Because of their surgical and dental training, oral and maxillofacial surgeons are acutely aware of the importance of harmony between facial appearance and function when undertaking any cosmetic facial procedure. They make every effort not to compromise one for the other. Cosmetic maxillofacial surgery may be performed on an outpatient basis in the doctor’s office, surgical facility or surgery center. If the patient has compromising health issues or a personal preference, the procedure may be done on an inpatient basis in the hospital. Surgery may be performed under general anesthesia, IV sedation or local anesthesia. Dr. Garrison and Dr. Partridge will discuss what may be the appropriate place and anesthesia options for your particular health history and wishes.
Chin surgery (mentoplasty) can be performed to either increase or reduce the size of the chin. The best candidate for chin surgery is the individual with a receding or protruding chin and a normal dental bite or occlusion. For those whose bite needs correction, orthognathic or jaw surgery, in conjunction with mentoplasty, may be required.
There are two basic surgical procedures for the chin. One moves the chin bone forward or backward. This is accomplished with an orthognathic procedure that "slides" the chin back or foward into the desired position. The other involves the use of an artificial chin prosthesis or implant which is placed in front of the bone of the chin to increase the chin’s prominence.
Cheek implants (malar augmentation) can give definition to a face that has a flat contour due to underdeveloped cheekbones. The best candidates for cheek implants are individuals with a long narrow face or individuals with a very round face and flat cheeks. Implants can help to create the appearance of higher, more prominent cheekbones.
During the cheek implant procedure, incisions are made either inside the mouth or immediately below the lower eyelids. Most frequently, the doctor will make the incision inside the mouth, between the upper gums and the cheek. The surgeon elevates the soft tissue, creating a small pocket over the cheekbone. A prosthesis or implant similar to the consistency of a natural cheekbone is then inserted and placed over the cheekbone to achieve the desired appearance.