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Preoperativ fas med Dr. Tolga Aksan
Konsultation och Utvärdering:
- Medicinsk Historik och Fysisk Undersökning: Dr. Aksan assesses the patient’s overall health, including any past facial surgeries, current medications, and specific facial structure goals.
- Discussion of Aesthetic Goals: The patient’s desires for chin augmentation, such as improving facial harmony and profile, are discussed in detail.
- Physical Assessment: Dr. Aksan evaluates the chin and jawline, considering the balance and proportion in relation to other facial features.
Preoperative Tests:
- Complete Blood Count (CBC): To check for anemia, infection, and other blood-related issues.
- Coagulation Profile: Including PT (Prothrombin Time) and aPTT (Activated Partial Thromboplastin Time) to assess blood clotting.
- Electrolyte Panel: To check the balance of sodium, potassium, chloride, and bicarbonate in your body.
- Blood Urea Nitrogen (BUN) and Creatinine: To assess kidney function.
- Liver Function Tests: To evaluate the health of your liver.
- Fasting Blood Sugar: To check for diabetes or pre-diabetes conditions.
- Lipid Profile: To assess cholesterol levels.
- Urine Analysis: To detect any urinary tract infections or kidney issues.
- Pregnancy Test (if applicable): To rule out pregnancy before the surgery.
- EKG (Electrocardiogram): Especially for patients over 40 years or with cardiac risk factors, to check heart function.
- Chest X-Ray: To evaluate lung health and rule out respiratory issues.
- Hemoglobin A1C: For patients with diabetes, to assess blood sugar control over the last three months.
- HIV and Hepatitis Panel: Depending on the clinic’s policy and patient’s risk factors.
- COVID-19 Test: Depending on current health guidelines and policies.
Planning and Marking:
Dr. Aksan discusses the choice of implant type and size or the possibility of using fillers for non-surgical chin augmentation, planning the procedure to achieve the desired outcome.
Surgical Procedure by Dr. Tolga Aksan
Anesthesia:
- Chin augmentation is typically performed under general anesthesia or local anesthesia with sedation, depending on the extent of the procedure.
Incision and Implant Placement:
- A small incision is made either under the chin or inside the mouth.
- A custom-fitted implant is then inserted and positioned in front of the chin bone.
- In cases of non-surgical augmentation, injectable fillers are carefully applied to enhance the chin’s shape and volume.
Closing the Incisions:
- Incisions are closed with sutures. If the incision is inside the mouth, it’s closed with dissolvable stitches.
Postoperative Care by Dr. Tolga Aksan's Team
Immediate Recovery:
- Postoperative instructions include managing swelling and discomfort. If an implant is used, a compression garment may be recommended.
Postoperative Instructions:
- Detailed guidance on caring for the incision site, dietary restrictions (especially for intraoral incisions), and activity limitations.
- Information on when to return for a follow-up and how to monitor for any signs of complications.
Follow-up Visits:
Regular appointments with Dr. Aksan to assess the healing process and the results of the chin augmentation.
Long-Term Care and Results:
- Final results are typically visible once the swelling has subsided, which may take several weeks.
- Stable results are expected, but implant patients should monitor for any changes and report them.
Key Considerations
- Patient Selection: Ideal for individuals looking to enhance chin projection and improve facial balance.
- Recovery Time: Recovery generally involves a short period of downtime, with a return to normal activities within a week or two.
- Risks and Safety: Dr. Aksan discusses potential risks such as implant displacement, infection, or dissatisfaction with aesthetic results.
Dr. Aksan ensures a comprehensive approach to chin augmentation, from detailed consultation and careful execution to thorough postoperative care, aiming for aesthetically pleasing and harmonious facial enhancement.