Who is a candidate?
Facial aesthetics are often studied in relation to balance. Sometimes genetics or injury can lead to some patients wanting to change the balance of their face. The upper third, middle third and lower third of the face should balance each other. A Chin Augmentation (Genioplasty) may be able to return balance to facial features. Performed by our Gold Coast plastic surgeon, the procedure is highly individualised to suit each person’s facial anatomy and proportions in order to achieve the desired outcome.
What is involved in the operation?
The procedure is performed as a day case under a general anaesthetic. A small incision is made underneath the chin, or inside the mouth, and your surgeon will position a silicone implant on the existing jawbone so it is in proportion with all of your facial features. The incision site will then be closed with sutures.
What can you expect after the operation?
There are usually no dressings with this procedure but frequent mouth washes are required if the incision is in the mouth. Initial swelling and numbness is usually moderate, and should gradually disappear over a month or two. The final result of your surgery should be visible approximately 12 weeks following, when residual swelling has resolved. Discomfort is typically mild to moderate for most individuals and is able to be controlled with oral medications. Sutures in the mouth will dissolve and do not need to be removed. If there are sutures under the chin these will be removed five days after your procedure. Tingling sensations indicate that the superficial nerves are returning to life and healing, which is normal.
Most patients are able to resume normal duties and a return to work one week following surgery. We do advise that strenuous activity be avoided for approximately six weeks following surgery.
Risks and Complications
Surgery is not an exact science. Incisions and scars are part of any surgery and the location and extent of the incisions will be discussed with you. Every effort is made by the surgeon to minimise scarring. Scars will fade over time, but they are permanent. They can also become hypertrophic or keloid. Scars vary from person to person and are related to each individual’s skin type, genetics and the ability of their skin to heal.
Every surgical procedure involves certain risks and complications (as per the ASPS brochure) including, but not limited to:
Asymmetry is evident physically in every person. No two sides of the body are ever exactly symmetrical in shape, position or size and the surgeon will make every effort to achieve as close to symmetry as possible but some asymmetry is normal.
Delayed Healing, Infection and Suture Reactions can all be possible healing issues and may require antibiotics or in some cases surgical exploration.
Bleeding, Haematoma or Seroma Collections may resolve themselves but, in some cases may require further surgery.
Loss of Sensation and Numbness may also be experienced. In most cases this will improve over time on its own. In some cases this can be permanent.
Bruising and Swelling may also be a short term effect from surgery and will usually settle in one to two weeks.
Allergies to dressings, medical lotions, sutures or other materials can occur with some patients. You will be advised to cease the use of the dressing, lotion or material that is causing the reaction. In some cases anti-inflammatory medication may be prescribed.
Breathing Difficulties may be due to a general anaesthetic or breathing tube during the operation which has caused some swelling, noisy breathing or discomfort.
Blood Clots can also occur in some surgeries and may require urgent treatment and hospitalisation.
Pain thresholds vary from patient to patient. This may lead to different pain management and/or different recovery times to resume normal activities.
Achieving excellent results with minimal risk is a joint effort. It is important to disclosed to the surgeon and clinic and understand the following:
Full disclosure of your medical history including: allergies, personal, physical and mental history, previous surgeries, current medications and co-morbidities (including but not limited to, smoking, vaping, diabetes, prescription and illegal drug addictions, blood or heart disease, obesity or anorexia).
Co-morbidities may impact on outcome and healing post surgery.
Smoking, vaping, or taking recreational drugs must be ceased in the 6 weeks prior to some operations and during the healing phase. Failure to do so may increase the risk of complications, decrease your healing ability and affect your surgical outcome.
You should not take aspirin based prescription drugs 14 days prior to surgery and during the healing phase of the operation unless advised otherwise by the surgeon.
As per the Australian Health Practitioner Regulation Agency (AHPRA), all non-rebatable (cosmetic) procedures require a validated screening of Body Dysmorphia to be undertaken.
If Dr Layt is concerned about your mental state or physical state prior to the procedure, he may request evaluation by a psychologist, psychiatrist, general practitioner or other specialist. This referral is to assess your suitability, increased risks during surgery or any underlying physical or psychological problems which may affect your recovery or mental health.
In some cases this may require surgery to be postponed or cancelled by the doctor in his primary role to consider your care and personal well-being.
All surgery carries risks and it is important to understand these.
Every patient is an individual and therefore final surgical results will vary from patient to patient. Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified practitioner.