Chin Surgery procedure includes

Chin surgery can be done by transfer of the fat or by surgery on the bone. For correction of minorflaws of the chin requiring minor chin augmentation, fat transfer can be adequate but if the correction required is more, surgery on the bone should be performed ideally to get better results.

• Fat transfer to the chin can be done under local anaesthesia. The fat is harvested from other areas of the body with excess fat by liposuction. The fat is then processed, purifiedand injected in the deficient areas of the chinto augment it.
• Bony chin surgery is done under general anaesthesia routinely. Incision is given inside your mouth on the lower jaw anteriorly to access the bone and a pocket iscreated. The further procedure depends on the choice you've made during discussion with Dr Amit Agarwal.
• If your chin needs to be augmented, then it can be done by either placing the customised synthetic implant or by advancing the bone forward. Dr Amit Agarwal prefers to do advancement of the bone rather than placing implant on the chin but the final choice will be yours. Customize synthetic implants are available in various sizes and shapeswhich can be inserted in the created pocket and fixed to the chin bone.
• If your chin needs to be reduced, lengthened or be made symmetrical, then ostetomy or cutting the bone is the only option or choice. For cutting the chin bone, Dr Amit Agarwal makes a horizontal cut along the bone and subsequently moves the chin bone forward, down or backward as per the requirement of the case and fix it with the metal plate and screws. Even asymmetric chin can be corrected by cutting the bone and sliding the chin. Chin can be made longer in short & small chinsby creating a gap between the cut bone and the jaw and fixing it with the plate and screws. The gap usually fills up with the new bone.

The incision is finally closed in two layers with absorbable sutures inside your mouth. These suturesaren't visible to anyone after complete healing.

Risks and complications post-surgery

Chin surgery usually gives desired results, but there can be some risks involved which include

• If fat transfer is done for chin augmentation-swelling, bruising andchances of irregular contour which settles in few weeks with pressure. Absorption of fat can lead to loss of projection also.
• If bony chin surgery is done –
• Risks related to general anaesthesia which is very rare.General Anaesthesia is very safe in present times and with best machines and a qualified anaesthetist, chances of encountering any complication is less than 0.1 percent in a healthy individual. But no one can predict who will land up in complication. We at Kayakriti Plastic Surgery and Dental Centre are equipped with world class anaesthesia workstation, other equipments and two very qualified intensivists for the surgical procedures to be very safe and smooth.
• Rare chances of Infection
• Loose fixation with platecan result in either relapse or asymmetries. Mild facial asymmetry can happen which might require revision surgery.
• There can be persistent swelling and bruising in the surgical area which reduces with time.
• If you have poor blood supply, the healing will be poor (seen more in smokers, diabetes, hypothyroidism and in persons with multiple diseases).
• Sometimes change in skin sensation is noticed.
• Rare chances of nerve injury and bleeding
• Injury to the mandibular tooth roots during the osteotomy or screw placement.

These are the risks and possible complications which should be discussed by you with Dr Amit Agarwal before the procedure.

The total benefits of chin surgery will be seen after the swelling and bruising subsides. It is also very important to maintain a healthy lifestyle to maintain your shape and contour.

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