Full boarded in Plastic and Reconstructive Surgery
The Plastic Surgeon uses the facial implants to make the most harmonious appearance of a face, to make the patient to feel better about the new look.
There are many types of implants, manufactured in a wide variety of materials. They all still play the same function: they must help us to lengthen the line of the jaw rather than to bring a chin or cheek in balance with the rest of the face. The best candidates for this surgical procedure are those patients who seek an improvement rather than perfection in their physical appearance. Whether in good health, psychologically stable and with realistic perspectives. Often this surgery is done in conjunction with a facelift,t rhinoplasty or blepharoplasty.
Chin and cheek implants can lead to significant changes in the appearance and complications in this surgery rarely occur.
However a face implant can sometimes move and a second operation will be required for replace the prosthesis If an infection develops and doesn't clear up after antibiotic therapy, may be necessary, remove the implant temporarily, and then replace at a later time, after some months.
It's a good practice, beginning with the previous week to not take Ac. Acetilsalicic (aspirin) to prevent clotting problems, and for smokers to abstain for at least 4 weeks (two before and two after the operation).
If you have veterans from oral infection would be prudent to postpone the surgery.
If the procedure is not linked to other, but is performed alone, usually is operated under Day-Surgery (resignation the same day) and is therefore essential that the patient is accompanied by a person who can take care of bring home in the first hours of need.
- Chin – The surgical procedure to implant a chin prosthesis requires 30-45 minutes. After choosing and selecting the type and size of the implant, it fits into a pocket inside the mouth, just in front of the chin. The endo-oral incision is the most frequent surgical approach, but the implant it can insert as well from the outside, through a small incision below the chin.
The choice between two types of approaches is linked to individual factors and is generally dictated by the wishes of the patient.
- Cheek - The surgical procedure to implant a cheek prosthesis requires 30-45 minutes. If the operation is run in conjunction with a facelift or a facial blepharoplasty obviously uses the routes of approach offered by other measures, otherwise you can place the incision on the edge of the lower lid or inside the mouth. It prepares a pocket and it allocates the prosthesis. A small dressing is applied, on the margins of the incision to avoid dislocations in the post-operative.
Usually this surgical procedure is performed under local anaesthesia, but can also be conducted in General Anaesthesia according to the wishes of the patient.
The pain in both procedures is virtually absent and the discomfort is well controlled by medication. The swelling disappear in few days and the stitches are not removed because they are absorbable. It's a good practice for both interventions, reduce to the maximum all movements of the face and mouth, to reduce the possibility of relocation in the face of post-operative.
In addition to common antibiotic therapy and antypain, a diet based on liquid cold for 48 hours should be followed for interventions with endo-oral approach, as provided for the latter, it must provide to make frequent use of colluttori to remove all impurities that could stagnate after each intake of food.
The return to normal activities can take place quickly, but not earlier than 5-7 days after surgery
The prophiloplasty gives very good results even if patients fail to see in the mirror the changes occurred with the operation. The newfound harmony facial motion is often emphasized by acquaintances who, while not aware of the presence of a prosthetic implant, note the improvement in the appearance of the patient.
The prophiloplasty can change the appearance and restore the lost self-confidence, but not necessarily change look according to desires or change the way to make people around us.