Rhinoplasty and Cosmetic Surgery

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436 North Bedford Drive Suite 201
Beverly Hills, CA 90210

To improve the chin/jaw line, by augmenting or enlarging the chin and front potion of the jawbone. May be performed with extended neck sculpture or face and neck lift (through common incision). The “implant” used is made of medical grade silicon plastic, and is selected for size and shape individually. The implants are safe and have been used for nearly 40 years.

Anesthesia: General anesthesia is administered by a physician anesthesiologist specializing in facial procedures. Under anesthesia, there is no pain and no awareness. An intravenous is started and you “drift off to sleep.”

Time: Approximately 1 hour in the operating room.

Recovery Room: Usually 1 hour in a fully monitored and state of the art recovery room at the surgery center.

Convalescence: Professional care is optional. If you choose to recover at home, someone must be with you the first night. As with all of our procedures, precise instructions, direction sheets and a “care package” of supplies and medications are provided.

Stitch Removal: Stitches are removed from the hidden, under the chin incision beginning on the 4th, 5th or 6th day after surgery. “Steri-strips” or a “butterfly” dressing may be applied at that time for wound support for an additional several days.

Return To Work, Normal Activities, Etc: 5 to 7 days. If there is bruising, it can be concealed with make-up.

After That First Week: Numbness about the chin usually begins to subside. The incision still feels lumpy which is perfectly normal. Lower lip stiffness, which may be present initially after surgery, begins to abate.

For The First Several Months: Within 3 months after surgery, the hairline incision under the chin has matured to become fine, soft and nearly invisible. For the first 6 months, those patients with dark skin should use a sunscreen to protect the incision, particularly during the summer.

Our instructions for post-op home care

  1. The dressing over the incision underneath the chin should be left in place until the next day.
  2. On the day following surgery, you may remove the dressing, clean the skin with peroxide and coat the stitches with the ointment provided. If you wish to, you can put a Band-Aid dressing over the incision, but you do not have to. It is your choice.
  3. The chin and surrounding areas may be swollen and, sometimes discolored (black and blue). This is normal and will disappear as tissues heal. It rarely is present beyond 7-10 days.
  4. The lower lip and chin, on one or both sides, may be numb. This is due to swelling of the tissues and will resolve, usually within a matter of days. Sometimes it can take weeks.
  5. Internal stitches have been placed which dissolve, but the external stitches will be removed between the fourth and the sixth day after surgery. An appointment will be set for you to have this done in the office.
  6. Gentlemen may notice that it is difficult to keep a dressing on in the first several days because of hair growth. You can use Tincture of Benzoin as an adhesive which will let the Band-Aids stick better to the skin.
  7. If you have any questions at any time, be sure to call us.