The chin may be present in more advanced or more retracted position in relation to its ideal position. In both cases surgical corrections can be provided by Dr. El Hachem. The most common surgery is one that seeks to correct the retro- positioning (retracted chin), by including a silicone piece, or other surgical resource available.


Frequently asked questions to Dr. Charbel El Hachem

Plastic chin – Mentoplasty | Plastic surgery

1) Where to find the scars?
If silicone prostheses are used, Dr. EL Hachem will made internal scarring (in the mouth) . In the case of grafting fat (indicated in limited cases), there will be no scar.

2) What type of anesthesia?
If it is exclusively a chin correction, anesthesia is local (with or without sedation, depending on the case). If combined with other surgeries, Dr. El Hachem will consider the necessity to perform the surgery under local or general anesthesia.

3) How will the implant of silicon look like?
Dr. El Hachem usually uses pre-molded implant (there are several sizes), which may be submitted to the patient during the preoperative interview.

4) Is the silicone dangerous? Could it cause cancer?
For more than 35 years, silicone in solid form has been used throughout the world, with thousands of patients operated, without any carcinogenic action of this product. It is an inert substance to the body and remains in place within a fibrous capsule that the body itself is responsible for drawing up, in the early days.

In rare cases, the prosthesis is removed. When this happens (usually due to problems in the immediate post-operative infection, trauma over the operated area, hemorrhage, etc.)

5) Is there pain in the postoperative period?
Generally, no. Even if there is a slight pain, it can be controlled with common painkillers.

6) And the bandages?
Dr. El Hachem will make a local dressing in order to help maintain the immobilized prosthesis. Moreover, this dressing is a protection for any injuries that may occur in the early days.

7) How many days should I stay home?
Depending on the activity, usually 1 day. Special cases may determine related care for 8 to 10 days, with absolute rest.

8) What is the greatest precaution that must be taken before the operation?
Tell Dr. El Hachem if a tooth becomes infected or inflamed. In the event of this happening, ask your dentist to treat it before you look into getting the surgery.

9) Will my face change much with this surgery?
There should be no major changes physically. Only there will be a better balance of your face, keeping your unique characteristics.

10) May this surgery be associated with rhinoplasty?
In many cases Dr. El Hachem recommends the combination of the two surgeries, seeking a better aesthetic balance of the face. This is called “profileplasty”.


Recommendations Mentoplasty

Mentoplasty – Preoperative recommendations:

1) Communicate with Dr. El Hachem until the day before surgery, in case of viral infections, dental infections, throat disease, etc.

2)Arrive to indicated hospital, prior to the scheduled operative date.

3) Avoid smoking for at least fifteen (15 days) prior to surgery.

4) Keep fasting eight (8) hours before the scheduled time of surgery.

5) Avoid any medication containing acetylsalicylic acid (aspirin, etc) or any medication with anticoagulant effect at least 7 days prior to surgery.

Postoperative Recommendations:

1) Avoid cold weather, sun and local trauma within 30 days after surgery.

2) Return to Dr. El Hachem clinic in the days and set times.

3) Brush your teeth with soft brush.

4) Do not worry about the “swelling” of the chin, which may persist for 4-6 weeks.

5) Normal Diet. Avoid solid foods requiring intense chewing during the first days.

6) Avoid any medication containing acetylsalicylic acid (aspirin etc) or any medication with anticoagulant effect at least 7 days after the surgery.

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