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Otoplasty is ear surgery, and can be done on people whose ears have reached full size, which they do as young as age five or six. In adults, patients often choose otoplasty in conjunction with other facial plastic surgery like a face lift. The ears can be made to lie flatter against the head, and they can also be reduced in size. In adults, the cartilage is more firm, and therefore not as easy to mold as the cartilage in children's ears.
Usually, otoplasty takes around two hours. Children who are relatively young are given general anesthesia, and older children and adults usually have a combination of local anesthesia and a sedative. The incisions go in the folds where the ears join the head. The surgeon removes some of the cartilage and skin and "pin" the cartilage back with sutures to secure it in place. The ears are protected with surgical dressings for the first few days. Sleep may be difficult for a week or two because during the healing, patients cannot sleep on their sides.
Chin augmentation involves the placing of surgical implants into the chin in an attempt to achieve better balanced facial features. It is often (though not necessarily) performed along with rhinoplasty to give the face more pleasing proportions. Implants made of Gore-tex are biocompatible, soft, and strong. It is also porous, and that causes the soft tissue ans bone to grow through and into the implant, which holds it firmly in place.

Chin augmentation can be done without implants but done instead with manipulation of the jaw bone. In many cases, the patient's own bone is taken from the ribs and pelvis, though this technique raises the risk for infection, even decades after a bone implant was done. The surgery is usually done by a plastic surgeon, an oral surgeon, or an otolaryngologist (ear, nose, and throat specialist). Fortunatley, the recovery period after chin implant surgery is relatively short. Many patients can go back to normal activities within a few days after surgery.
Cheek implants are chosen by people who feel that their face looks gaunt and drawn. Many people believe that a lack of cheek volume makes the undereye area look aged and the lower face look heavier. Youthful faces generally have fuller cheeks because of healthy soft tissue and fat under the skin. If the cheekbones are too small, then the nose can look larger. Well-shaped cheekbones highlight the eyes and balance facial features.

To insert cheek implants, the surgeon makes a small incision either in the crease of the lower eyelid or inside the mouth where the inside of the lips meets the gums. He or she then makes a pocket inside the cheek and inserts the implant, which may or may not be stitched to one of the more solid facial structures of the skull. Sometimes the incision can be closed with one stitch. The operation takes from 45 minutes to 1 1/2 hours


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