eMedicine Specialties > Plastic Surgery > Facial Augmentation

Facial Alloplastic Implants, Chin: Workup

Author: John A Grossman, MD, Emeritus Chairman, Instructor, Departments of Otolaryngology and Plastic Surgery, University of Colorado Rose Medical Center
Contributor Information and Disclosures

Updated: Sep 10, 2008

Workup

Laboratory Studies

  • Perform studies appropriate to the level of surgery and type of anesthetic planned based on patient age, general state of health, and present medical conditions. Include complete blood count and urinalysis. If bleeding history is of concern, include prothrombin time, activated partial thromboplastin time, and bleeding and clotting times.

Imaging Studies

  • Obtain a chest radiograph if the patient has a history of smoking or is a woman older than 50 years or a man older than 45 years. Most of the time this is performed only if indicated by history and physical examination.
  • For a straightforward alloplastic mentoplasty, facial radiographs, panoramic radiographs of the mouth, and cephalometrigrams are not indicated.
  • In more severe situations, in which alloplastic mentoplasty still is considered, an oral surgical and orthodontic evaluation that includes dental models, panoramic radiographs, and cephalometrigrams is appropriate, as are accurate clinical photographs.

Other Tests

  • Obtain an ECG if relevant history indicates the need or for a woman older than 50 years or a man older than 45 years.

More on Facial Alloplastic Implants, Chin

Overview: Facial Alloplastic Implants, Chin
Workup: Facial Alloplastic Implants, Chin
Treatment: Facial Alloplastic Implants, Chin
Follow-up: Facial Alloplastic Implants, Chin
Multimedia: Facial Alloplastic Implants, Chin
References
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References

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  2. Cohen SR. Genioplasty. In: Guyuron B et al, eds. Plastic Surgery: Indications, Operations, and Outcomes. St Louis: Mosby; 2000:2683-2686.

  3. Rubin, LR, Robertson, GW, Shapiro, RN. Polyethylene in reconstructive surgery. Plast Reconstr Surg. 1948;3:586.

  4. Binder WJ, Kamer FM, Parkes ML. Mentoplasty--a clinical analysis of alloplastic implants. Laryngoscope. Mar 1981;91(3):383-91. [Medline].

  5. Cohen SR, Mardach OL, Kawamoto HK Jr. Chin disfigurement following removal of alloplastic chin implants. Plast Reconstr Surg. Jul 1991;88(1):62-6; discussion 67-70. [Medline].

  6. Eppley BL. Alloplastic implantation. Plast Reconstr Surg. Nov 1999;104(6):1761-83; quiz 1784-5. [Medline].

  7. Eppley BL, Sadove AM, Holmstrom H, et al. HTR polymer facial implants: a five-year clinical experience. Aesthetic Plast Surg. Sep-Oct 1995;19(5):445-50. [Medline].

  8. Guyuron B, Raszewski RL. A critical comparison of osteoplastic and alloplastic augmentation genioplasty. Aesthetic Plast Surg. Summer 1990;14(3):199-206. [Medline].

  9. Karras SC, Wolford LM. Augmentation genioplasty with hard tissue replacement implants. J Oral Maxillofac Surg. May 1998;56(5):549-52. [Medline].

  10. Kobayashi T, Shingaki S, Nakajima T, et al. Chin augmentation with porous hydroxyapatite blocks. J Long Term Eff Med Implants. 1993;3(4):283-94. [Medline].

  11. Matarasso A, Elias AC, Elias RL. Labial incompetence: a marker for progressive bone resorption in silastic chin augmentation. Plast Reconstr Surg. Nov 1996;98(6):1007-14; discussion 1015. [Medline].

  12. McCollough EG, Hom DB, Weigel MT, et al. Augmentation mentoplasty using Mersilene mesh. Arch Otolaryngol Head Neck Surg. Oct 1990;116(10):1154-8. [Medline].

  13. Moenning JE, Wolford LM. Chin augmentation with various alloplastic materials: a comparative study. Int J Adult Orthodon Orthognath Surg. 1989;4(3):175-87. [Medline].

  14. Peled IJ, Wexler MR. Screw fixation of silicone implants. Ann Plast Surg. Aug 1987;19(2):195-6. [Medline].

  15. Peterson RA. Correction of the senile chin deformity in face lift. Clin Plast Surg. Apr 1992;19(2):433-45. [Medline].

  16. Pitanguy I, Martello L, Caldeira AM, et al. Augmentation mentoplasty: a critical analysis. Aesthetic Plast Surg. 1986;10(3):161-9. [Medline].

  17. Salman L, Kinney LA. Clinical response of hard tissue replacement (HTR) polymer as an implant material in oral surgery patients. J Oral Implantol. 1992;18(1):24-8. [Medline].

  18. Terino EO. Alloplastic facial contouring by zonal principles of skeletal anatomy. Clin Plast Surg. Apr 1992;19(2):487-510. [Medline].

  19. Terino EO, Flowers RS. Alloplastic contouring in the premandible-jawline lower third facial unit. In: Terino Eo, Flowers RS, eds. The Art of Alloplastic Facial Contouring. St Louis: Mosby; 2000:153-163.

  20. Toranto IR. Mentoplasty: a new approach. Plast Reconstr Surg. May 1982;69(5):875-8. [Medline].

  21. Vuyk HD. Augmentation mentoplasty with solid silicone. Clin Otolaryngol Allied Sci. Apr 1996;21(2):106-18. [Medline].

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Further Reading

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Keywords

chin implant, facial alloplastic implant, facial implant, mentoplasty, augmentation mentoplasty, chin augmentation, small chin, weak chin, chin surgery, genioplasty, chinplasty, profileplasty

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Contributor Information and Disclosures

Author

John A Grossman, MD, Emeritus Chairman, Instructor, Departments of Otolaryngology and Plastic Surgery, University of Colorado Rose Medical Center
John A Grossman, MD is a member of the following medical societies: American Burn Association, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society for Laser Medicine and Surgery, American Society of Plastic Surgeons, Colorado Medical Society, Lipoplasty Society of North America, and Pan-Pacific Surgical Association
Disclosure: Nothing to disclose.

Medical Editor

Gregory Caputy, MD, PhD, Chief, Department of Plastic Surgery, Aesthetica Plastic and Laser Surgery Center of Honolulu
Gregory Caputy, MD, PhD is a member of the following medical societies: American Medical Association, American Society for Laser Medicine and Surgery, Canadian Medical Association, Hawaii Medical Association, International College of Surgeons, International College of Surgeons US Section, Pan-Pacific Surgical Association, and Wound Healing Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Edward Owen Terino, MD, Director, Department of Plastic Surgery, Los Robles Medical Center
Edward Owen Terino, MD is a member of the following medical societies: American College of Surgeons, American Society for Aesthetic Plastic Surgery, and International College of Surgeons
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Practice Director, Colorado Plastic Surgery Center at Swedish Medical Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Al Aly, MD, FACS, Consulting Surgeon, Iowa City Plastic Surgery
Disclosure: Ethicon  Consulting fee Consulting; QMP Royalty Book royalty; Insorb Stapler Consulting fee Consulting; Insorb Stapler Ownership interest None; Medicis Intellectual property rights None

 
 
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