Call 312-397-9600 or 847-513-6899 for the Staff of Dr. Michael Byun, M.D., S.C.

Mandible Surgery in Chicago

Chin Reduction & Augmentation

Much as how removal and excision can help bring balance to the profile of a face, addition and augmentation can do the same. This often happens in the form of mandible augmentation, where addition happens in the chin or cheek. This procedure can either be done on its own or in conjunction with a nose-reduction or a facelift. The implant used in augmentation is either the patient’s own bone or cartilage or synthetic material. The use of the synthetic implant is more common and results in a simpler operation, but it does mean the introduction of a foreign body into the face. However, implants of the patient’s bone also carry risks: infection or re-absorption, though both circumstances are highly unlikely. The incision and implantation are performed under the chin, in the eyelid, or inside the mouth. Implantation through the mouth is used to avoid an external scar, but this process also increases the risk of infection.

This procedure is performed under local or general anesthesia on an outpatient basis. Recovery takes about four to ten days, during which the patient should avoid unnecessary facial movement, limit talking, and only eat soft foods. Tape will be in place for a week, but sutures won’t be removed as they will dissolve internally.

We have provided a sample copy of an Operative Report. The procedure is subject to change per the patients needs.

PREOPERATIVE DIAGNOSIS:

  • Prominent angle of the mandible, bilateral
  • Hypertrophic masseter, bilateral mandible

POSTOPERATIVE DIAGNOSIS:

  • Prominent angle of the mandible, bilateral
  • Hypertrophic masseter, bilateral mandible

OPERATION: Reduction angle of the mandible, mandibuloplasty, bilateral

ANESTHESIA: General

Indications: The patient is a ___old female who has a prominent angle of jaw. She feels this is more masculine and would like to blunt that angle to that of a more feminine soft oval shape of the face.

OPERATIVE PROCEDURE:
After induction of general anesthesia in a supine position, she was prepped and draped in the usual sterile fashion. 700ml of tumescent fluid was applied to the abdomen where 10 minutes of Vaser using the ring probe at the set up of 80% were carried out. About 1:1, 700ml of fatty aspirates were taken out through the umbilicus incision. Then, the suprapubic area incisions were closed using 5-0 Prolene. Next, a stab incision at the submental area as well as the post aurlcular area was made. 200ml of tumescent fluid was injected and 4 minutes of Vaser time was utilized using a 2.9mm cannula at the setting of 70%. Using the 3 ring probe 200ml of fatty aspirates were taken out from the neck and chin region. The incision was closed using 5-0 Prolene. A bulky dressing was applied. A garment was applied to the body. The patient tolerated the procedure well, was extubated and was transferred to the Recovery Room in good standing.

Chin Augmentation Surgery Recovery

Keep all bandages, splints, and wraps intact for 48 hours/ This time is crucial in creating the desired results. After 48 hours, remove and discard gauze that may contain dry blood. Follow the instructions about showering and incision care found previously.

Cleanse any uncovered incisions 3-4 times a day using clean gauze soaked in saline water (found at your local pharmacy) and apply Bacitracin to incisions. After showering and cleansing incisions, re-apply ace bandage compression wrap. Wear the ace bandage day and night for one week following surgery.

Following your follow-up with Dr. Byun, wear the compression wrap at night for three weeks. This helps the skin from sagging and aids in reducing swelling. Dr. Byun may adjust this schedule depending on your progress. *In most cases, the ace wrap is applied for compression. Begin by cutting a clean ace wrap in half. Place the ace wrap flat under the chin/jaw line area and wrap around your head and close using the Velcro attached to the wrap. Wrapping should not be too loose or too tight. Compression should have a gentle firmness in order to be effective*.