About Mentoplasty

Mentoplasty (also known as chin surgery) is a cosmetic surgery to improve the look of the chin, correct malformations of the chin and reshape chin. Mentoplasty can be done for various reasons such as reshaping a chin out of proportion or as part of craniofacial reconstruction following trauma or cancer surgery or orthognathic surgery – repositioning facial bones to correct deformities which affect patient’s ability to eat or chew normally and to improve the look of the chin. There are 2 main categories of Mentoplasty, chin augmentation and chin reduction.

Mentoplasty Procedure

Mentoplasty can be done by inserting an implant under the skin of the chin or by a sliding genioplasty. Insertion of the implant takes between 30-60 minutes while a sliding genioplasty takes between 45-90 minutes. If the Mentoplasty surgery is done together with orthognathic surgery then the operation can take up to 3 hours. Incisions are done under the chin (submental) or inside the mouth (intraoral). Then the surgeon will cut through several layers of tissue and make a pocket in the connective tissue inside the chin. Then the implant is inserted and positioned. The incision will be closed with sutures and the wound will be covered with Steri-strips. If the patients chin is small for an augmentation with an implant, a sliding genioplasty will be performed. For this procedure, the surgeon will cut through the jawbone with an oscillating saw and remove part of the bone. The surgeon will then move the bone segment forward holding it in place with a metal plate and screw. Once the bone segment is fixed in place, the incision will be closed and the patients head will be wrapped with a pressure dressing.

Chin Reduction

Chin reduction of a large or protruding chin can be done by either a direct reduction or a sliding genioplasty. In a direct reduction the surgeon will make a submental or an intraoral incision and remove excess bone from the chin with a burr.

Types of Chin Implant surgery

The most common way to augment the size of the chin is usually by using an implant. There are two main types of these

Solid implants – in chin augmentation implants are usually synthetic and usually silicone. Unlike implant used in breast augmentation, solid silicone implants rupture or leak into the body. Other materials also used in chin implants are polyethylene, expanded polytetrafluoroethylene (ePTFE or Gore-Tex), acellular dermal matrix product (alloderm). Synthetic implants come in various shapes and sizes. Another technique widely used is to take a cartilage or bone from another part of the body but with this kind of implant there is a high risk of infection. A solid implant can be removed if necessary.

Injectable fillers – the chin can be augmented using injectable filler to build up the chin and make it more prominent. Injectable filler products for chin augmentation contain collagen, hydoxylapatite, hyaluronic acid and polymethyl methacrylate (PMMA). Collagen and hyaluronic acid are temporary fillers, which mean they don’t last more than a few months because the body will eventually absorb them. If the patient is happy with the results then they must continue getting the injections. PMMA injections are permanent. A disadvantage to PMMA injections is that they are not easy to remove.

Suitable Patients for Mentoplasty

• Patients who are at a good health condition and healthy both mentally and physically

• Male and female patients who want to improve the appearance of the chin or jaw area

• Patients must be over the age of 18 before the surgery

Before Mentoplasty

• Patients must quit smoking 2 weeks prior to the surgery

• Patients must stop medication and herbal supplements 2 weeks before the surgery

• Patients must stop eating and drinking 8 hours before the surgery

After Mentoplasty

• Patients must have someone to drive them home after the surgery

• Patients are usually given antibiotics and painkillers to reduce the risk of infection

• Patients should have a soft or liquid diet for 4 or 5 days

• Patients must keep the head elevated by using extra pillows

• Patients must avoid exercise for about 2 weeks

• Patients must rinse the mouth with hydrogen peroxide and warm water 2 to 3 times a day

Risks of Mentoplasty

Just like every surgery Mentoplasty has some risks as well such as

  • Infection
  • Bleeding
  • Allergic reaction to anesthetic
  • Deformity of the chin
  • Erosion of the bone beneath the implant
  • Dislocation of the implant
  • Extrusion (pushing out) of the implant
  • Hematoma

Definition

Hematoma – blood building up outside the blood vessels

Incision – surgical cut made in the skin during surgery or treatment

Sutures – also called stitches, used to hold the tissues together

First day of Mentoplasty Surgery

The patients will attend a consultation with the surgeon and will be advised about the procedure and their condition. The patient will then be taken through a couple of tests that are required before the surgery. If desired, patients can spend the day to rest and attend the hospital the next day.

Second day of Mentoplasty Surgery

Mentoplasty surgery will be performed. The surgery will be performed using general or local anesthesia. The surgery will take between ½ hour and 3 hours to perform; the duration of surgery can extend depending on the extent and type of surgery and other surgeries done with a Mentoplasty. Mentoplasty is done on an outpatient basis. Once the surgery is over, the patient will be taken to a private room where they will be staying whilst in hospital for resting. The surgeon will perform a check up and if they are approved to be in a good, healthy condition and the surgery results are all successful; the patients are advised with post treatment care requirements and are ready to be discharged from hospital to their settlements, unless there are other surgeries performed which require for a longer stay.

Third day of Mentoplasty Surgery

Patients will attend a post surgery appointment for a final check up and consultation. The patient will be advised on further medication. If everything is right, then the patient is ready to return to their destination; unless patients undergo other surgeries together with Mentoplasty surgery, which require for them to stay longer.

Notes

• Trip schedule may vary. medicTurkey patient relations will provide you a detailed trip schedule before the travel.

• For details on accommodation, transportation and other services, please check the SERVICES page.

What is a Mentoplasty?

Mentoplasty (also known as chin surgery) is a cosmetic surgery to improve the look of the chin, correct malformations of the chin and reshape chin.

How is a Mentoplasty done?

Mentoplasty can be done using general anesthesia or local anesthetic. Depending on the patient’s facial structure, the incisions will be placed inconspicuously as possible. The incisions will be placed in the mouth (intraoral) or under the chin (extraoral).

How long does Mentoplasty take?

The surgery usually takes from 1 to 2 hours. If there are other surgeries to be performed together with the Mentoplasty, the duration of the surgery will take longer.

When can I return to work?

Patients usually return to work between 7 to 10 days after the surgery.

How long do I need to stay at hospital?

Mentoplasty is usually done on an outpatient basis so the patient is sent home a few hours after the surgery.

How long do I need to stay in Turkey?

The recommended stay in Turkey for Mentoplasty is 3 days including consultation before the surgery and after the surgery.

Are there any risks of Mentoplasty?

Like every surgery there are some risks that can occur after the surgery like

  • Hematoma
  • Seroma
  • Implant shifting
  • Infection

Devices used in Mentoplasty Surgery

An oscillating saw, metal plates and screws are used during Mentoplasty surgery. An oscillating saw is used to cut through the jawbone if necessary, metal plates are used to hold the bone segments in place and screws are used to hold them in place.

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