A strong chin has been a sign of beauty through the ages. On the other hand, a person with a receding chin is described as having a "weak" chin. Some people with this condition often find it to be a source of distress and concern because their face may seem unbalanced. Chin augmentation, or mentoplasty, is a surgical procedure that has helped thousands of people to improve their appearance by altering the contour of their face.

This procedure is designed to add size to or move forward a receding chin. In some cases, a chin augmentation is done in conjunction with liposuction surgery or other cosmetic facial procedures.

The best candidate for chin augmentation is an individual with a receding chin and a normal dental bite. For those with a bite dysfunction, jaw surgery (in conjunction with mentoplasty) may be necessary.

BEFORE SURGERY:
Prior to surgery, a complete medical history is taken in order to evaluate the general health of the patient. A careful examination of the face is also conducted. Dr. Engen describes the type of anesthesia to be used, the actual procedure, the results that can be realistically expected, and the possible risks and complications. Photographs may be taken before and after surgery to evaluate the improvement.

Preoperative instructions may include the elimination of drugs containing aspirin in order to minimize the possibility of excess bleeding. Antibiotics may be prescribed for a few days prior to surgery to prevent infection and medication to relax the patient is administered prior to surgery.

THE PROCEDURE:
There are two basic procedures used in mentoplasty. One involves moving the chin bone forward, and the other utilizes a plastic chin implant.

To move the bone forward, an incision is made inside the mouth. Dr. Engen uses special instruments to cut through the chin bone. The lower portion of the bone is then moved forward and wired to keep it in position. Small sutures (stitches) are used to close the incision, and external bandages are applied to the area.

The other procedure, a chin implant, may be used to create a more prominent jaw. With this technique, the incision is made either inside the mouth, or externally, under the chin. A plastic prosthesis, sized exactly to fit the patient, is placed in a pocket above the chin bone and beneath the muscles. Sutures are used to close the incision and pressure bandages are applied. The procedure generally takes from two to three hours.

FOLLOWING SURGERY:
Pain connected with the surgery is minimal and controlled with oral medication. Antibiotics may be prescribed to prevent infection and the bandages are usually removed within a week. Patients are up and around the day of surgery. However, strenuous activities must be avoided for some time. Dr. Engen determines when normal activities can be resumed based on the extent of surgery and the patient's healing process.

Some temporary swelling and bruising of the face are to be expected. Keeping the head slightly elevated when reclining and applying cold compresses may help reduce swelling. Chewing may be difficult for ten days to two weeks and numbness around the treated area may occur for a period of time. Brushing teeth is sometimes difficult for several days.

Scars from the incisions fade significantly with time and are inconspicuous for the most part because of their location. Complications are rare, however, there are certain inherent risks connected with every surgical procedure that should be thoroughly discussed with the physician. Patients can minimize complications by carefully following directions given by the physician.

INSURANCE COVERAGE:
Some insurance companies pay part or all of the costs of this surgery if the condition impairs normal jaw function. Each insurance company is different and we recommend individuals check with their own provider to determine if there is coverage.

If you are interested in learning more about chin augmentation or other skin care and cosmetic procedures, call Todd B. Engen, M.D., or a member of his staff at (801) 426-LOOK or (800) 854-6201.

Excel Cosmetic Surgery Center `1735 N State St. Provo,UT