pizazz8
06-22-2003, 01:56 PM
hello all-
I am getting rhinoplasty and a chin implant done on tues...I was wondering if anyone had this done..and how long it was before they could leave the house without any major noticable signs...
Thank you
I am getting rhinoplasty and a chin implant done on tues...I was wondering if anyone had this done..and how long it was before they could leave the house without any major noticable signs...
Thank you
Sponsor
mariainuk
06-22-2003, 07:34 PM
Hya,
this is a composition of my posts on this subject. Hope it helps a bit
FEW DAYS POST OP:
I'm so pleased that i have found this site. I am based in the UK and had genioplasty on the 6/8/01. I did all of my homework + got myself an excellent surgeon. I had my chin bone advanced foreward.
I'd like to hear from anyone who has had this procedure as I am at my wits end. I know that it is very ealy days but I'm beginning to think that I have been very foolish and that I have made the biggest mistake of my life. I have been in tears for most of the day, though I know that this is probably a normal post op reaction.
I've read many excellent research papers which support the op which I have had, stating that it produces a good position with natural results. At the moment though my chin looks enourmous. It is of course very swollen and lantern shaped. I look as though I have acromegaly!!. I feel that I will never look normal again.
I had discussed everything with my surgeon who said that my chin would look slightly tapered and of course more prominent. At the moment my face looks about 6 inches longer, I look so awful. I'm asuming that once the chipmunk swelling has resolved along my jaw that its natural shape wil be restored ?
My bottom lip is very swollen[as expected]but i was alarmed to read in one of your old letters that lowe rlip deformity was common!. I have to say that apart from swelling and being slightly forward it doesn't look too abnormal[unlike the rest of my jaw]I have seen 2 of my surgeons other patients and they look really good, but I am worried.
I'm very confused and emotional right now. I haven't told any of my friends. My family are being very supportive, but of course being family they thought i was beautiful anyway. Yes they did try and talk me out of it!
I discussed everything thoroughly with my surgeon, my cheekbones and jaw line were supposed to look the same. My chin was supposed to just stick out a little more to emphasise them.
I'm 39 years old and normally sensible and down to earth. However at the minute I feel about 6 years old and VERY SCARED that i have ruined my face. If I'm being honest I could have lived without the op I was just trying to ive my bone structure a little boost. I could really do with some sensible advice from someone who has been there
-------------------------------------------------------
SECOND POST:
Hello again,
further to my orignal post.Things are looking a lot better. I obviously called my surgeon, who was very understanding [even though he was at home on annual leave!].
The combination of the anaesthetic and high dose antibiotics were the main culprit for me taking a nose dive psychologically apparently.
The swelling is subsiding, but there is still a way to go. The jaw and cheekbones are coming back into view, and the lantern jaw is receding...phew!
Obviously my surgeon wasn't worried about the swelling 'cos he knew what it looked like underneath the swelling. His concern was that the mental nerves were still intact[as they are] and that I could move the musculature of my lower jaw[which I can]albeit stiffly [cos of the swelling].
As for the deformity of the lower lip, I have to say that inspite of the swelling, its obviously going to look perfectly normal once everything has settled. I can only assume that the person who wrote in an earlier letter about lower lip deformity was looking at the work of an incompetent surgeon. Thank god mine wasn't.
Anyhow I just thought I'd keep you up to date and good luck to anyone who may be about to have genioplasty. If you find yourself a good maxillofacial surgeon, things seem to work out just fine
-------------------------------------------------------
Ok,
another update, a week down the line, swelling has reduced dramatically. Things are shaping up really well[never thought they would!!] There's still some swelling to go but already I can see the benefits.
The new chin is beginning to really emphasise my existing bone structure e.g
1. whoah killer cheekbones!
It's a bit of a shock really, I can't quite believe they're mine.What a difference an extra 1cm of chin makes!
2.As the new chin has lined my lower lip up properly it's given me a nice pout too. That's going to take some getting used to 'cos the pout's there whether I'm trying to pout or not... eek. I naturally have quite big lips anyway so I s'pose I should have expected this effect.
I'll just have to be careful who I point my lips at, wouldn't want to give out wrong message to the wrong person or I may get my new chin broken
3.The nose, looks a little smaller too as well especially 3/4 profile.
So there you go things are working out. I'm not sure what the folks at work are going to say. It's quite difficult to pinpont what is different unless you know [which they don't] Everything just looks more sculpted.
I hope this helps anyone else who may be having the same surgery. Yes it is scary at first and I don't think anything prepares you for how grotesque the swelling is, but providing you choose a good surgeon, money well worth spent
-------------------------------------------------------
UPDATE:
posted 09-20-2001 09:39 AM
Hya Folks,
further to the above, I had my stitches out 3 days ago. Most stitches came out no problem, only one hurt as the stich had apparently wrapped around a nerve <ouch> Having that stitch out hurt more than the op generally, which incidentally was never more than uncomfortable.
The swelling has pretty much gone down on the right side, still a little more to go down on the left.I look pretty normal now. The inside of my mouth has healed beautifully, and the bruising has pretty much gone [what is left can be hidden quite easily with make up.
I still have some minor tightness and numbness, but that has improved phenomenally [again it's the left side that has the most swelling which has most numbness.
The surgeon is really pleased with the results. It does seem though that I was one of the unlucky ones who swelled up and bruised to the maximum [that was scary ++]
All in all I'm very pleased and it looks completely natural. Yes it is scary immediately post op, and it's very likely that you will feel as though you have made the biggest mistake in the world, but hang in there it does get better.
I hope that these posts can be of use to anyone in the future who is thinking of having the procedure. There didn't seem to be much advice around when I first made my inquiries
Maria in the UK
[This message has been edited by mariainuk (edited 06-22-2003).]
this is a composition of my posts on this subject. Hope it helps a bit
FEW DAYS POST OP:
I'm so pleased that i have found this site. I am based in the UK and had genioplasty on the 6/8/01. I did all of my homework + got myself an excellent surgeon. I had my chin bone advanced foreward.
I'd like to hear from anyone who has had this procedure as I am at my wits end. I know that it is very ealy days but I'm beginning to think that I have been very foolish and that I have made the biggest mistake of my life. I have been in tears for most of the day, though I know that this is probably a normal post op reaction.
I've read many excellent research papers which support the op which I have had, stating that it produces a good position with natural results. At the moment though my chin looks enourmous. It is of course very swollen and lantern shaped. I look as though I have acromegaly!!. I feel that I will never look normal again.
I had discussed everything with my surgeon who said that my chin would look slightly tapered and of course more prominent. At the moment my face looks about 6 inches longer, I look so awful. I'm asuming that once the chipmunk swelling has resolved along my jaw that its natural shape wil be restored ?
My bottom lip is very swollen[as expected]but i was alarmed to read in one of your old letters that lowe rlip deformity was common!. I have to say that apart from swelling and being slightly forward it doesn't look too abnormal[unlike the rest of my jaw]I have seen 2 of my surgeons other patients and they look really good, but I am worried.
I'm very confused and emotional right now. I haven't told any of my friends. My family are being very supportive, but of course being family they thought i was beautiful anyway. Yes they did try and talk me out of it!
I discussed everything thoroughly with my surgeon, my cheekbones and jaw line were supposed to look the same. My chin was supposed to just stick out a little more to emphasise them.
I'm 39 years old and normally sensible and down to earth. However at the minute I feel about 6 years old and VERY SCARED that i have ruined my face. If I'm being honest I could have lived without the op I was just trying to ive my bone structure a little boost. I could really do with some sensible advice from someone who has been there
-------------------------------------------------------
SECOND POST:
Hello again,
further to my orignal post.Things are looking a lot better. I obviously called my surgeon, who was very understanding [even though he was at home on annual leave!].
The combination of the anaesthetic and high dose antibiotics were the main culprit for me taking a nose dive psychologically apparently.
The swelling is subsiding, but there is still a way to go. The jaw and cheekbones are coming back into view, and the lantern jaw is receding...phew!
Obviously my surgeon wasn't worried about the swelling 'cos he knew what it looked like underneath the swelling. His concern was that the mental nerves were still intact[as they are] and that I could move the musculature of my lower jaw[which I can]albeit stiffly [cos of the swelling].
As for the deformity of the lower lip, I have to say that inspite of the swelling, its obviously going to look perfectly normal once everything has settled. I can only assume that the person who wrote in an earlier letter about lower lip deformity was looking at the work of an incompetent surgeon. Thank god mine wasn't.
Anyhow I just thought I'd keep you up to date and good luck to anyone who may be about to have genioplasty. If you find yourself a good maxillofacial surgeon, things seem to work out just fine
-------------------------------------------------------
Ok,
another update, a week down the line, swelling has reduced dramatically. Things are shaping up really well[never thought they would!!] There's still some swelling to go but already I can see the benefits.
The new chin is beginning to really emphasise my existing bone structure e.g
1. whoah killer cheekbones!
It's a bit of a shock really, I can't quite believe they're mine.What a difference an extra 1cm of chin makes!
2.As the new chin has lined my lower lip up properly it's given me a nice pout too. That's going to take some getting used to 'cos the pout's there whether I'm trying to pout or not... eek. I naturally have quite big lips anyway so I s'pose I should have expected this effect.
I'll just have to be careful who I point my lips at, wouldn't want to give out wrong message to the wrong person or I may get my new chin broken
3.The nose, looks a little smaller too as well especially 3/4 profile.
So there you go things are working out. I'm not sure what the folks at work are going to say. It's quite difficult to pinpont what is different unless you know [which they don't] Everything just looks more sculpted.
I hope this helps anyone else who may be having the same surgery. Yes it is scary at first and I don't think anything prepares you for how grotesque the swelling is, but providing you choose a good surgeon, money well worth spent
-------------------------------------------------------
UPDATE:
posted 09-20-2001 09:39 AM
Hya Folks,
further to the above, I had my stitches out 3 days ago. Most stitches came out no problem, only one hurt as the stich had apparently wrapped around a nerve <ouch> Having that stitch out hurt more than the op generally, which incidentally was never more than uncomfortable.
The swelling has pretty much gone down on the right side, still a little more to go down on the left.I look pretty normal now. The inside of my mouth has healed beautifully, and the bruising has pretty much gone [what is left can be hidden quite easily with make up.
I still have some minor tightness and numbness, but that has improved phenomenally [again it's the left side that has the most swelling which has most numbness.
The surgeon is really pleased with the results. It does seem though that I was one of the unlucky ones who swelled up and bruised to the maximum [that was scary ++]
All in all I'm very pleased and it looks completely natural. Yes it is scary immediately post op, and it's very likely that you will feel as though you have made the biggest mistake in the world, but hang in there it does get better.
I hope that these posts can be of use to anyone in the future who is thinking of having the procedure. There didn't seem to be much advice around when I first made my inquiries
Maria in the UK
[This message has been edited by mariainuk (edited 06-22-2003).]
websurfer18
06-28-2003, 10:20 PM
MariainUK
Can I ask a couple questions?
How many days were you on pain meds? What type were you on? How was the pain?
Is the sensation in you lip/chin area back to 100% normal, or is it diminished? How long until the feeling came back?
How long until you could make a full smile again with your lower lip?
One last one. Does you tongue stick out longer than before? Just wondering :-) I heard it does with a sliding genioplasty so I'm curious.
Can I ask a couple questions?
How many days were you on pain meds? What type were you on? How was the pain?
Is the sensation in you lip/chin area back to 100% normal, or is it diminished? How long until the feeling came back?
How long until you could make a full smile again with your lower lip?
One last one. Does you tongue stick out longer than before? Just wondering :-) I heard it does with a sliding genioplasty so I'm curious.
pizazz8
06-29-2003, 04:39 PM
yes I am wondering also...how long does it take to be able to smile using your bottom lip? doe s anyone know!!!
mariainuk
07-01-2003, 06:32 PM
Hya,
I had altered sensation in my lower lip for about a month. I could move my lower lip into a good smile within 2 weeks, but I am a physical therapist so I made myself an exercise regimen!
I do not have a tongue that sticks out any further. Anatomically that would make no sense whatsoever :) The root of the tongue has no anatomical connection to the bone that is moved.
I was given a voltarol suppository immediately post op[apparently; I was out cold so wasn't aware] I was advised to take paracetamol and codeine if I needed to. I didn't really need it. It was never painful just uncomfortable where the stitches pulled. The only painful bit [as I mentioned] was when I had one of my stitches out. It was apparently wrapped around a nerve. I got the occasional ache as the bone was settling sporadically for about a 4 months. You would expect this though as the bone remodelled itself. I talk a great deal in my job so my jaws were never still!
The other advise was to wash my mouth out with salt water after any food intake and I was also given a short course of antibiotics.
Hope this helps to dissolve any of the old wives tales
mariainuk :D
[This message has been edited by mariainuk (edited 07-01-2003).]
[This message has been edited by mariainuk (edited 07-02-2003).]
I had altered sensation in my lower lip for about a month. I could move my lower lip into a good smile within 2 weeks, but I am a physical therapist so I made myself an exercise regimen!
I do not have a tongue that sticks out any further. Anatomically that would make no sense whatsoever :) The root of the tongue has no anatomical connection to the bone that is moved.
I was given a voltarol suppository immediately post op[apparently; I was out cold so wasn't aware] I was advised to take paracetamol and codeine if I needed to. I didn't really need it. It was never painful just uncomfortable where the stitches pulled. The only painful bit [as I mentioned] was when I had one of my stitches out. It was apparently wrapped around a nerve. I got the occasional ache as the bone was settling sporadically for about a 4 months. You would expect this though as the bone remodelled itself. I talk a great deal in my job so my jaws were never still!
The other advise was to wash my mouth out with salt water after any food intake and I was also given a short course of antibiotics.
Hope this helps to dissolve any of the old wives tales
mariainuk :D
[This message has been edited by mariainuk (edited 07-01-2003).]
[This message has been edited by mariainuk (edited 07-02-2003).]
pizazz8
07-01-2003, 10:36 PM
what kind of excerises did you do to improve the smile?
thanks so much!
thanks so much!
mariainuk
07-02-2003, 05:29 PM
Hya,
the exercises aren't that difficult really but you do need to use a mirror as feedback. If you aren't able to smile you need to try and then gently facilitate the smile by using your finger tips as you try to smile/grimace/pout. Be gentle because you don't want to disturb the stitches! :eek:
Don't be too worried. You look an absolute site post operatively, the swelling bears absolutely no resemblance to the final look ..honest
mariainuk
:)
the exercises aren't that difficult really but you do need to use a mirror as feedback. If you aren't able to smile you need to try and then gently facilitate the smile by using your finger tips as you try to smile/grimace/pout. Be gentle because you don't want to disturb the stitches! :eek:
Don't be too worried. You look an absolute site post operatively, the swelling bears absolutely no resemblance to the final look ..honest
mariainuk
:)
Fi
07-13-2003, 10:49 AM
mariainuk,
I also live in the UK and plan to have a sliding genioplasty. I'm finding it difficult to find a surgeon though. You sound like you had very good results can I ask who your surgeon was and how much the procedure cost?
Thanks
I also live in the UK and plan to have a sliding genioplasty. I'm finding it difficult to find a surgeon though. You sound like you had very good results can I ask who your surgeon was and how much the procedure cost?
Thanks
mariainuk
07-13-2003, 03:39 PM
Hya Fi, sorry about the delay I don't check here daily. Which part of the uk are you from? The surgeon who carried out my procedure was called Mr Leopard. He is based at the Nuffield hospital in Stoke-on-trent. My procedure cost £2000
mariainuk :)
[This message has been edited by mariainuk (edited 07-13-2003).]
mariainuk :)
[This message has been edited by mariainuk (edited 07-13-2003).]
mariainuk
07-19-2003, 10:30 AM
Hya Abdul,
I only had 2 weeks off work no one noticed. I had my op done on a thursday so I suppose it was more like 16 days that I had off. There was still a little bit of swelling but nothing that anyone else would notice.I knew, but them I'm a picky critter.
That extended period was more to do with a feeling of tightness in the gum line and the gradual return of the sensation in the gum line. Obviously that's not an aspect that is visible to anyone else.
I suppose it's a bit like rhinoplasty. the swelling and bruising does go quickly really but they say it's a year before you see the finished result.
You will need to take care post op especially if you are a gym bunny. THere is alot of musculature attached to the collar bone that is also inserted around the areas which you will be bruised in so take care with the upper body gym work. It takes about 6 weeks for callous to form and then a certain amount of remineralization within the bone has to occur until the bone has reached its full strength/density again. The wiring that they put in is very fine but very strong. Your jaw will be very stable but obviously avoid doing 10 rounds with Tyson if you can ;)
Obviously the overall effect does depend on your other bone structure. Having a stronger chin can make cheekbones look higher and a nose look smaller. It has a deal to do with what fatty tissue you may have around the facial area anyway. I have quite strong features and I could see a dramatic change in terms of the proportions. No one else did though. To be honest I'm not in a circle of people who are used to 'plastic surgery' so if I looked slightly better they'd probably just think I lost a bit of weight
Hope this has clarified things
mariainuk
I only had 2 weeks off work no one noticed. I had my op done on a thursday so I suppose it was more like 16 days that I had off. There was still a little bit of swelling but nothing that anyone else would notice.I knew, but them I'm a picky critter.
That extended period was more to do with a feeling of tightness in the gum line and the gradual return of the sensation in the gum line. Obviously that's not an aspect that is visible to anyone else.
I suppose it's a bit like rhinoplasty. the swelling and bruising does go quickly really but they say it's a year before you see the finished result.
You will need to take care post op especially if you are a gym bunny. THere is alot of musculature attached to the collar bone that is also inserted around the areas which you will be bruised in so take care with the upper body gym work. It takes about 6 weeks for callous to form and then a certain amount of remineralization within the bone has to occur until the bone has reached its full strength/density again. The wiring that they put in is very fine but very strong. Your jaw will be very stable but obviously avoid doing 10 rounds with Tyson if you can ;)
Obviously the overall effect does depend on your other bone structure. Having a stronger chin can make cheekbones look higher and a nose look smaller. It has a deal to do with what fatty tissue you may have around the facial area anyway. I have quite strong features and I could see a dramatic change in terms of the proportions. No one else did though. To be honest I'm not in a circle of people who are used to 'plastic surgery' so if I looked slightly better they'd probably just think I lost a bit of weight
Hope this has clarified things
mariainuk
mariainuk
07-20-2003, 06:11 PM
Hya Holyabdul,
yes lots of muscles have to cut into and because I chose a competent surgeon he didn't have much problem reattaching the muscles.To be honest if the doesn't know how to re-attach the muscles he has no right to carry out the procedure!
The main problem is the mental nerve which supplies the innervation to the muscle you are worried about. They are only out of action primarily because of all of the swelling. It's only temporary.
When are you due to have your op, have you discussed it with your surgeon yet?
mariainuk :D
[This message has been edited by mariainuk (edited 07-20-2003).]
yes lots of muscles have to cut into and because I chose a competent surgeon he didn't have much problem reattaching the muscles.To be honest if the doesn't know how to re-attach the muscles he has no right to carry out the procedure!
The main problem is the mental nerve which supplies the innervation to the muscle you are worried about. They are only out of action primarily because of all of the swelling. It's only temporary.
When are you due to have your op, have you discussed it with your surgeon yet?
mariainuk :D
[This message has been edited by mariainuk (edited 07-20-2003).]
mariainuk
07-23-2003, 05:29 PM
Hya,
I understand what you mean about telling friends and family. I personally only told my immediate family, none of my extended family or close friends. On the whole people do not understand anyway :(
I did lots of research and then obtained a referral from my GP who confirmed the credentials of the surgeon who I eventually saw.
mariainuk :)
I understand what you mean about telling friends and family. I personally only told my immediate family, none of my extended family or close friends. On the whole people do not understand anyway :(
I did lots of research and then obtained a referral from my GP who confirmed the credentials of the surgeon who I eventually saw.
mariainuk :)
fi2
07-25-2003, 01:56 PM
Originally posted by mariainuk:
Hya Fi, sorry about the delay I don't check here daily. Which part of the uk are you from? The surgeon who carried out my procedure was called Mr Leopard. He is based at the Nuffield hospital in Stoke-on-trent. My procedure cost £2000
mariainuk :)
Hi (same fi here had to re-register)
I live in the North East although I'm not against going that far to find a good surgeon. Of course I might change my mind on the way home when I've had a few odd looks from strangers! but hey it'd be too late by then :) How long was Mr. Leopard's waiting list and did you take arnica for the swelling pre-op?
Thanks in advance.
Hya Fi, sorry about the delay I don't check here daily. Which part of the uk are you from? The surgeon who carried out my procedure was called Mr Leopard. He is based at the Nuffield hospital in Stoke-on-trent. My procedure cost £2000
mariainuk :)
Hi (same fi here had to re-register)
I live in the North East although I'm not against going that far to find a good surgeon. Of course I might change my mind on the way home when I've had a few odd looks from strangers! but hey it'd be too late by then :) How long was Mr. Leopard's waiting list and did you take arnica for the swelling pre-op?
Thanks in advance.
mariainuk
07-26-2003, 05:28 PM
Hya Fi,
I'm not sure about Dr Leopards waiting list. I didn't have to wait long at all as I was seen as a private patient. You would need a referral from your GP anyway to start off with. Your own Gp may be able to recommend a surgeon who practises in your immediate area. I had my op first thing in the morning and was back home by evening. I don't think a long journey on public transport would be a good idea. You will aready be starting to bruise quite dramatically. Obviously if someone was to drive you home that would be ok.
RE:the question about arnica. I have heard that it can reduce the bruising but I'm not sure whether research supports that fully. I personally did not take it. There may be other regular medications that you need to stop taking but you would need to ask you surgeon during you consultation.
Do you have any problems with you bite or is it purely your chin? If you have severe problems you may be a candidate for NHS treatment. You would have to wait longer though I think.
mariainuk :)
I'm not sure about Dr Leopards waiting list. I didn't have to wait long at all as I was seen as a private patient. You would need a referral from your GP anyway to start off with. Your own Gp may be able to recommend a surgeon who practises in your immediate area. I had my op first thing in the morning and was back home by evening. I don't think a long journey on public transport would be a good idea. You will aready be starting to bruise quite dramatically. Obviously if someone was to drive you home that would be ok.
RE:the question about arnica. I have heard that it can reduce the bruising but I'm not sure whether research supports that fully. I personally did not take it. There may be other regular medications that you need to stop taking but you would need to ask you surgeon during you consultation.
Do you have any problems with you bite or is it purely your chin? If you have severe problems you may be a candidate for NHS treatment. You would have to wait longer though I think.
mariainuk :)
websurfer18
07-31-2003, 07:24 PM
MariaInUK you mentioned your lower lip had more of a "pout" after the genioplasty. Is the pout still there now? Or was it just caused by swelling or something?
mariainuk
08-03-2003, 11:13 AM
Websurfer asked
MariaInUK you mentioned your lower lip had more of a "pout" after the genioplasty. Is the pout still there now? Or was it just caused by swelling or something?
Hya Websurfer,
When you have your chin bone moved foreword the lower lip is naturally also brought forward. The aim of the operation is to line the nose lip and chin into a more aesthetic line. If your chin recedes the lower lip usually looks 'hung'back a little. the op just lines it up.
How things look overall depend on your preop bone structure and features. I have very full lips anyway, I also have high cheekbones and a strong jawline which may have emphasised the pout anyway.
If you have a smaller mouth you probably won't have this effect anyway. If you are male it could be that you just look as though you have a firmer looking mouth. Your lower lip will be better aligned though. Yes you will have some swelling, but that will go, the swelling is NOT the same as the pout.
Take a look at photos of people who have strong chins you'll notice that they all seem to have firm looking mouths as opposed to that slightly slack jawed look that people with receding chins have. Hope this has clarified things
mariainuk :)
MariaInUK you mentioned your lower lip had more of a "pout" after the genioplasty. Is the pout still there now? Or was it just caused by swelling or something?
Hya Websurfer,
When you have your chin bone moved foreword the lower lip is naturally also brought forward. The aim of the operation is to line the nose lip and chin into a more aesthetic line. If your chin recedes the lower lip usually looks 'hung'back a little. the op just lines it up.
How things look overall depend on your preop bone structure and features. I have very full lips anyway, I also have high cheekbones and a strong jawline which may have emphasised the pout anyway.
If you have a smaller mouth you probably won't have this effect anyway. If you are male it could be that you just look as though you have a firmer looking mouth. Your lower lip will be better aligned though. Yes you will have some swelling, but that will go, the swelling is NOT the same as the pout.
Take a look at photos of people who have strong chins you'll notice that they all seem to have firm looking mouths as opposed to that slightly slack jawed look that people with receding chins have. Hope this has clarified things
mariainuk :)