Mentoplasty

The Mentoplasty it is menton region modelling and can be used to correct hypertrophy (prognathism) or hypotrophy in the patient's menton region.

Mentoplasty, also known as chin surgery or mentoplasty, is a surgical procedure performed to reshape the chin to improve facial balance and harmony. It can involve either augmenting or reducing the chin.**Augmentation Mentoplasty (Chin Augmentation):**This procedure is performed to increase the projection and definition of a small or receding chin. The surgeon has several options:* **Implants:** This is a common method. Synthetic implants, usually made of silicone or porous polyethylene, are placed on the existing bone of the chin. The implant is shaped to create the desired contour and size. Incisions are typically made either inside the mouth (along the lower lip) or under the chin, leaving minimal visible scarring. * **Genioplasty (Bone Surgery):** In some cases, the surgeon may choose to move a portion of the patient's own jawbone forward. This involves making an incision in the bone and sliding it to a new position, where it is secured with plates and screws. This method offers a more natural result as it uses the patient's own tissue. * **Fat Grafting:** In specific instances, fat can be harvested from another area of the body (like the abdomen or thighs) through liposuction, processed, and then injected into the chin to add volume. This is usually for subtle augmentation.**Reduction Mentoplasty (Chin Reduction):**This procedure is performed to reduce the size or prominence of a large or overly projected chin. The surgeon will typically:* **Bone Shaving or Reshaping:** The surgeon will shave down or reshape the bone of the chin through an incision, usually made inside the mouth, to achieve a more balanced profile. In some instances, a small section of bone might be removed.**The Surgical Process:**1. **Consultation:** The process begins with a thorough consultation with a qualified plastic surgeon. During this meeting, the surgeon will: * Discuss your aesthetic goals and motivations for the surgery. * Evaluate your facial structure, chin projection, and overall facial balance. * Review your medical history, including any pre-existing conditions and medications. * Explain the different surgical options available and recommend the best approach for your specific needs. * Discuss the risks and potential complications associated with the procedure. * Show you before and after photographs of previous patients. * Provide you with a clear understanding of the expected results and recovery process.2. **Pre-operative Preparations:** Before the surgery, you may be asked to: * Undergo a medical examination and blood tests. * Stop taking certain medications, such as aspirin or blood thinners, as they can increase bleeding. * Avoid smoking, as it can impair healing. * Arrange for someone to drive you home after the surgery and assist you during the initial recovery period.3. **The Surgery:** * Mentoplasty is typically performed under **local anaesthesia with sedation** or **general anaesthesia**, depending on the complexity of the procedure and your surgeon's recommendation. * The duration of the surgery can vary from **1 to 3 hours**. * The surgeon will make the appropriate incisions (inside the mouth or under the chin). * For augmentation, the implant will be carefully positioned or the bone adjusted. * For reduction, the bone will be reshaped or shaved down. * The incisions are then closed with dissolvable or removable sutures.4. **Recovery:** * **Immediate Post-operative:** You will likely experience swelling, bruising, and discomfort in the chin and jaw area. Pain medication will be prescribed to manage any pain. You will be advised to sleep with your head elevated. * **First Few Days:** A liquid or soft diet is usually recommended to avoid putting pressure on the chin. Some surgeons may recommend wearing a chin strap to help reduce swelling and support the area. * **First Couple of Weeks:** The most significant swelling and bruising will gradually subside. You will likely be able to return to light activities and work within this timeframe, depending on your recovery. * **Longer Term:** Final results typically become apparent around **3 to 6 months** after surgery, as the swelling completely resolves and the tissues settle.**Risks and Complications:**Like any surgical procedure, mentoplasty carries potential risks, though they are generally uncommon. These can include:* Infection * Bleeding * Numbness or altered sensation in the chin or lips * Implant shifting or malposition (for augmentation) * Poor wound healing * Scarring * Asymmetry * Dissatisfaction with the aesthetic outcomeIt is crucial to choose a board-certified plastic surgeon with experience in mentoplasty to minimise these risks and achieve the best possible outcome.

In the case of hypertrophy, a bone resection procedure should be carried out within the scope of Cosmetic surgery. In cases of hypotrophy, mentoplasty can be performed with the insertion of a silicone prosthesis or, for those who prefer a non-surgical and outpatient approach, with the placement of Resorbable fillers, preserving or restoring the correct Facial harmony.