| Mentoplasty | Chin augmentation |
| Reduction of Adam's Apple |

Correction of either a projecting or receding chin may become necessary to obtain a pleasing profile for the patient. This operation may have to be done alone or in connection with nasal plastic surgery - rhinoplasty.

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Chin augmentation

Chin augmentation is usually not carried out until the age of 20 when the development of the bone is considered complete. The surgery may be done under local anaesthesia. It is performed through a small incision made inside the mouth. In some instances a small incision under the chin is used. The healing is usually complete in one week. A medical grade synthetic implant is used to increase chin projection. This material has been used in hundreds of cases and it is recognized to be completely safe and resembles the consistency of the patient's own tissues. It is very difficult therefore to detect the presence of the implant in the chin after a short time following the operation.

Some degree of swelling and bruising persists up to two or three weeks following surgery. At times the movements of the lower lip are restricted for a few weeks until the muscle recovers and tissue swelling subsides. This may only be apparent to the patient. Occasionally small areas of numbness may be noticed around the chin and lip. This is usually transient and permanent complications are extremely rare.

Chin implants do not impose restrictions on sporting activities.

Until the incision has healed (five to seven days), your diet should consist of soft foods. Over the counter mouthwashes should be used after every meal to cleanse the oral cavity. Take special care while brushing your teeth not to irritate the incision site and keep the chin movement at a minimum i.e. talking and smiling, during the first two weeks.

Infection in the area is extremely rare but if it persists, the implant may have to be removed under local freezing to be replaced six months later if necessary.

Adam's apple reduction

A prominent Adam's apple is a male characteristic and if exaggerated, can be surgically corrected through an incision high up under the chin in a skin crease. (Fig. 21) There is usually minimal discomfort and swelling after the operation. The application of an ice compress to the neck for twenty-four hours decreases the side effects. Occasional hoarseness may occur and it clears up spontaneously as the swelling subsides. You should avoid abusing your voice, ie. shouting and singing, for two weeks following treatment.

Figure 21-a (click image to enlarge)

Figure 21-b (click image to enlarge)