"I found Dr. Sigler via the Real Self site and was really glad I did. Although I wasn't too sure about going across the border, it turned out to be super easy using her driver service—in and out the same day. My face looks completely changed for the better and I can't say enough about how happy I am I went with Dr. Sigler. She's amazing!"

There can be many configurations of chin surgery and it will depend on your specific case. The following are options that the surgeon may choose for your particular situation:
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Mentoplasty or genioplasty
Bone from the jaw itself is moved forward to create more projection and width.  Conversely, bone can be removed to decrease an overly projecting or wide chin. Cleft chins can also be altered for those who prefer a smooth look.
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Implants
Shaped silicone implants can be used to give more projection and presence to the chin.

A smaller chin can emphasise the nose, making it seem larger than it actually is. A small nose can equally make the chin look too big and thus it may be necessary to have some form of corrective surgery to rectify this. Having a receding chin can make the neck appear fleshier and bigger than if the chin were given more definition. A defined chin helps to give the jaw-line better emphasis.

You are an ideal candidate if:
• You are in good health
• You do not smoke
• Your pre-op lab work is normal
• You have reached your desired weight
• You have friends or family available for your post-operative care
• You are willing to follow post-operative instructions
• You are able to take 7-14 days off work to rest at home and heal

Pricing may vary upon each patient's specific request and condition. Contact Dr. Sigler for pricing and payment by clicking this link for a consultation or by phone:
English: +1 (619) 735-6832
Spanish: +52 (664) 634-3790

Consultation
During the consultation, your medical history will be taken in order for Dr. Sigler to evaluate your general health.  A careful examination will also be conducted.  Together with Dr. Sigler, you will discuss the procedure and communicate your desires, your concerns and the results you hope to achieve. You may bring photographs to show Dr. Sigler examples of what you are looking for. Dr. Sigler will go over details of the procedure itself and the possible risks and complications as it pertains to any medical or structural issues she sees in your case.  She will go over the type of anesthesia to be used. Once you have all your questions answered, you will both agree on a surgery plan and a proposed date. Photos are taken before and after the surgery in order to determine the amount of improvement.

Setting Your Surgery Date
A deposit is required to confirm the date and time of the procedure. See pricing and payment above for details.

If You Smoke
If you smoke, this habit should be stopped at least two months prior to surgery. This includes vaping and marijuana smoking.

Two Weeks Prior to Surgery
Review and download this list of medications and supplements to avoid. Stop taking any medication on this list two to three weeks before the surgery.  Avoid any intake of aspirin, ibuprofen, Naproxen (excedrin, Motrin, Aleve, Advil), vitamins that include vitamin E, and energy drinks as well. Arrange for family or friends to be available for assistance when you return home to recuperate. Clear your schedule. Make a list and organize your environment to be safe and conducive to bedrest. Stock your kitchen and plan ahead for a period of time spent watching TV, reading or simply relaxing.

Labwork
Pre-op labwork should be done two weeks before the surgery with your own doctor, and then sent to Dr. Sigler. If you prefer Dr. Sigler to do the labwork, you will need to make arrangements prior to your surgery date. Required labwork includes:   CBC (Complete Blood Count), CMP (Chemical Metabolic Panel), PT (Prothrombin Time) and INR, PTT (Partial Thromboplastin Time) and any other labwork specific to your particular medical condition(s), such as a Thyroid Hormonal Panel.If you are over 50, it will be necessary to have a cardiovascular assessment including an EKG and possibly a chest x-ray. Dr. Sigler will advise.

Approval for Surgery
If you are currently undergoing treatment for a medical condition or disease, a letter from your treating specialist must be sent to Dr. Sigler at least two weeks prior to the surgery stating you are cleared to go ahead with the procedure, and include any pre-op and post-op recommendations in order to avoid possible complications during or after the surgical procedure.

Night before Surgery
You are required to fast for at least 8 hours prior to surgery. Eat a lighter dinner and do not eat or drink past midnight.

Day of Surgery
Do not eat or drink anything except a little water. Allow sufficient time to get to the surgery center. Using Dr. Sigler’s car service is usually the most efficient way to ensure a timely arrival. Intake is typically scheduled two hours prior to the actual surgery. You will meet with Dr. Sigler for your pre-op consultation, pre-op photos and markings on body or face, and for a final discussion about your procedure. Paperwork is completed and final prepping by your surgical team is carefully performed.

5-7 days back to work.
5-7 days regular activities (keep head elevated to avoid excessive blood flow)
2-3 weeks regular exercise

Generally this surgery is done on an outpatient basis if no other surgeries are involved. Dr. Sigler will discuss whether an overnight stay is required for your situation. You can expect redness and swelling around the incision areas. Bruising may occur, depending upon the type of surgery you had. It is important to keep the stitches covered in antibiotic ointment. Keep the head elevated and use ice or cold compresses for the first week to reduce swelling and bruising. Use extra pillows to prop yourself up at an angle in bed or on the couch. Rest and sleep on your back for the first week. The jaw may typically feel tight; accompanying soreness may be treated with analgesics. Dr. Sigler will remove the stitches generally 5-7 days after surgery. Until the second week after surgery, avoid any activities that increase blood flow to the head, including bending, lifting, and activities such as yoga.