Chin Augmentation in Sofia BG

Plastic surgeons use implants to emphasize your face. The implants will create a harmonic appearance of your face allowing you to feel better about yourself. There are many types of implants made of different material. They can emphasize the jaw line, the checks and create a better proportions between the chin and the checks.

The surgeons use implants to achieve a better balance and create a younger look. Chin augmentation also called mentoplasty. The operation aimed to shape the chin by making it smaller or bigger. A larger chin can be created by an implant insertion or by surgery, which elongates the lower jaw. Smaller chin is made by reducing the size of the lower jaw. In many cases the surgeon will recommend mentoplasty for patients undergoing nose surgery in order to fit the new nose to the face, creating more harmonic appearance. When looked from the side the nose size should fit the chin.

The implant insertion may last from 30 minutes to one hour. The surgeon will design the implant that fits your chin and then inserted it to a "pocket" located in front of the chin. A small cut for the insertion can be made inside the mouse near the lower lip or from the outside just below the chin. After the procedure the chin is bandaged using plasters to prevent swelling and implant movement. Bandages also help prevent uncomfortable felling. The stitches can be removed after 5-7 days. In case the cut is made inside the mouse melting stitches are used and there is no need to remove them. The surgery can be done using local anesthetics with sedative drugs and sometimes with general anesthesia.

Every operation has its ricks. The implant may move from the original place. Then you need to undergo additional procedure to replace it. Infection is rare, it can be treated with antibiotics and in some cases the infected implant will be removed and replaced by another one.

After the surgery there is a strange felling around the chin. It is normal to fell difficulties in talking, smiling and eating. There may be blue marks around the chin and neck. It is advisable not to participate in activities which may harm the chin. The surgeon will guide you regarding dental hygiene and eating.

The final results may take weeks and even month to notice, therefore you must be patient.

More Sofia info...


  • Sofia By plane
    Sofia Airport (IATA: SOF) (ICAO: LBSF), [1]
    There are several flights a day to Vienna, and daily flights to some of the major European hubs. Tickets of traditional airlines can be pretty expensive, since there aren't that many carriers flying daily to Sofia.
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  • Sofia By train
    Bulgarian State Railways
    International trains provide a large number of routes to Sofia, arriving from such places as Kiev, Istanbul, Vienna, Athens, Thessaloniki and other common cities.

    Allow up to three hours delay if travelling from Belgrade while the Serbian and Bulgarian customs officers ransack the trains due to cigarette smuggling. However, the cigarette smuggling is worth experiencing once.
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Plastic Surgery News...

  • Context  No antidiabetic regimen has demonstrated the ability to reduce progression of coronary atherosclerosis. Commonly used oral glucose-lowering agents include sulfonylureas, which are insulin secretagogues, and thiazolidinediones, which are insulin sensitizers.

    Objective  To compare the effects of an insulin sensitizer, pioglitazone, with an insulin secretagogue, glimepiride, on the progression of coronary atherosclerosis in patients with type 2 diabetes.

    Design, Setting, and Participants  Double-blind, randomized, multicenter trial at 97 academic and community hospitals in North and South America (enrollment August 2003-March 2006) in 543 patients with coronary disease and type 2 diabetes.

    Interventions  A total of 543 patients underwent coronary intravascular ultrasonography and were randomized to receive glimepiride, 1 to 4 mg, or pioglitazone, 15 to 45 mg, for 18 months with titration to maximum dosage, if tolerated. Atherosclerosis progression was measured by repeat intravascular ultrasonography examination in 360 patients at study completion.

    Main Outcome Measure  Change in percent atheroma volume (PAV) from baseline to study completion.

    Results  Least squares mean PAV increased 0.73% (95% CI, 0.33% to 1.12%) with glimepiride and decreased 0.16% (95% CI, –0.57% to 0.25%) with pioglitazone(P = .002). An alternative analysis imputing values for noncompleters based on baseline characteristics showed an increase in PAV of 0.64% (95% CI, 0.23% to 1.05%) for glimepiride and a decrease of 0.06% (–0.47% to 0.35%) for pioglitazone (between-group P = .02). Mean (SD) baseline HbA1c levels were 7.4% (1.0%) in both groups and declined during treatment an average 0.55% (95% CI, –0.68% to –0.42%) with pioglitazone and 0.36% (95% CI, –0.48% to –0.24%) with glimepiride (between-group P = .03). In the pioglitazone group, compared with glimepiride, high-density lipoprotein levels increased 5.7 mg/dL (95% CI, 4.4 to 7.0 mg/dL; 16.0%) vs 0.9 mg/dL (95% CI, –0.3 to 2.1 mg/dL; 4.1%), and median triglyceride levels decreased 16.3 mg/dL (95% CI, –27.7 to –11.0 mg/dL; 15.3%) vs an increase of 3.3 mg/dL (95% CI, –10.7 to 11.7 mg/dL; 0.6%) (P < .001 for both comparisons). Median fasting insulin levels decreased with pioglitazone and increased with glimepiride (P < .001). Hypoglycemia was more common in the glimepiride group and edema, fractures, and decreased hemoglobin levels occurred more frequently in the pioglitazone group.

    Conclusion  In patients with type 2 diabetes and coronary artery disease, treatment with pioglitazone resulted in a significantly lower rate of progression of coronary atherosclerosis compared with glimepiride.

    Trial Registration  clinicaltrials.gov Identifier: NCT00225277

    Published online March 31, 2008 (doi:10.1001/jama.299.13.1561).

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