Facial Implants

The skin over the face is analogous to a drape. The underlying skeletal structure determines the shape of the face. In some individuals, this framework is not as pronounced as in other individuals and they may appear to have a flattened face or small, recessed chin.

Our cosmetic surgeons are able to add facial implants to the facial skeleton to accentuate the areas of the cheekbone, chin, nose, and angle of the lower jaw. By performing these skeletal augmentations, they are able to re-drape and tighten the skin of the face. This provides a more healthy and youthful appearance without the need for a more extensive skeletal reconstructive surgery. This cosmetic surgery is performed from incisions within the mouth with no visible scars. Immediate results are evident. Solid silicone implants are typically used. They are secured to the bone with a one or two small titanium screws to prevent the implants from moving. Different types and sizes of cheek implants are available to provide the most appealing look.

Various styles and sizes of implants are available for each facial problem area.

Implants are available to augment the following areas:

• Chin (discussed under Chin Reshaping) can produce stronger, more angular chin and jaw contours
• Cheek (malar)
• Low Cheek (submalar)
• Combined cheek and low cheek (extended malar)
• Tear Trough - for the area just below the eye
• Prejowl - to fill area in front of the jowls
• Mandibular Angle - to create a wider more angular jaw just below and in front of the ear
• Nasal Dorsum - to create a more prominent nasal profile
• Alar Base - to fill depressions under and around the base of the nose

Summary of Procedure

Facial implants are usually placed through incisions inside the mouth so there are no visible scars. A light general anesthetic is usually preferred. A long lasting local anesthetic is also used to maintain optimal comfort during recovery. A small incision is made in the mouth and a pocket is developed in the tissue over the bone where the implant is to be placed. Sizers (identical in size and shape to the actual implants) are tried in until the best contour is obtained. The actual implant of the same size as the "sizer" is selected and positioned in the tissue pocket. The implant is usually stabilized with a tiny screw or sutures to prevent displacement. Dissolving sutures are placed, and usually resorb within one week. Tissue heals around the implant to provide additional stability. Recovery is rapid and there is minimal discomfort for most patients.