Problems related to contouring

Do I need and am I a candidate for jaw angle and cheekbone surgery? Cosmetic surgery is the icing on the cake, and it is difficult to answer the question of whether or not it is needed, since most of the patients are healthy and have no organic pathology. It is difficult to answer the question of whether or not the surgery is needed. The main criteria for determining whether or not the surgery is needed are the psychological needs of the patient and their work life, as well as the results of the doctor’s examination. If necessary, a psychological evaluation will be performed. As for the suitability of the procedure, the final decision should be made by a professional doctor based on a scientific clinical diagnosis and the necessary auxiliary examinations. Women should also avoid menstruation and pregnancy. Patients who have been taking weight loss pills and other medications for a long time are advised to stop taking them for at least one month before undergoing surgery. How can I avoid the risks of surgery? As with any surgery, facial contouring can bring you a reshaped and beautiful face while also requiring you to take certain risks, so careful consideration should be given when deciding whether to have surgery and where to have it. Contouring requires a doctor with extensive clinical experience and skilled surgical skills, the hardware requirements are also very high: 1, anesthesia requirements: safe anesthesia is a prerequisite for successful surgery, medical progress in many large and complex surgery are thanks to the progress of anesthesiology, no anesthesiologist escort, the surgery can not be completed. Bone grinding surgery is mostly performed intraorally, and it is vital to maintain the usual airway from start to finish. 2.Operator requirements: Bone surgery, like soft tissue surgery such as double eyelids and nose pads, is also a very delicate operation, and in addition to careful design before surgery, the operation should also be very delicate and patient. Every step from incision, visualization, hemostasis, osteotomy, suturing to dressing should be done carefully. Currently, contouring surgery is mostly performed using an intraoral incision, with the aim of avoiding external marks. This makes the surgical operation very difficult due to the narrow surgical field. Special revealing pulls are required, preferably with the aid of a cold light source, to facilitate the surgical operation. Nevertheless, it is sometimes necessary to operate under blind vision, which places higher demands on the operator. 3. Team requirements: A successful surgery requires each link to be closely interlocked. In addition to anesthesia and surgical operation, postoperative monitoring and care are also very important, and early detection of problems and timely and effective disposal can avoid serious accidents. Is it possible to apply computerized surgical simulation before surgery to predict the postoperative outcome? We can use appropriate software to analyze CT or X-ray to determine the process of osteotomy and the approximate postoperative results. However, it is still impossible to predict the exact outcome. The human body is a very complex organism, which has a fine and rough side. The nature of hard and soft tissues is also different for each person, and even the response of the left and right side of the same person will be different. Therefore, we believe that it is inaccurate and unrealistic to predict the post-operative appearance by computer before surgery. Does the bite muscle need to be removed? The bite muscle removal procedure itself is not difficult. However, it is difficult to control and predict some complications during and after the operation. Clinically, we often see some cases of asymmetry, local unevenness, hemorrhage, atrophy or change of position of the bite muscle after removal of the bite muscle, which is difficult to be corrected by surgery again, so our opinion is to be cautious not to operate on the bite muscle as much as possible. It can be improved with post-operative botulinum toxin injection. Is it possible to ask the surgeon to remove the bones according to the shape of the celebrity’s face or to do the surgery according to the patient’s idea? This is just a matter of direction, we can refer to the celebrity’s face shape and the patient’s request for surgery, but the purpose of our surgery is to be more beautiful and harmonious. The basis of all these purposes is based on the premise of preserving normal physiological functions. Practices that are unrealistic, disregard medical safety and disregard the physiological functions of the maxillofacial skeleton are unacceptable to us. Our view is to develop a safe and reliable surgical plan by combining actual clinical and auxiliary examinations. The re-sculpting of the face is done on a safe basis. Will the soft tissues sag? Soft tissue sagging after jaw surgery is rare. Soft tissue sagging is mainly found after cheekbone surgery, but it depends on the texture of each individual’s skin, bone structure, surgical operation and the degree of reduction of the cheekbone. For patients with looser skin and more reduced degree of soft tissue sagging can be improved by temporal lift treatment. How long is it appropriate to wear the elastic bandage? There is no specific technical statistics on this issue, but according to our clinical experience, it is best to wear it day and night for 1 month after surgery, with intermittent rest in between, for example, 2 hours with the bandage can be taken off for 1 hour, which is conducive to the re-adhesion of soft tissues and blood return and reduce swelling. 1 month later, it can be worn at night, and it is best to continue for more than 3 months. We have clinically found that long-term elastic headgear wear is beneficial for facial reshaping and skin rejuvenation. How long does it take to recover from surgery? The recovery is divided into 3 stages: Stage 1: 2 weeks after surgery, the sutures have been removed, most of the swelling has subsided, and you can carry out your daily work and study life normally Stage 2: 1-3 months after surgery The swelling has mostly returned to its pre-operative appearance, and it is difficult for a professional to see that surgery has been performed. The clinical recovery is achieved, which is in line with the theory of Chinese medicine that it takes 100 days to break a bone. The third stage is 6 months or more, when soft tissue swelling, venous reflux, and nerve recovery enter an advanced stage, and the vast majority of patients are completely restored to normal. The resorption of the bone tissue is also basically completed, and the postoperative effect is more stable. However, in some rare cases, it takes a longer time to recover. Therefore, clinically we often encounter patients who are worried about swelling and discussing the effect of surgery every day for 1 or 2 weeks after surgery, which is inappropriate because it is impossible to judge the effect of surgery at this time, and worrying is futile and adds a lot of worries to oneself. Therefore, do not be anxious about this situation, the human body is a very wonderful organism, surgery has a rigorous scientific system, nerves, blood vessels, soft tissues and bone tissues follow the scientific law of recovery. Give it time, and it will surprise you. Can I recover from nerve damage and lower lip numbness? The surgery where this question comes up most often is the chin osteotomy, because the chin nerve is right in the middle of our surgical field, and it is important to carefully protect the chin nerve when doing this surgery, which is what craniomaxillofacial specialists have been training for years. We often say: the nerve is very sensitive, as long as you see it during surgery, reveal the nerve after surgery, he will have a reaction, there will be temporary numbness of the ipsilateral lower lip after surgery, but as long as the nerve continues to be sure to recover. However, as long as the nerve continues to recover, it will definitely recover, unless permanent irreversible damage occurs in rare patients with anatomical variants. The length of recovery time varies, with most patients fully recovering within 1-3 months after surgery, and some taking 1-2 years. Is jaw angle osteotomy or bone grinding surgery better? This is a question raised by artificial speculation, just like eating with chopsticks or knives and forks, as long as the purpose of eating is achieved, the tool is a secondary issue. Theoretically, each has its own advantages and disadvantages, but it depends on how the operating surgeon applies them. We believe that bone grinding and osteotomy should not be separated. As long as a good treatment effect is achieved, it is fine. Is there a feeling of bone step after surgery? There are two main aspects to this question: firstly, after the jaw angle surgery, and secondly, after the chin osteotomy. In the early days of mandibular osteotomy surgery, there were some procedures that did have a second mandibular angle, and the phenomenon of local unevenness and bone steps, but after years of clinical and theoretical development, this problem can almost be avoided, because we currently use a curved continuous osteotomy line, which can achieve a very good osteotomy area and the excess of the unsteotomy area, the problem of the second mandibular angle almost does not exist. The feeling of step at the bone joint after chin osteotomy can be faintly felt by careful touching in the early stage after osteotomy, but it is not observable in appearance. The reason for this is that firstly, we have improved the extent of the chin osteotomy and extended the length of the osteotomy to achieve a smooth transition of the broken end of the bone, secondly, the bone surface is covered with thick facial soft tissue, so the step feeling cannot be observed, and thirdly, after 3 to 6 months of bone regeneration and reconstruction, the broken end can completely heal and the small step feeling that remains disappears. Is jaw angle surgery just an operation on the jaw angle? Jaw angle osteotomy is a name that is easily understood by the general public. The exact name of our surgery is mandibular osteotomy, which includes the body of the jaw, the outer plate of the jaw, the lower edge of the jaw and the chin. It is not just the corners, but the whole jawbone that affects the shape of the face is designed and operated as a whole to achieve the purpose of face slimming and beauty. Am I a candidate for chin osteotomy or chin augmentation? For mild or moderate chin deformity, silicone or Medpor can be considered for chin augmentation. However, for moderate and severe chin size, chin recession, and chin deviation, a chin osteotomy is required. The titanium plates and nails used for fixation can be carried for life with little rejection and can pass through flight security freely. If you want to remove them, you can do so after six months. The removal of titanium plates and nails is a very simple and minor procedure.