Facial Implants of the Cheeks, Chin and Jaw
Plastic surgeons use facial implants to improve
and enhance facial contours. Frequently, these implants will help
provide a more harmonious balance to your face and features so
that you feel better about the way you look. There are many implants
available, manufactured from a variety of materials. They may
help strengthen a jawline or bring the chin or cheekbones into
balance with the rest of the face. This brochure describes some
of the facial implants currently available as well as the techniques
for their use. It will familiarize you with these procedures but
cannot provide all the details which may be relevant to your particular
needs. If you feel that one or more of the procedures described
in this brochure may be of benefit, be sure to ask your plastic
surgeon for more information.
Facial surgery is most often done to
bring the face into balance by building
up the chin, the cheeks, or the jaw.
What to expect from a facial implant
Facial implants can enhance your appearance and
bolster your self esteem. If you are looking for improvement,
not perfection, in your appearance and are realistic in your expectations,
you may find that a facial implant is the right choice for you.
Plastic surgeons will frequently use such implants to bring better
balance to the features of a younger patient. For instance, a
teenage girl may want her nose reshaped or her chin brought forward
so that these traits are better proportioned. The more mature
patient may choose to have an implant placed in conjunction with
another cosmetic procedure. For example, during a facelift, a
patient may wish to have implants placed over the cheekbones to
help restore a more youthful appearance. Implants may also be
selected to fill out a face that appears "sunken" or
tired.
All surgery carries some uncertainty and risk
Facial implants can produce some remarkable changes.
Problems rarely occur, but you need to be informed about such
possibilities. This brochure will touch upon a few, but is not
intended to provide a detailed or complete inventory of potential
risks. A facial implant can shift slightly out of alignment and
a second operation my be necessary to replace it in its proper
position. Infection can occur with any operation. If infection
were to occur around a facial implant and did not clear up after
treatment with antibiotics, the implant might have to be temporarily
removed and replaced at a later time. Other, less-frequent risks
may be associated with certain implants. Be sure to ask your plastic
surgeon for a description of the risks associated with the procedure
in which you are interested. Some of the implant materials are
made of a solid silicone. Currently, there is no scientific evidence
that this is a harmful substance. Your plastic surgeon will be
happy to discuss any current scientific findings concerning the
type of implant you're considering.
Planning your surgery
When you discuss your surgery with your plastic
surgeon, be certain that you clearly express your expectations.
Your plastic surgeon will help you determine what it is possible
to achieve. It may be helpful to provide your surgeon with photos
of people who have facial features similar to those you would
like to have. Be sure you understand the details of the proposed
surgery, including the cost and what to expect during your recovery.
If the surgery will entail an incision inside your mouth, it is
important that you inform your physician if you smoke or if you
have any dental or gum problems. Your plastic surgeon will advise
you on these matters. In preparing for your surgery, be sure to
find out if you'll be able to drive home afterward or will require
transportation. You should also ask if you'll need to refrain
from eating or drinking the night before your surgery, and if
you should stop taking any medications, including aspirin and
similar drugs. You may be instructed to take oral antibiotics
both before and after the procedure to help guard against infection.
Your plastic surgeon will provide information about these important
matters during your pre-operative consultation.
Where your surgery will be performed
Your operation may take place in an office-based
facility, a freestanding surgical center or a hospital outpatient
facility. Sometimes, your plastic surgeon may require that you
stay overnight. Your doctor will make such a recommendation based
on your overall medical condition and whether another cosmetic
procedure was performed simultaneously with the facial implant
surgery.
Types of anesthesia
In some cases, facial implant surgery may require
only local anesthesia combined with a sedative. However, more
frequently, a general anesthesia may be recommended.
Chin surgery
Insertion of a chin implant may take anywhere
from 30 minutes to an hour. During the procedure, the surgeon
selects the proper size and shape implant to enhance your appearance
and inserts it into a pocket over the front of the jawbone. The
small incision to create the pocket and insert the implant is
placed inside the mouth (along the lower lip) or in the skin just
under the chin area.
A short incision under the chin or
inside the mouth allows the surgeon to
place a chin implant directyly on the
bone.
Usually, the chin is taped after surgery to minimize swelling
and discomfort. Sutures in the skin will be removed in five to
seven days. If an intra-oral incision is used, the sutures will
dissolve.
Recovering from chin surgery
You will experience some discomfort and swelling
in the affected area for several days. It's normal to experience
some temporary difficulty with smiling and talking. Black and
blue marks may be visible around the chin and neck. Your plastic
surgeon will instruct you about dental hygiene, eating and any
restrictions to your activities after surgery.
Cheek surgery
Cheek implant surgery usually takes about 30
to 45 minutes. When cheek implants are being placed in conjunction
with another cosmetic procedure, such as a facelift, forehead
lift or eyelid surgery, the implants may be inserted through the
incisions made for those procedures. Otherwise, an incision will
be made either inside your upper lip or your lower eyelid. A pocket
is then formed and an implant is inserted.
Cheek implants are usually inserted
through an incision in the mouth and
placed directly on (or even below) the
cheekbone. These implants can vary
in size and shape.
After surgery, a dressing will be applied to minimize discomfort
and swelling. The severity and duration of such side effects may
vary, especially if another cosmetic procedure was performed at
the same time.
Recovering from cheek surgery
Your plastic surgeon will provide you with instructions
about post-operative care. There will be dietary restrictions
as well as limitations to your activities. Again, these instructions
will vary, especially if another procedure was performed along
with your implant surgery. However, you should be aware that your
ability to move your mouth and lips may be diminished temporarily.
Stitches used to close the incisions inside your mouth usually
dissolve within about 10 days.
Lower-jaw surgery
Insertion of a jaw implant usually takes about
one to two hours. Internal incisions are made on either side of
the lower lip to provide access for creating a pocket into which
the lower-jaw implant can be inserted. Dissolving sutures are
used to close the incisions.
Jaw implants are placed directly on the
jawbone to create a stronger, more
defined jawline.
Recovering from jaw surgery
Swelling is sometimes significant immediately
following surgery, usually peaking 24 to 48 hours afterward. Although
most of the significant swelling will subside over a period of
several days, prolonged mild swelling may prevent your final facial
contour from becoming apparent for several months. During the
healing phase, your activities and diet will be restricted. Your
ability to smile, talk or move your mouth in any way may be limited
for several days to weeks following surgery. Your plastic surgeon
will instruct you about dental and oral hygiene during your recovery.
Getting back to normal
Remember, with any facial surgery, you may feel
and look better in a short period of time. However, it may not
be advisable to participate in certain activities -- especially
activity that may result in the face being jarred or bumped --
for several weeks. It's best to check with your plastic surgeon
about such matters.
Your new look
You may not be able to accurately evaluate your
appearance for weeks, or perhaps even months. Give yourself plenty
of time to get used to your new look. You may be surprised to
find that most people won't recognize that you've had facial implant
surgery -- only that you look better.
Facial implants help change the basic
structure of the face to give a fuller,
more balanced look.