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Incision Placement
Options
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Please
review your options. Do not go into a surgeon's office knowing only
about one incision placement.
Implants have four main incision placements
with an added placement if a face lift is performed. Then the
implants are placed using the face lift incisions. Most surgeons
offer only one incision option due to personal preference. Be sure
to ask your surgeon at your consultation so there is no misunderstanding beforehand.
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Coronal:
This one is the older and less used incision, although good if you are
having a face lift as well. This is where the surgeon makes an incision in
the hairline.
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Subciliary
(intra-ocular):
This
one is done through the eye. An incision is made through
the inner part of the lower eyelid, above the cheek. This incision placement
has an additional risk
of ectropion (eyelid gaping) if performed incorrectly.
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Preauricular:
This incision is performed near the auricle of the ear. It can be made in front
(with an obvious scar), above within the hairline, or below hidden by the
lobe.
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Intraoral: This
incision is placed within the upper portion of the inside of the mouth. It
is located between the upper gums and the cheek. This is beginning to be the
incision placement of choice for most surgeons. Although it has the
advantages of no visible scar, it runs the risk of higher rate of infection
due to the bacteria in the mouth. Also, be sure
to tell your doctor if you smoke or have any gum disease or cavities. These
two could cause an infection as well as significantly impede healing.
Incision
Care and Scar Lessening
Intraoral incisions have a higher rate of infection so please take care to
be sure all meats are cooked thoroughly, this includes no sashimi (sushi),
steak tar tar, even seviche/ceviche. Also be sure that all raw
fruits and vegetables are thoroughly washed or avoid them altogether until
your incision is healed.
No tonguing
the incision or touching it with your fingers or any other object unless
specifically told by your surgeon (i.e. sterile antibacterial ointments
with a sterile cotton swab).
Extraoral scars may be
lessened with the use of silicone gel sheeting-backed foam squares which
your surgeon may use as padding under your chin in conjunction with your
support garment. Some surgeons simply use Steri-Strips which may
work equally as well.
Some surgeons choose tissue
glue for extraoral incisions, whereas many use conventional suture
material. If no post-operative therapy was used immediately after,
you may choose to use scar gels such as Maderma or silicone sheeting. Please
see our Scar Treatment section for more
information.
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