Archives January 2024

A facelift is a commonly sought-after surgical procedure that involves the tightening of the skin to diminish the visibility of wrinkles, resulting in a more youthful appearance for individuals of both genders. Dr. Theerapong’s proficiency and ability enabled him to attain favorable outcomes with minimal effort.

Formation of permanent marks on the skin. Through his/her approach, the surgeon is able to do incisions that are virtually imperceptible, ensuring that patients achieve enduring results that will endure over time.
There are different types of face lifts that focus on specific parts of a person’s face. This procedure targets the forehead, cheeks, brows, neck, and even the Glabella frown lines. It aims to enhance facial characteristics and diminish the visible signs of aging, such as wrinkles.

Our objective is to enhance patients’ appearance and well-being by addressing their needs, so enabling them to attain pleasure and remarkable outcomes.

What does the term “top surgery” refer to?
Top surgery enhances the appearance of the chest, giving transgender men a more masculine aesthetic. This operation is a form of gender-affirming surgery specifically designed for those transitioning from female to male (FTM).

What occurs during FTM top surgery?
There are numerous choices available for female-to-male top surgery. Procedures may encompass:

Performing a bilateral mastectomy to remove both of your breasts.
Removing surplus skin in the vicinity of your breasts.
Adjusting the position of your nipple and the pigmented skin surrounding it.
Implementing additional modifications to provide a smooth and unenhanced breast area.
FTM top surgery is primarily intended for those who identify as transgender men who wish to undergo a surgical procedure to alter their chest appearance.
A significant number of individuals seeking FTM top surgery experience gender dysphoria. This refers to the state of distress that arises when an individual’s biological sex assigned at birth does not align with their own sense of gender identity. Top surgery can effectively reduce this dysphoria.

Surgery can additionally mitigate difficulties arising from the utilization of compression garments for binding purposes. These form-fitting clothing can result in skin irritation, respiratory difficulties, pain, and potentially fractured ribs.

Which specialty of surgeon is responsible for conducting this procedure?
An optimal selection would be a plastic and reconstructive surgeon who holds board certification and specializes in gender-affirming surgeries. Seeking treatment from a seasoned practitioner maximizes the likelihood of a successful surgical outcome.

Details of the procedure
What precedes FTM top surgery?
In order to have female-to-male top surgery, you must satisfy the standards established by the World Professional Association for Transgender Health (WPATH). A mental health evaluation will be conducted to ascertain your comprehension of the operation and its ramifications on your life.

It is probable that you will require testosterone hormone therapy to verify your gender. The complete manifestation of the desired outcomes may require a duration of up to one year, encompassing the relocation of adipose tissue from the chest region and the augmentation of shoulder width.

What alternatives do I have?
Multiple options exist for FTM top surgery:

Double-incision top surgery involving the use of nipple transplants.
This is the prevailing choice. It encompasses:

The procedure involves the removal and reduction of both the nipples and areolas.
Performing extensive surgical cuts to gain access to and extract your breasts.
Conducting liposuction procedure to eliminate surplus adipose tissue.
Excising surplus skin, if required.
Using specialized sutures to prevent the formation of skin puckering, often known as dog ears, near the incision.
Reattaching the optimum mammary papillae and pigmented areas to your thorax.
Periareolar mastectomy
This choice is designed for persons with more petite chests. It could encompass:

Performing a single circular cut along the perimeter of your areola.
Creating a broader circular cut surrounding the initial one.
Excising mammary tissue and conducting liposuction.
The process involves resizing and reattaching the areola by carefully aligning and suturing the borders of the larger incision.
Keyhole top surgery refers to a surgical procedure that involves the removal of breast tissue through a small incision made around the areola.
If you possess a diminutive chest and taut skin, you may meet the criteria for this surgery. It encompasses:

Performing a surgical cut along the lower portion of your areola, leaving it partially connected.
Excising mammary tissue and conducting liposuction.
Adjusting the size of your nipple if needed.
What other gender-affirming surgical procedures are accessible for transgender men?
You might consider pursuing:

Facial masculinization enhances the appearance of your face to make it more manly. It offers choices like elongating your forehead or enhancing the angularity of your jaw.
Phalloplasty is a surgical procedure that constructs a penis of average size. This method involves utilizing grafts of dermal tissue from different regions of your body.
Metoidioplasty yields a reduction in penile size. This technique involves the administration of hormones to stimulate the growth and enlargement of your clitoris. Surgeons utilize this tissue to fabricate a penis.
Pros and Cons
What advantages can FTM top surgery offer?
One of the primary advantages is alleviation of gender dysphoria. Attaining a level, masculine appearance of the chest is beneficial for numerous transgender individuals as it enhances their self-perception and aids in reducing gender dysphoria.

Additional advantages vary based on the specific type of top surgery:

Double-incision top surgery with nipple transplant involves making two incisions on the chest to remove breast tissue and create a masculine chest contour. Nipple grafting is performed to relocate the nipples to a more appropriate position on the chest.
Improved alignment of the nipple.
Reduced likelihood of drooping.
Periareolar top surgery refers to a surgical procedure that involves making an incision around the areola to remove breast tissue and create a more masculine chest appearance.
Potential retention of nipple sensitivity.
After the healing process, incision scars are barely discernible.
Keyhole top surgery refers to a surgical procedure that involves the removal of breast tissue through a small incision made around the areola.
Potential retention of nipple sensitivity.
Negligible scarring.
What are the possible problems associated with female-to-male (FTM) top surgery?
The occurrence of complications is contingent upon the specific nature of the surgery and may encompass the following:

Urgent and manageable problems such as hemorrhaging and susceptibility to infection.
Dog ears refer to a tiny protrusion of adipose tissue and skin that extends beyond the incision site.
Diminished tactile perception in the nipple area.
Formation of permanent fibrous tissue as a result of injury or damage.
Accumulation of adipose tissue over a period of time necessitating further liposuction.
Asymmetrical nipples or other surgical imperfections that require corrective surgery.
Rehabilitation and Prospects

What is the postoperative experience of FTM top surgery?
Following the surgical procedure, it will be necessary for you to:

Utilize compression bandages on your chest to inhibit the accumulation of fluid.
Adopt a supine sleeping position.
Administer analgesics to alleviate discomfort and mitigate the occurrence of constipation.
Engage in restful activities, such as taking time off from work for a little duration and refraining from lifting or stretching momentarily.
Ensure regular replacement of the compression bandages.

What is the postoperative experience following FTM top surgery?
The prognosis following FTM top surgery is highly favorable. The process of pain and scar reduction may last several months. Following recuperation, the majority of individuals experience an enhanced perception of themselves and an elevated standard of living.

When to Seek Medical Consultation
What is the recommended timeframe for contacting my healthcare physician following FTM top surgery?
It is important to schedule follow-up consultations to monitor your progress in recovering. Promptly reach out to your healthcare professional if you encounter any of the following:

Stained bandages saturated with blood, indicating an excessive amount of bleeding.
These are infections that result in a rise in body temperature or the presence of a yellowish fluid coming out of the surgical wounds.
Intractable pain unresponsive to pharmacological interventions.
Indications of blood clots, such as atypical enlargement in your groin or lower thigh.
Experiencing emesis and inability to retain fluids.

The mandibular angle refers to the anterior protrusion of the lower jaw located in front of the inferior aspect of the ear. The lower jaw’s prominence defines the lower part of the face. Similar to how high and prominent cheekbones are linked to beauty, having a well-defined and proportionately significant mandibular angle is also highly desirable.
Mandibular angle implants are commonly put through an intraoral incision adjacent to the third molars. The surgeon inserts the chosen implant, which matches their preferred size and shape, via the incisions into a pocket formed in the tissue. Occasionally, a minute titanium screw is employed to affix the implant to the bone. The incisions are sealed using sutures that are subsequently assimilated by the body.

Operation duration:
The duration of the operation varies, typically lasting 2-3 hours, depending on the complexity of the surgical procedure.
Postoperative care:
Following the procedure, you will be instructed to maintain an elevated and immobile position for a few days in order to reduce swelling. Refrain from engaging in physically demanding tasks, such as sexual activity and intense household chores, for a minimum of two weeks (although walking and gentle stretching are permissible). Additionally, it is advisable to abstain from consuming alcohol and using steam baths or saunas for several months. Prioritize obtaining plenty rest and enable your body to allocate its energies towards the process of recuperation.
Recovery duration: A significant number of patients can resume their work activities around one week following a face implant treatment. Certain additional activities may require a more extended period of postponement.

Potential hazards and complexities: Complications arising from mandibular angle augmentation are rare and typically insignificant; nevertheless, individuals exhibit significant variations in their anatomical structure, physiological responses, and capacity for healing. The result of surgery is always uncertain to some extent.
Possible complications may be hematoma (accumulation of blood beneath the skin necessitating surgical removal), infection, and adverse responses to anesthesia. To mitigate your risks, it is imperative to diligently adhere to the directions provided by your surgeon both before to and during the surgical procedure.

Anesthesia is often administered either intravenous (I.V.) sedation or general anesthesia.
Admission to a hospital:
This operation can be conducted in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or a hospital. This operation is often performed on an outpatient basis.

Prior to surgery, the patient will undergo a comprehensive evaluation which includes a thorough investigation of their medical history (including allergies, significant medical conditions, and all drugs, both prescribed and non-prescribed), a physical examination, and various laboratory tests. These assessments will be conducted throughout the consultation process.
 Blood and urine samples will be obtained for standard preoperative laboratory examinations. X-rays can be used to assess an individual’s skeletal composition.
It is imperative to abstain from smoking for around 3-4 weeks before undergoing surgery, as nicotine hampers blood flow and significantly hinders the healing process.

• You will be required to abstain from consuming alcohol starting one week prior to the procedure and continuing throughout your recuperation period.
  It is advisable to refrain from consuming any medications, including hormones, anticoagulants, anabolic steroids, and supplements, for a minimum of 4-6 weeks before surgery. This precaution is necessary to avoid any potential medical complications.
  Refrain from consuming aspirin, anti-inflammatory medications, and herbal supplements as they have the potential to amplify bleeding.

Mandibular Angle Reduction, also known as Reduction Angleplasty, is a surgical procedure that narrows the breadth of the lower face, transforming a square-shaped face into an oval-shaped one. The mandible angle reduction incision is intraoral.
Duration of the operation: The process typically lasts for approximately 1-2 hours.
Postoperative care:
Edema and cutaneous pigmentation are prevalent and often resolve within a span of one to two weeks. The stitches will be extracted around seven days later. After the procedure is performed intraorally, rinse your mouth with mouthwash for a minimum of 10 days. Maintain cleanliness and dryness of the incision area. Submit an application

Administered antibiotic ointment to the staples and stitches as directed. Completely dry using gauze. Apply constant cold compresses to the operative area for the initial 48 hours. Avoid using a hot hair dryer when drying your hair. Refrain from using steam baths and saunas for a period of many months. Commence with transparent fluids and gradually escalate intake as one’s tolerance allows. Refrain from consuming foods with a chewy texture throughout the initial 14-day period. Avoid consuming hard or difficult foods for a period of 2-4 weeks following the surgery. You are need to adhere to a diet consisting of light food. Avoid consuming alcohol and smoking for a duration of two weeks, if feasible, since they contribute to the enlargement of swelling. Alternatively, consume these substances in limited quantities. You will be instructed to maintain a slightly raised position of your head for a few days. Lie in bed calmly with your head elevated on 2 – 3 pillows.
It is advisable to engage in bed rest for the initial 48 hours. For the next 3 to 5 days, it is advisable to limit your regular activities, refraining from household chores and physical exertion. For the initial 5 days following surgery, it is crucial to avoid any activities that could raise blood pressure and potentially exacerbate bruising, edema, and bleeding. Walking is allowed within acceptable limits. Avoid prone position for a duration of one month. When stooping, flex the knees instead of lowering the head.
Duration of recuperation:
Anticipate experiencing fatigue for a duration of 7 to 10 days following the surgical procedure, particularly in the aftermath of anesthesia administration. Avoid rubbing or scratching the surgery area for a minimum of two weeks. Wound dressing should be applied twice daily for a duration of 7 days, following the removal of the tape. Administer a course of antibiotics for a duration of 14 days following the surgical procedure. Avoid the consumption of vitamin E and aspirin (or acetyl salicylic acid) for a period of 14 days following surgery, since they can heighten the risk of bleeding. Prescription pain drugs will be provided to alleviate any discomfort.

Potential hazards and complexities:
Undergo laboratory testing or seek a medical assessment. Administer certain drugs or modify your existing pharmaceutical regimen.
Cease smoking sufficiently prior to surgery and refrain from consuming aspirin, anti-inflammatory medications, and herbal supplements, since they have the potential to augment bleeding.
Application of anesthesia:
Mandible angle reduction surgery is conducted while the patient is under the effects of general anesthesia.
Admission to a hospital:

This operation can be conducted in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or a hospital. This technique is often performed as an outpatient procedure.
Preoperative Preparations
During the consultation, a comprehensive evaluation will be conducted, which includes an assessment of the patient’s medical history (including allergies, major medical conditions, and all medications taken, both prescribed and non-prescribed), a physical examination, and laboratory tests.
 Blood and urine samples will be obtained for standard preoperative laboratory examinations. X-rays are used to assess the individual’s skeletal composition.
It is imperative to abstain from smoking for around 3-4 weeks before undergoing surgery, as nicotine hampers blood flow and significantly impairs the healing process.
 It is probable that you may be instructed to abstain from consuming alcohol starting one week prior to the surgery and continuing throughout your recuperation period.
Refrain from consuming any medications, including hormones, anticoagulants, anabolic steroids, and supplements, for a minimum of 4-6 weeks before the surgery to avoid introducing any additional medical complications.
Refrain from consuming aspirin, anti-inflammatory medications, and herbal supplements as they have the potential to heighten bleeding.

Forehead reduction surgery, also known as hairline lowering surgery, is a procedure that can be performed on both men and women to decrease the size of a disproportionately high hairline or broad forehead. The forehead reduction technique can be conducted concurrently with a Forehead Lift (Browplasty) or as a standalone procedure.
During this treatment, a surgical cut is created at the hairline. By excising a hairless section of the scalp, the hairline can be effectively lowered. The hair follicles adjacent to the incision will eventually penetrate it and conceal the scar.
Operational duration:
The process typically requires approximately 2 hours to complete.
Postoperative care:
Following the forehead reduction treatment, there may be noticeable bruising and swelling. Ice compresses might be utilized to manage the inflammation. During the night, a loose bandage will be applied to your forehead to further reduce swelling. A drain can be utilized to facilitate the removal of accumulated fluids in the tissues. The individual may also have paresthesia and mild discomfort, both of which will ultimately subside.

Diminish and can be managed with medicines. You can commence showering and shampooing your hair inside a span of two days, or promptly after the bandage is taken off.
Recovery duration: The time it takes for individuals to recover varies. Several patients achieve sufficient recovery to resume work within a week. Your stitches will be removed after a week. The majority of patients resume their professional activities after a period of 7-10 days following their hairline lowering procedure, while a subset of individuals may return to work even earlier. The majority of the observable indications of surgery should fully diminish within around three weeks. Hair loss in the frontal scalp area is possible between 2-4 weeks following the surgical procedure. Regrowth of the hair will occur within a few months.
According to our surgeon’s recommendation, patients should administer 5% Minoxidil to the frontal area of the scalp, commencing 2-6 weeks prior to the surgery and continuing for a duration of 3 months following the procedure.

Potential hazards and complexities:
Forehead reduction carries potential complications such as the collection of fluid, scarring, hair loss at the incision site, and the possibility of infection. Typically, hair loss should regrow within a few months. Antibiotics are commonly administered to prevent infections. The emergence of fresh hair growth typically conceals unattractive scars. Nevertheless, in certain instances, the client may choose to have an extra hair graft procedure to conceal the scars.
Application of anesthesia:
The surgery typically employs general anesthesia, requiring hospital hospitalization.
The technique for forehead reduction surgery can be conducted either in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or a hospital. This operation is often performed on an outpatient basis.
Preoperative Preparations
During the consultation, a comprehensive evaluation will be conducted, which includes reviewing the patient’s medical history (including allergies, significant medical conditions, and all drugs, both prescribed and non-prescribed), performing a physical examination, and conducting laboratory testing.

 Blood and urine samples will be obtained for standard preoperative laboratory examinations. X-rays can be used to assess an individual’s skeletal composition.

• It is imperative to abstain from smoking for around 3-4 weeks before undergoing surgery, as nicotine hinders blood flow and significantly impairs the healing process.
   It is probable that you may be instructed to abstain from consuming alcohol starting one week prior to the surgery and continuing throughout your recuperation period.
• Prior to surgery, it is advisable to refrain from taking any medications, including hormones, anticoagulants, anabolic steroids, and supplements, for a minimum of 4-6 weeks. This precaution is necessary to avoid any potential medical complications.
  Refrain from consuming aspirin, anti-inflammatory medications, and herbal supplements, as they have the potential to heighten the risk of bleeding.

Buccal Fat Removal Or Buccal Fat Reduction is a surgical technique that eliminates the fat pads that enhance the lower portion of the cheeks. During the buccal fat removal procedure, patients typically get local anesthetic, which induces a state of wakefulness accompanied by drowsiness and insensitivity to pain. The surgeon makes a 2 to 3 cm long cut between the cheek and gums, beginning above the second upper tooth and extending towards the posterior region of the mouth. The surgical cut reveals the fascia and fibers of the primary cheek muscle, known as the buccinator. By exerting external pressure beneath the cheekbone, the surgeon induces the buccal fat to protrude through the incision. Subsequently, the surgeon extracts the fat by manipulating it with forceps or surgical tweezers. Once a cumulative quantity has been extracted, the surgeon proceeds to seal the incisions.
Operation duration:
The duration of this treatment is around one hour.
Postoperative care:
Experiencing pain and suffering following a surgical procedure is a typical occurrence. Following buccal fat removal, patients may experience temporary swelling and temporary difficulty in chewing for a period ranging from a few days to a week. The majority of patients typically resume their work activities after approximately one week after undergoing surgery. It is imperative to adhere to the post-operative recommendations provided by your surgeon in order to promote optimal recovery and minimize any consequences.
Duration of recuperation:

The process of healing is comparatively rapid and devoid of pain. During the initial days following the procedure, the patient’s appearance may resemble that of someone who has undergone oral surgery, exhibiting puffy cheeks without any signs of bruising. Within a week, the patients often regain their pre-operative appearance, and the ultimate outcomes become evident after 4-6 weeks as any remaining swelling subsides.

Potential hazards and complexities:
Every type of cosmetic surgery entails a certain level of risk. The most significant potential dangers associated with buccal fat removal include infection and severe reactions to the anesthesia.
Postoperative numbness is a common occurrence and often diminishes within a few weeks. Numbness typically occurs in the areas surrounding the incision lines, as well as on the central cheekbones and jawline. Occasionally, the numbness may persist as a chronic, perhaps irreversible state.

Anesthetic administration: During the procedure of buccal fat removal, patients typically receive local anesthetic, which induces a state of wakefulness accompanied by drowsiness and insensitivity to pain.
Hospital admission: The buccal fat removal treatment can be conducted either at the cosmetic surgeon’s office-based facility, an outpatient surgery center, or a hospital. This technique is often performed as an outpatient procedure.
Surgical preoperative preparation:
During the consultation, a comprehensive evaluation will be conducted, which includes reviewing the patient’s medical history (including allergies, significant medical conditions, and all drugs, both prescribed and non-prescribed), performing a physical examination, and conducting laboratory testing.
The surgeon will assess the present condition of the patients’ cheeks, taking into consideration their age and medical background. These visits also enable the specialists to educate the patient about the advantages, precautions, hazards, techniques employed, recuperation duration, and other significant details.
 Blood and urine samples will be obtained for standard preoperative laboratory examinations. X-rays are used to assess an individual’s skeletal composition.

It is imperative to abstain from smoking for around 3-4 weeks before undergoing surgery, as nicotine hampers blood flow and significantly hinders the healing process.
 It is probable that you may be instructed to abstain from consuming alcohol starting one week prior to the surgery and continuing throughout your recuperation period.
Refrain from consuming any medications, including hormones, anticoagulants, anabolic steroids, and vitamins, for a minimum of 4-6 weeks before surgery to avoid introducing further medical complexities.
Refrain from consuming aspirin, anti-inflammatory medications, and herbal supplements as they have the potential to heighten bleeding.

Chin augmentation, also known as Mentoplasty, is a surgical technique that employs a silicon implant to enhance the contour of a small, weak, or retreating chin.
An incision is made inside the lower lip or below the chin. An implant with the proper size and form is put inside the chin. Sutures (stitches) are used to close incisions inside the mouth, which disintegrate over time. If the incision is located behind the chin, detachable sutures are employed. Following surgery, the chin is often bandaged to reduce swelling.
Chin augmentation surgery typically lasts 30 minutes to an hour.
Post-operative Care:
You’ll be wearing a facial garment or bandage for at least five days. Pain medicines can help alleviate soreness and discomfort. You require a delicate diet for a few days. Expect swelling and bruising, but they will go away in 1 to 2 weeks. You may notice numbness in the operated area, which will subside after one to three months.
After a few days of relaxation, you can return to work. Avoid vigorous activities like sports and exercise that may cause facial injuries.
After a few days of recovery, most people may return to their regular routine. For three to four weeks, avoid any activities that may produce an impact on your face.

Avoid contact sports, ball games, and activities that require wearing a helmet or chin strap.

Potential risks and complications:
Bleeding, infection, and scarring are all possible complications of any surgical procedure. Symptoms include slow healing, altered skin sensation, and soreness. We shall take all required measures to reduce these risks.

The procedure is performed under local anesthetics.
Admission to the hospital is determined by both your wishes and your surgeon’s recommendations. Chin augmentation can be performed as an outpatient procedure, in a hospital, or in an ambulatory surgery suite.
Preparation Before Surgery
During consultation, a medical history (including allergies, major medical conditions, and prescriptions) will be assessed, followed by a physical examination and laboratory tests.
 Blood and urine samples will be taken for standard preoperative laboratory tests. X-rays may be used to assess bone structure.
 Avoid smoking for 3-4 weeks before surgery since it can disrupt circulation and slow healing.
 You may be advised to abstain from alcohol for a week prior to surgery and during recuperation.
 Avoid using medications including hormones, anticoagulants, anabolic steroids, and vitamins for at least 4-6 weeks to prevent complications before surgery.
Avoid using aspirin, anti-inflammatory medicines, and herbal supplements as they can cause more bleeding.

Chin reduction is a cosmetic surgical technique that involves cutting down the bone through an incision in the lower gums.
Chin reduction surgery involves making an incision within the mouth (near the lower lip) or beneath the chin. The surgeon uses specialized devices to detach the bone at the tip of the chin, realign it, and remove surplus bone to get the desired contour. The tip is relocated with the remaining part of chin and secured with wires and plates. Suturing the incisions completes the surgery.
Duration of the operation:
The surgery lasts around 2-3 hours.
Post-operative Care:
To keep the wound clean after an oral incision, use antiseptic mouthwash on a regular basis during the first week. If the incision is under the chin, clean it twice daily after leaving the hospital. Keep the wound dry for 2–3 days. Start with a liquid diet, such as soups or smoothies, for the first few days. Consume soft foods for 7-10 days.
Recovery time: Most patients can return to work within a week after surgery. However, your surgeon may recommend taking 1-2 weeks off work. For roughly a week, follow a soft diet and avoid intense activities for up to two weeks. Avoid facial contact for up to 6 weeks.

Possible dangers and complications: Surgery carries inherent hazards. After chin reduction surgery, patients may have swelling for several weeks or months as the bones mend. Infection is a less prevalent concern to consider for chin plastic surgery. One potential negative effect of chin reduction surgery is minor nerve injury. Small nerve injury might lead to numbness in the lower lip and chin. Adverse reactions to anesthesia might cause difficulties, including respiratory system issues.

Chin reduction surgeries require general anesthesia.
Admission to the hospital is determined by both your wishes and your surgeon’s recommendations. Chin reduction can be performed as an outpatient procedure, in a hospital, or in an ambulatory surgery suite.

Preparation for surgery:
During consultation, a medical history (including allergies, major medical conditions, and prescriptions) will be assessed, followed by a physical examination and laboratory tests.
Blood and urine samples will be taken for pre-operative laboratory examinations. X-rays may be used to assess bone structure.
 Avoid smoking for 3-4 weeks before surgery as it disrupts circulation and slows healing.
 You may need to abstain from alcohol for a week prior to surgery and during recuperation.
 Avoid using medications including hormones, anticoagulants, anabolic steroids, and vitamins for at least 4-6 weeks to prevent complications before surgery.
Avoid using aspirin, anti-inflammatory medicines, and herbal supplements as they can cause more bleeding.

Sliding Genioplasty, often known as “Chin Advancement,” is a cosmetic surgery technique that changes the curve of the chin to match other facial characteristics.
This surgery begins with an incision inside the mouth, below the lower lip. Sliding genioplasty is done in severe situations to extend or shift the chin backward. The bony chin part of the jaw is then sliced and advanced or shifted backward.
This portion is then fastened with a little bone screw or wire.
The operation typically lasts 1 hour, but can extend to 3 hours if additional operations are performed concurrently.
For post-surgical care, it is recommended to follow a soft diet and routinely clean the operation site with saline solution until the first postoperative visit. You may have discomfort and soreness, which can be managed with pain relief.
During the recovery time, you may be able to resume normal activities in 5-10 days. However, you may need to follow a liquid or soft diet for a day or two.

Possible risks and complications of chin advancement include overreduction, underreduction, nerve damage, necrosis, poor cosmetic outcomes, implant or bone filler rejection, hematoma, infection, permanent change in sensation, step down problems, gum recession, tooth root exposer, tooth loss, chin ptosis, blood clots, non-union between bone segments, and screw or plate misplacement. Discuss all hazards with your cosmetic surgeon.
Anesthesia use:
Depending on the procedure, the anesthetic can be general or local.
Hospital admission:
It relies on both your and your surgeon’s preferences. Chin advancement can be performed as an outpatient procedure, in a hospital, or in an ambulatory surgery suite.
Preparation Before Surgery
During consultation, a medical history (including allergies, major medical conditions, and prescriptions) will be assessed, followed by a physical examination and laboratory tests.
Blood and urine samples will be taken for pre-operative laboratory examinations. X-rays may be used to assess bone structure.
 Avoid smoking for 3-4 weeks before surgery as it disrupts circulation and slows healing.
 You may need to abstain from alcohol for a week prior to surgery and during recuperation.
 Avoid using medications including hormones, anticoagulants, anabolic steroids, and vitamins for at least 4-6 weeks to prevent complications before surgery.
Avoid using aspirin, anti-inflammatory medicines, and herbal supplements as they can cause more bleeding.

Chin Augmentation (Genioplasty or Mentoplasty) is a surgical operation that reshapes or increases the size of the chin. It can be accomplished either by putting an implant or by shifting or reshaping bones.
Incisions are commonly performed in two locations: behind the chin in a natural crease, or within the mouth where the gum and lower lip meet. To correct a receding chin with an implant, the surgeon will make an incision and gently stretch the tissue to create space for the implant. To minimize a prominent chin, the surgeon will make an incision and mold the bone to the appropriate size.
Duration of the procedure:
Chin augmentation surgery might last anywhere from 30 minutes to an hour.
Post-operative surgery:
You will have discomfort and soreness, which can be readily managed with pain medication.
You may experience numbness in your chin for up to 3 months, and a stretching sensation for 1 week. Swelling often resolves within 6 weeks, depending on the surgery performed.
You may need to keep to a liquid or soft diet for at least a day or two.
You will most likely have the exterior bandage removed within a week of surgery. You may be need to wear a brace while sleeping for 4-6 weeks.
You can resume modest activity on the day of surgery. Within 7-10 days, you should be able to resume normal activities and work.
Recovery Period
The recuperation time is one to two weeks. Most people return to work within a week or two.

Potential risks and complications:
Chin augmentation problems typically include bruising, implant movement, and swelling. Other possible problems include dental damage and loss of sensation. Rare adverse effects include blood clots, infections that may necessitate implant removal, persistent discomfort, numbness, and changes in skin sensation. Discuss all hazards with your cosmetic surgeon.
Anesthesia use:
Local anesthesia (when awake)
Hospital admission:
It relies on both your and your surgeon’s preferences. Chin augmentation can be performed as an outpatient procedure, in a hospital, or in an ambulatory surgery suite.
Preparation Before Surgery
During consultation, a medical history (including allergies, major medical conditions, and prescriptions) will be assessed, followed by a physical examination and laboratory tests.
 Blood and urine samples will be taken for standard preoperative laboratory tests. X-rays may be used to assess bone structure.
 Avoid smoking for 3-4 weeks before surgery as it disrupts circulation and slows healing.
 You may need to abstain from alcohol for a week prior to surgery and during recuperation.
 Avoid using medications including hormones, anticoagulants, anabolic steroids, and vitamins for at least 4-6 weeks to prevent complications before surgery.
Avoid using aspirin, anti-inflammatory medicines, and herbal supplements as they can cause more bleeding.