Orthognathic surgery, known popularly by mentoplasty, is a plastic surgery indicated to correct the position of the chin. This surgery is particularly indicated when there is difficulty in chewing or breathing, but can also be performed only for cosmetic purposes to leave the face more harmonious.
Depending on the type of change surgery can be divided into:
- Orthognathic surgery in class 2, also known as mentoplasty increase: is used in cases in which the jaw from the top is far ahead of the lower teeth;
- Orthognathic surgery, class 3, or mentoplasty reduction: is used to correct cases in which the lower teeth are too far forward of the jaw from the top.
Sometimes, in addition to the mentoplasty, it is recommended to do a rhinoplasty to improve the passage of air or to improve the appearance. After surgery it is normal for the face to become quite swollen, but put a bag of ice and do lymphatic drainage, for example, can help the ny region. In the first few days the patient can’t chew and must follow a liquid diet. See how to eat when you can’t chew.
Mentoplasty should only be performed after the age of 17 years, which is when the bones of the face have already grown enough, and is recommended after the use of the appliances on the teeth for about 2 years.
Once the surgery on the chin is made inside the mouth, it does not leave visible scars on the face. In some cases, after the surgery, it may be necessary to continue using the appliance on the teeth for a few months, until the entire dental arch, top and bottom are properly aligned.
The price of the surgery
The price of this type of surgery may vary from person to person, according to the degree of alteration of the face. However, the average value varies between 20 thousand and 40 thousand reais.
However, mentoplasty, also can be made free of charge through the SUS, provided that the shape of the face is damaging to health, as happens in cases of apnea or obstruction of breathing, for example.
How is the recovery from mentoplasty
Recovery from mentoplasty can last between 6 to 12 months, but, generally, the person back to the house between 1 to 2 days after the surgery with remedies, pain killers, prescribed by the doctor, such as Paracetamol, to relieve the pain.
In addition, it is still important to have some care as:
- Stay home in the first 2 weeks, avoiding to go to work;
- Apply cold compresses on the face for 10 minutesseveral times a day until the swelling decreases;
- Make a feed liquid or pasty in the first 3 monthsor according to the indication of the doctor.
- Avoid efforts, not doing exercises and not be exposed to the sun;
- Do sessions of physical therapyto improve chewing, decrease the pain and the swelling and also the pain in the head caused by the tension of the muscles.
- Do lymphatic drainageon the face to decrease the swelling.
The herbal tea prepared with leaves of the laurel, ginger, or lime can help soothe the pain and, therefore, are indicated to relieve the discomfort after the surgery. In case of discomfort in the region of the mouth, and pain in the teeth can massage the inner part of the mouth with oil of cloves, but the mouthwash prepared with mint tea can also relieve the discomfort.
When you do physical therapy
Physical therapy can be started immediately 1 or 2 days after surgery, or second release of the doctor. Initially the goal should be to decrease the pain and local swelling, but after about 15 days, if the healing is good, you can focus on exercises to increase the movement of the temporomandibular joint and to facilitate the opening of the mouth, facilitating chewing.
The lymphatic drainage can help decrease the swelling of the face and can be made in all the sessions. See the step-by-step to do lymphatic drainage on the face at home.
Risks of mentoplasty
Although they are rare, this surgery can have some risks, which include loss of sensitivity in the face and bleeds from the mouth and nose. In addition, and as in all surgeries, it can also happen infection of the site of the cuts.
In this way, the surgery should always be made on clinical specialist and by physicians adequately trained.