A mentoplasty is the technical name given to a surgery that basically consists of changing the shape of the chin, giving it more symmetry and proportionality.
This treatment is performed in people whose chins are too small or too large, although they should not present other problems in the jaw.
How is a mentoplasty performed?
When a person undergoes a mentoplasty, it can be performed in conjunction with rhinoplasty. In the case that it is not accompanied, the intervention can be performed under local anesthesia or general anesthesia.
There are several ways to perform the procedure.
If a reduction mentoplasty is to be performed, an incision is made in the lower lip, accessing the bone and reshaping the chin. Small titanium composite plates are usually used to ensure that the changes made are stable.
In the case of augmentation mentoplasty, a prosthetic implant or filler material may be used. Another option is a sliding osteotomy.
Types of mentoplasty
There are two types:
- Mentoplasty with prosthesis: a filler – patient’s fat or silicone – is implanted and placed in the patient’s chin with small injections.
- Sliding osteotomy: a cut is made in the chin to move it to the desired position. To stabilize the new position, titanium plates and screws are used.
The sliding osteotomy has the advantage of avoiding the risk of rejection and the possibility of fibrosis. In addition, it does not require long-term touch-ups.
On the other hand, it also has a number of disadvantages, such as more postoperative pain, increased postoperative swelling and a higher risk of complications after surgery.
Before and after mentoplasty care
Before undergoing mentoplasty, the patient must undergo a series of preoperative tests to ensure their safety, usually an electrocardiogram, a blood test and a chest x-ray.
The physician should be aware of the patient’s medical history and whether the patient is taking any medication.
After undergoing the procedure, it is common to experience pain and some swelling in the area, so follow the doctor’s instructions:
- Prevent infection by using an antiseptic rinse.
- Try to sleep with your head elevated
- Avoid risky activities
Two weeks after the procedure, the swelling usually disappears, although it varies from person to person.