole face and can be combined with other interventions, e.g., Otoplasty, Face Lifting, Rhinoplasty, etc.

Genioplasty – Aesthetic applications

Correction of the symmetry of the face and especially of the profile.

Genioplasty – What should be done pre/post-operation

The Plastic Surgeon receives a complete medical history and photos of the patient.

For the surgery, the following are recommended:

  • Stop smoking 2 weeks before the operation.
  • Stop taking aspirin-containing medicines or formulations 2 weeks before the operation.
  • Use antibacterial facial cleanser 2 days before surgery, if the incision is to be performed externally.
  • Wash your mouth 3 times a day for 2 days before surgery, if it is to be an  incision in the mouth.
  • Don’t eat food or drink water for 8 hours before surgery.

Genioplasty – Type of anesthesia

The procedure is done with local or general anesthesia, depending on whether it will be combined with some other type of surgery. After surgery, the person should stay for a few hours in the hospital for possible complications.

Genioplasty – Surgical technique

Genioplasty can be done with two medical methods, either

  • through the oral cavity or
  • with an external incision to a point that goes unnoticed after surgery.

 

After the local anesthesia is applied, a cut is made inside the mouth. Then the area of the cap and the pocket to receive the insert is prepared. After that, the surgeon applies the implant and then closes the incision. The duration of surgery is usually 30 minutes – 1 hour.

Genioplasty – Post-operative instructions

  • Place a special pressure bandage for 4 days after the surgery.
  • Swelling and slight pain are expected in the first 4 days.
  • A light diet is recommended for at least 7 days after surgery.
  • The mouth should be rinsed regularly with a special antiseptic solution after each meal.
  • The patient can return to work 1 week after surgery.
  • The final result is visible after approximately 6 months.

Genioplasty – Complications

Every type of surgery may have complications. Possible hematoma is avoided by proper surgical technique and discipline in post-operative instructions. The patient may feel weakness or numbness of the lower lip from possible injury or pressure of a nerve, but normal feeling returns quite soon. It is likely inflammation of the insert will occur, which is treated with its removal. More rare complications conclude bone changes of the jaw.

Preparation before surgery

  1. Photographs of the area are taken.
  2. Classical preoperative check-up includes blood tests, chest X-ray, and cardiac evaluation.
  3. 12 hours before surgery do not eat anything.
  4. 6 hours before surgery do not drink anything.
  5. On the morning of the operation do not take any medication without the anesthesiologist's approval.
  6. Alcohol should be stopped 1 week before surgery.
  7. In the case of general anesthesia, it is necessary to meet with the anesthesiologist before the surgery.
  8. Report previous anesthetic experiences, either positive or negative and inform him/her of any health problems or medication you are taking.
  9. Do not take aspirin, anti-inflammatory drugs, or herbal supplements 10 days before the surgery, as they increase the possibility of bleeding during and after surgery.
  10. 3 days before the surgery and every day after washing your face or body with medicated soap, depending on the planned surgery.

General Complications after surgery

Complications in plastic surgery operations are not common but it is necessary to be aware of them at the first appointment.

  • Hematoma: A hematoma is the accumulation of blood in the wound.
  • Inflammation: To prevent inflammation, antibiotics are administered during surgery.
  • Poor wound healing: If the incision in the operated site is more prominent than expected, it can be corrected 6 months to a year after surgery with local anesthesia. In some cases, the appearance of keloids is possible where specific treatment is needed.
  • Skin necrosis: It is more likely in heavy smokers.
  • Pulmonary embolism and thrombosis.

This text may give rise to new questions. We are at your disposal for any other information.