Noble Surgery (Paranasal and Chin Augmentation)

Noble Surgery (Paranasal and Chin Augmentation)

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What is paranasal augmentation?

Paranasal augmentation is a surgical procedure to permanently fill-in the depressed furrows from the side of the nose to the corners of the mouth and to thicken the paranasal region thereby resulting to a sophisticated or noble-like countenance.

How is the procedure done?

Paranasal augmentation is an outpatient procedure done within 30 minutes to 1 hour depending on the extent of the correction. Local anesthesia is used. A specially designed implant material is inserted into a small incision inside the mouth.

What are the different kinds of paranasal implants?

Filler materials include synthetic and non-synthetic materials. Synthetic materials include solid silicone elastomer, Gore-tex and Softform which are designed for permanent implantation. Non-synthetic materials include Alloderm and Fascian which are made of collagen and other protein-like substances taken from the human body. Dr. Lansangan will discuss the advantages and disadvantages of the options during a consultation.

What is recovery like?

Temporary discomfort with mild swelling, occasional bruising, and stiffness will be experienced. These will be relieved by taking the prescribed pain relievers and antibiotics. A small amount of oozing within the mouth immediately after the procedure is normal – this will stop in about 2 days. Elastic tape is placed over the implant site to maintain compression immediately after the operation. The patient lays down with head elevated on about 2 to 3 pillows for 24 to 48 hours. Soft diet is recommended during the 1st week to avoid unnecessary motion and strain around the implant site. For about a week, there will be some difficulty in smiling and talking. In about 2 weeks, majority of the swelling will be gone. Complete resolve of swelling takes about 3 months.

How soon can a patient go back to work?

Most patients go back to work in 2 to 5 days after the surgery. However, for those with strenuous job, it may take 3 weeks.

When can results be seen?

Results are visible right after the surgery. Patients will appreciate the result better 2 weeks after when most of the swelling has subsided.

Can it be done simultaneous with other surgical procedures?

Paranasal augmentation is often done with a nose surgery, cheek augmentation, eyelid surgery and face lift in order to create the right proportion.

What are the possible complications?

Complications with this procedure are very rare. These rarities include implant malposition, asymmetry, and infection.

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