WHAT ARE MENTOPLASTICS AND MALAROPLASTICS?

Rhinoplasty, mentoplasty and malaroplasty , also known as chin and cheekbone remodeling surgery, are increasingly required operations in cosmetic surgery.The Mentoplasty allows you to change the shape and size of the chin enhancing facial harmony and their appearance.

More precisely, cosmetic chin surgery allows: 

  • through additive mentoplasty,  to increase the size of a too small chin by means of Goretex or Medpor solid silicone implants;  
  • through  reductive mentoplasty , to decrease the size of a too large or too large chin.

The aesthetics of the cheekbones surgery instead allows to increase the volume and alter the shape of the malar region (cheekbones) through the use of solid silicone prostheses, Goretex or Medpor, the injection of absorbable or permanent fillers or lipofilling.

ARE THERE ANY AGE LIMITS FOR TAKING INTERVENTION?

There are no age limits to undergo a mentoplasty or malaroplasty surgery , but it is preferable to wait for the end of the development of bone structures which generally takes place around 15-16 years.

WHAT OTHER INTERVENTIONS CAN BE CARRIED OUT TOGETHER WITH THE AESTHETIC SURGERY OF THE CHIN AND CHEEKBONES?

The Mentoplasty and malaroplasty can be performed alone or, as happens very often in association with other surgical techniques such as blepharoplasty, facelift, rhinoplasty, the settorinoplastica or other cosmetic surgery.

WHAT ARE THE RISKS AND COMPLICATIONS OF THIS TYPE OF INTERVENTION?

The remodeling of the cheekbones and chin surgery is a relatively simple surgical procedure.

When the intervention is performed by a plastic surgery specialist, expert in face shaping , and in authorized facilities, the results are generally very good. However, this is a real surgical procedure where complications (bleeding, infection, paraesthesia) are rare but can happen and be easily resolved only if the intervention is performed by a specialist in plastic surgery within duly authorized structures.

To avoid the risk of complications, it is important to carefully follow the advice and instructions that the surgeon will give you before and after surgery.

Smokers should decrease the use of cigarettes because smoking can increase the risk of complications and cause healing delays.

HOW IS THE PRE-OPERATIVE VISIT DONE?

The Mentoplasty and malaroplasty are a lot of custom work, as such, needs a meticulous specialist examination.

During the first visit, the surgeon will have to evaluate the shape and size of the chin or cheekbones , check for any aesthetic and / or functional defects for chewing and show you the possible harmonic changes in the shape, profile and aesthetics of your face.

These corrections can be viewed through the computerized processing of digital photos of your face.

The surgeon will also have to evaluate your health to rule out the presence of changes (such as high blood pressure, clotting or scarring problems) that could affect the final result of the surgery.

At the end of the visit the surgeon, in agreement with you, will choose the shape of the chin or cheekbones that best suits the physiognomy and aesthetics of your face and, if you want to achieve an increase in volume , will show you the type of technique ( fillers, lipofilling or silicone implants, Medpor, Goretex, etc.) that you intend to use.

Before the operation you will receive specific instructions relating to pre and post-operative nutrition, the intake of drugs, alcohol and cigarettes.

WHAT TYPE OF ANESTHESIA IS PRACTICED?

The Mentoplasty , the malaroplasty and lipofilling are generally performed under local anesthesia with sedation (which means that you will be awake but relaxed and insensitive to pain) and in outpatient care. Sometimes these operations can be performed under general anesthesia with hospitalization for one or two nights.

Injections of resorbable or permanent fillers are instead carried out under local anesthesia.

ARE THE ENGRAVINGS VISIBLE?

Both in mentoplasty and in malaroplasty, the incisions are absolutely invisible as they are hidden inside the oral cavity.

chin-cheekbone-1 - Surgery - Chin
Fig. 1 Hypoplasia cheekbone and chin.
chin-cheekbone-2 - Surgery - Chin
Fig.2 Implantation of chin and cheekbones.
chin-cheekbone-3 - surgery - Chin
Fig.3 Mentoplasty and malaroplasty results.

HOW LONG DOES THE INTERVENTION LAST?

The mentoplasty, malaroplasty or lipofilling intervention lasts about an hour, is completely painless and ends with a small dressing with gauze and patches and the application of ice on the treated area for 12 hours after the intervention.

The treatment with fillers absorbable or permanent it lasts a few minutes without needing any medication.

WHAT IS THE POST-OPERATIVE COURSE?

In the 48 hours following the cosmetic surgery of the chin or cheekbones you will have to rest with your head raised.

Starting from the third day, you can resume a normal life while avoiding strenuous activities, saunas, Turkish baths and sun exposure.

In the first two days, swelling and bruising may appear around the eyes, cheeks and neck.

Five days after the surgery, the surgeon will proceed with the removal of the dressing and your face, initially swollen and edematous, will assume day after day the harmonic shape that had been agreed before the surgery.

A certain swelling may persist for several weeks, especially around the treated area or following the intake of very hot drinks and exposure to the sun (the latter should in fact be avoided for a few months).

After 7-10 days you can resume your work if not too tiring.

Three weeks after the surgery, you will gradually resume all normal activities including sports.

The result, appreciable already after the first two weeks, will be definitively achieved after about six months from the intervention.

In the treatment with the fillers the result will be more immediate and the edema and some small bruising may persist for the first 3-4 days.

WHAT TYPE OF RESULT CAN BE OBTAINED?

The contouring surgery chin and cheekbones gives generally very good results. The aesthetic improvement achievable with the prosthesis implant, with lipofilling and with non-absorbable fillers is permanent.

Mentoplasty before and after

Mentoplasty - Before.
Before
Mentoplasty - After
After

Malaroplasty  before and after

Malaroplasty - Before.
Before
Malaroplasty- After
After

FAQ MENTOPLASTICS AND MALAROPLASTICS

Q. I have a fairly important nose and an elusive chin. They advised me to undergo a rhinoplasty associated with a mentoplasty, showing me on the computer a graphic elaboration of the possible result. How reliable are these types of graphic processing?
A. Image processing is very useful and reliable in nose and chin surgery. It must be remembered, however, that cosmetic surgery is not an exact science and the achievement of the result elaborated on the computer cannot be guaranteed 100%.

Q. At what age is it advisable to undergo a mentoplasty operation?
A. There are no age limits to undergo an operation to increase the volume of the chin, but it is preferable to wait for the end of the development of the bone structures which generally takes place around 15-16 years.

Q. In the mentoplasty where are the incisions made?
A. The incisions made to increase a receding chin by prosthesis or to reduce the volume of a protruding chin are made inside the oral cavity and are therefore absolutely invisible.

Q. I am 42 years old and unfortunately I already have an evident double chin which makes my profile unsightly. How can I go about eliminating this defect?
A. Generally the presence of the double chin depends on an excess of fat or a sagging of the skin tissue. In the first case, excess fat can be aspirated by means of a small liposuction, while in the second case, a neck lift operation is more indicated which will allow to eliminate excess skin and give greater tone to the chin region. Sometimes, on the other hand, the lack of projection can depend on an elusive chin which can be corrected by implanting a prosthesis (mentoplasty) inserted through an incision made inside the oral cavity or under the fold of the chin.

Q. What treatments are recommended to increase the volume of the cheekbones?
A. To increase the volume of the cheekbones, one of the following techniques can be used: filler injections, lipofilling and zygomatic prosthesis implantation. I recommend that you first use a resorbable filler such as the newly developed Sub-Q hyaluronic acid which lasts about 12 months. In the event that the patient wishes to achieve a more lasting result, it is possible to proceed either with a permanent filler or with lipofilling (transplant of fat taken from one’s body), or by means of the implantation of solid silicone prosthesis, Goretex or Medpor .

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