WHAT ARE FACIAL IMPLANTS?
The appearance of a face is dependent upon the condition of the skin, the thickness and distribution of the deeper tissues (fat and muscles), and the basement upon which all this is built: the skeleton. Sometimes, there may be enough weakness of the bony skeleton to make it difficult or impossible to reposition tissues or augment the soft tissues (with fat or fillers) enough to make a significant improvement. In such circumstances, we augment the bony skeleton.
WHAT KIND OF FACIAL IMPLANTS ARE USED?
- Chin implants
- Extended chin implants
- Pre-jowl implants
- Cheek (malar) implants
- Orbital rim implants (which are a variation of cheek implants)
Rarer implants are mandibular angle implants, vertical mandibular implants, forehead implants, nasal bridge implants (used more commonly in Asian faces).
AM I A CANDIDATE FOR FACIAL IMPLANTS?
With all facial structures, the aim should be to leave the area looking better without obviously augmented. To that end, under-correction is the key, lest we cross the line and look dysmorphic. In the early days of facial implants, aggressively sized implants were used. Nowadays, the intelligent surgeon will use an implant only when softer augmentation (with fat and/or fillers) is not sufficient, and, even then, will augment a facial implant with the softer fillers to “hide” the implant. An analysis of the face, the relative structures and proportions is vital to deciding the need for,
or otherwise, of facial implants.
HOW WILL I BE ASSESSED?
Cheeks: if cheek lifts and fat and/or fillers will not give enough of a proportional improvement to weak cheeks, onlay implants may be considered. Examination of the face in repose and in profile helps one assess the relative positions and proportions of the structures (nose, brows, forehead, cheeks, chin, jaw, etc), thereby allowing one to
decide if an implant should be considered.
With chins, performing a perfectly beautiful facelift will fail if the proportion and prominence of a chin is not considered. Although facial beauty has often been broken down into sections of fifths and thirds, practical life
(and beauty), is more prosaic.
WHAT OTHER PROCEDURES MAY BE PERFORMED WITH FACIAL IMPLANTS?
Facial implants are only rarely inserted in isolation. As proportions and curves and prominences are addressed, implants are often inserted in conjunction with other procedures like cheek lifts, face and neck lifts, liposuction, and orbital decompression in patients with thyroid orbitopathy.
WHAT KIND OF RESULTS CAN I EXPECT AFTER FACIAL IMPLANTS?
The aim is to achieve balance: your implants should be invisible to casual observation. Furthermore, attention should be paid to our aging process so that one does not use the type or size of implants which may be a harbinger of things to come as one ages! We also follow the motto: “if in doubt, do not use a facial implant.”We will guide you as to whether a facial implant may be a wise choice.
DOES INSURANCE COVER FACIAL IMPLANTS?
I DON’T WANT FACIAL IMPLANTS TO LOOK OBVIOUS?
Neither do we! We take great pride in performing understated surgery: a beautiful result without the stigmata!
WILL I HAVE TO REMOVE THE IMPLANTS IN THE FUTURE?
Porous onlay facial implants made out of material called “medpore”(which is a brilliant material for deeper implants) used to be difficult to remove. Modern plastic surgeons us implants made of smooth silicone: these can be fixed to the bone and also easily be removed, should the need arise. Infections are rare with appropriate peroperative and postoperative care. Sometimes patients will request the removal of implants for various reasons: as long as they are of the smooth variety, this can be performed easily with minimal incisions.
ISN’T SILICONE BAD BASED UPON THE BREAST IMPLANT PROBLEMS?
Solid silicone, of which facial implants are made is very safe and not at all like liquid silicone. There are no instances of “rejection”, undue inflammation, or systemic problems from these solid implants.
WHAT ARE THE MOST COMMON RISKS OF FACIAL IMPLANTS?
Infection is the risk we are most concerned about. Postoperative instructions will be given to you which will lessen the risk of any such occurrence. Swelling around implants may make it seem the implants are more prominent than one wished for: as soon as the swelling settles, this prominence disappears. Numbness over the site of insertion
is common: this resolves over time.
SCHEDULE YOUR CONSULT TODAY
With a 3-D procedure, there are several layer of sutures, accurately placed to give the lifting, tightening and filling, without leaving any tell-tale pull-lines. Some are slow dissolving sutures, others are more permanent. The skin sutures are generally removed between 7 and 14 days.
Bleeding is not common as we pay close attention to proper hemostasis. On rare occasions, a small hematoma may collect.
Everyone will experience some numbness in the face: this resolves over weeks to months. This occurs because of the dissection of the face. This is not a complication.
Because of the dissection and repositioning of the tissues, it is common for there to be small differences in the smile between the right and left sides: this is usually only noticeable to the patient and to Dr. Patel! It recovers over a few weeks.
All faces have asymmetry and there will be some degree of asymmetry. This is to be expected.
Permanent weakness of nerves and muscles is rare.
The scars are usually very well hidden. However, some patients may have a tendency to cause hypertrophic scarring: in such cases, certain lasers and treatments will help. By-and-large, scars are rarely a problem. With Caucasian skin, pinkness of scars is to be expected for several weeks. With darker skin, some hyperpigmentation may occur.
In the first few days, everyone will experience some degree of dryness and blurry vision. You will also feel that your lids look a little tight on the outer corner where you will also feel some of the deeper sutures if you put your finger there: this is of no concern. The tightness and the bumps under the skin settle over a few weeks.
More serious complications which are very rare include excessive bleeding, hemorrhage and loss of vision.
VEIW OUR EVER-EXPANDING COLLECTION OF EDUCATIONAL, TECHNIQUE AND TEACHING VIDEOS
WE ARE HERE FOR YOU
CONTACT DR. PATEL
Do you have questions or need more answers?
Dr. BCK Patel MD, FRCS
Salt Lake City, Utah 84106, USA
(801) 413-3599 (phone/text)
Dr. BCK Patel MD, FRCS
617 E Riverside Dr Suite 101
Saint George, UT 84790, USA