Hallo, welcome to my animation videos,
my name is Dr. Julian De Silva
and I’m the London based facial cosmetic and plastic surgeon
and I only complete surgery on the face.
Today I’m talking to you about
an animation video on chin implant surgery
and how the procedure is performed.
The aim of this animation is to give you
an insight into the intricacy and the anatomy
which a chin implant is inserted to give you an idea of what
our realistic expectations from the surgery
and to give you better understanding
on how the procedure is performed
and how to get the best possible result.
When considering having a chin implant,
there are a number of factors
that are particularly important when considering the procedure.
Firstly sizing of the implant
and this is a very important discussion
between you and your surgeon
to discuss your expectations from the surgery.
I personally take into account a person’s shape of the chin,
the size of that chin, the characteristic of your face,
your body shape, all of this are particularly important
when determining what the best size of implant is for you.
I personally keep every size of implant
and use sizing implants in the surgery
to determine what looks best,
bearing in mind each individual patients expectations
and the actual measurement of their chin.
Other characteristics of the scar well it’s important
that any scar from chin implant surgery is discreet
and generally the scar is less than a centimeter and a half
and sits parallel to a natural crease under your chin.
Although this may be a little bit pink
immediately after the surgery
with time and taking the right precautions
that will heal to a fine line that is difficult to see.
The other characteristic is customization of the implant.
I personally customize every implant
to match a patient’s natural jawline
and also an individual’s requirement.
and I personally use silicone implants
that can be very straight forwardly shaped
to match a patient’s jawline.
This is particularly important for certain individuals
particularly women who might want to have
a more heart shaped and more feminine chin and jawline.
Well this requires the shaping of that implant,
nearly or up to 50% of the implant can be shaped
in order to give a more feminine
and natural authentication of the chin.
The other characteristic is movement
and everything is fighting against gravity
and with time over a period of months and years,
an implant can be encouraged to drop down
and can sit beneath the jawline.
I personally I’m proactive and preventing this
and when I complete chin implant surgery
I place 2 small millimeter titanium screws
that ensure that the chin implant will not only stay
in the correct position but will last lifelong
in terms of that position and will not change with time
or the effects of gravity.
In terms of the scar, well it’s important
that any scar is discrete and difficult to see
and important to this is encouraging any scar
to be a fine line that is difficult to see.
To achieve this I use a 3 layered stitch approach
that ensures that there is no tension on that scar
and it’s really tension that can give rise
a larger or a wider scar.
The portion of patients that can have difficulty
with scaring and healing is really less than 1%.
So, the great majority of patients heal very well
and taking the right precautions,
scars are very difficult to see.
I hope this information has been useful for you
thank you for watching.