A well positioned chin is essential for the harmony of the face. It must be in balance with the mouth, the nose and the forehead. Plastic Surgery has solutions for cases of retracted or advanced chins, so as to provide a more pleasant profile from the aesthetic point of view. Furthermore, the surgery eliminates the impression of a double chin. The most common type of mentoplasty aims at correcting the retracted chin (toward the back), through the placement of a silicone implant between the bone and the muscles of the chin. The implants are pre-molded and are available in several sizes according the need of each patient. Silicone in its solid form, has been used successfully in plastic surgery for 25 years. It is substance that is harmless to the body, and has no carcinogenic action. Cases of rejection to the implant are rare, and in most cases these are linked to traumas, hemorrhages or infections that occurred during the postoperative period.

Preoperative Preparation

Ten days prior to the surgery the patient must stop taking any medication based on acetylsalicylic acid, such as aspirin. The doctor must be informed about any medication that the patient is taking, as well as about any possible disturbances immediately prior to the surgery, such as colds and dental infections. The mouth must be carefully washed with antiseptics for the three days that precede the surgery.

Surgical Procedure

Mentoplasty is a rather simple surgery, initiated with a small incision made on the inside of the mouth or on the lower part of the chin, through where the implant is introduced. Local anesthesia is more indicated for this surgery. In case mentoplasty is combined with other surgeries, the surgeon may opt for general anesthesia.

Postoperative Care

If solely mentoplasty is performed the patient does not need to remain in rest; the patient will have to be especially careful about his/her mouth hygiene during the initial ten days, if the surgery was performed from the inside of the mouth. Diet is free, but in the beginning solid food must be avoided, because they require intense chewing. External stitches are removed on the seventh day, in the case of intraoral surgeries the stitches are reabsorbed. Swelling subsides naturally. The final result can be verified from the 6th month on.