Informed Consent - Chin Augmentation Surgery printable pdf download

INFORMED CONSENT – CHIN AUGMENTATION SURGERY

INSTRUCTIONS

This is an informed consent document that has been prepared to help your plastic surgeon inform you

concerning chin implantation surgery, its risks, and alternative treatment. It is important that you read this

information carefully and completely. Please initial each page, indicating that you have read the page and

sign the consent for surgery as proposed by your plastic surgeon.

INTRODUCTION

Surgery of the chin is an operation frequently performed by plastic surgeons. This surgical procedure will

produce changes in the appearance and size of the chin

Chin augmentation surgery is customized for each patient, depending on his or her needs. Incisions may be

made in the mouth or concealed under the chin.

The best candidates for this type of surgery are individuals who are looking for improvement, not

perfection, in the appearance of their face. In addition to realistic expectations, good health and

psychological stability are important qualities for a patient considering chin surgery. Chin surgery can be

performed in conjunction with other surgeries.

ALTERNATIVE TREATMENT

Alternative forms of management consist of not undergoing the chin surgery Risks and potential

complications are associated with alternative forms of treatment that involve surgery such as fat injection or

surgical bone remodeling.

RISK of CHIN SURGERY

With any type of activity there is inherent risk. An individual’s choice to undergo a surgical procedure is

based on the comparison of the risk to potential benefit. Although the majority of patients do not

experience these complications, you should discuss each of them with your plastic surgeon to make sure

you understand the risks, potential complications and consequences of chin enlargement.

Bleeding – It is possible, though unusual, that you may have problem with bleeding during or after surgery.

Should post-operative bleeding occur, it may require emergency treatment to stop the bleeding, or require a

blood transfusion. Do not take any aspirin or anti-inflammatory medications for ten days before surgery, as

this contributes to a greater risk of bleeding. Hypertension (high blood pressure) that is not under good

medical control may cause bleeding during or after surgery. Accumulations of blood under the skin may

delay healing and cause scarring.

Infection – Infection is quite unusual after surgery. Should an infection occur, additional treatment

including antibiotics might be necessary.

Scarring – Although good wound healing after a surgical procedure is expected, abnormal scars may occur

both within the skin and the deeper tissues. Scars may be unattractive and of different color than the

surrounding skin. There is the possibility of visible marks from sutures. Additional treatments including

surgery may be needed to treat scarring.

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Patient Initials

Informed Consent - Chin Augmentation Surgery