Aesthetic Plastic/Reconstructive Surgery Specialist

444 69 94

Valikonağı cad. No:18/5 Nişantaşı/İstanbul

GENERAL INFORMATION

The surgery is applied to patients who think that the jaw structure is not compatible with the rest of the face. The common feature of chin deformities is malocclusion, i.e. improper closure of the teeth. Normally the lower (mandibular) and upper (maxillary) teeth contact each other, and the anterior teeth on the upper jaw are a little bit ahead of of the anterior teeth on the lower jaw. Disrupted occlusion leads to irregular contact between the teeth, creating a space between them. The severity of the deformity increases in parallel with the greatness of the space. The space also causes an aesthetic irregularity by affecting the soft tissues and the shape of the face over time. In the process of correction the deformity, surgical interventions are made with intent to position the teeth in such a way as to ensure them to contact each other, in other words, ensure a normal occlusion. In particular, a space between the anterior mandibular and maxillary teeth impairs the functions of the incisor teeth; and consequently, the patient cannot use his/her incisor teeth.

The main reason for the formation of an occlusion disorder may be related to the lower jaw or upper jaw, or both of them. The chin may grow less than normal and remain small, and such a condition is called retrognathia . In the opposite condition, the chin grows more than normal and protrudes, and such conditions are called prognathia. The analysis called “cephalometric analysis” should be made to ascertain its main cause. In this analysis, the angular relations of the head and facial bones are revealed, and the deviations from the normal angles are measured. As a result, whether the abnormality belongs to the upper jaw or lower jaw (or both or them) is determined. In addition to cephalometric analysis, the jaw bone structures and the features of the soft tissues are also analyzed. Then the plaster molds of the upper and lower jaws are prepared for planning the levels of incisions on the plaster model. After making a decision based on that plan, the way of the surgery is told to the patient.
Jaw surgery operations are performed under general anesthesia. Both in the upper jaw and lower jaw surgeries, first the interventions made through the mouth are preferred. However, some cases may require an external incision. In such a case, the site of the incision and the extent of the expected scar are explained to the patient. In case of a malocclusion related to dental deformity alone, the dentist corrects the occlusion of the teeth by administering an orthodontic treatment. In case of micrognathia, i.e. abnormally small jaw, the jaw bone is cut from appropriate points and positioned further forward than its original place, and then bone tissues taken from other parts of the body are transplanted to the resultant gap. In case of prognathia, where the chin grows excessively, bone tissues are cut from appropriate places, and then the chin is positioned further backward than its original place. Sometimes, the reason for cosmetic chin surgery (genioplasty) is only the lower jaw that seems receded, and there are only deformities which are not related to the bone tissue. In such a case, it is required to place a permanent silicone or medpor chin implant or use filler to position the gonion further forward than its original place, and this makes patients quite happy.
The upper jaw and lower jaw are kept in contact by means of elastic fixation, for a period of 6 weeks in the postoperative period, until the healing of the bone incision. That fixation is intended to keep the parts motionless until the healing of the bone incision, and ensure the continuity of the normal occlusion by keeping the teeth constantly in contact with each other. At the end of the healing period, control X-rays are taken to ascertain whether the recovery is adequate. If it is adequate, the fixation is removed. If it is not adequate, it is kept in its place for an additional period of time. Interventions are made under general anesthesia. During the fixation period, the patient is fed with liquid foods by using a straw or spoon, from the sides of the teeth. During this period, cleaning the mouth with gargle solutions after each feeding is important in terms of the health of the teeth and the oral hygiene.
Jaw filling treatments can be performed according to the patient's current jaw shape and the type of complaint and the expectation of the operation.
Jaw aesthetics operations can often be performed with lip augmentation and nasal surgery. The improvement process varies according to the operation / s. Patients becomes quite happy because the results are seen rapidly and the condition is permanently resolved by the reduce of swellings.
Genel

Anesthesia

General

2-4 Saat

Operation Time

1 - 2 Hours

14 - 21 Gün

Recovery Time

7 - 14 Days

6 - 22 Gün

Final Results

6 Months

Dolgu uygulamalarıyla desteklendiği sonuçlar çok daha tatmin edici olur.

Things To Pay Attention

Chin filling is recommended for patients who are afraid of operation.

Sürekli

Usage Time

Continuous