Facial Implants – Cheek & Chin Surgeries
The physicians at Westside Head & Neck can utilize facial implants and surgery on the chin to achieve balance and symmetry in the face. These procedures can be done alone, or in conjunction with other procedures such as facelift, nasal surgery, or injectable fillers.
Good candidates for facial implants or chin surgery have facial bones that have reached maturity, usually in late adolescence. Aesthetically, they do not like their small chin, weak jaw, or poor facial contour. Additionally, they should have a positive attitude towards surgery and have specific objectives with realistic expectations for correction.
How is it Done?
Facial implant surgery is completed in the office with local anesthesia and light sedation or in the operating room at one of our private surgery centers. Cheek implants are inserted through an incision along the lower eyelid or from inside the mouth. They are often placed in conjunction with other cosmetic procedures such as facelift or eyelid surgery, during which the same incision is shared amongst the procedures. Chin implants are inserted onto the jaw bone through an incision from the inside of the lower lip or underneath the chin in a natural skin crease. They are frequently done in conjunction with rhinoplasty or ‘nose job’ surgery. Genioplasty can be done instead of a chin implant for certain situations were an implant is not desired or more complex issues such as chin asymmetry or vertical height deficiencies need to be addressed. During his procedure, the bone of the chin is released using an incision from inside the mouth. The freed chin is then moved forward and its height is adjusted before being secured with tiny plates and screws. Lower jaw implants can provide a great chiseled and defined look. They are inserted through incisions inside the mouth. There are various options for lip augmentation. Simple techniques include injectable fillers such as Restylane®, Juvederm®, and other hyaluronic acids. For those seeking longer or permanent augmentation, Grafts and implants can be threaded into the lips under local anesthesia.
After the Procedure
While you will exhibit initial swelling, the results on the augmentation will be visible immediately. The swelling with improve significantly over the first week, with ~85% of the swelling resolving by the third week. You will have a good idea of the final results within one to two months after surgery. Keeping your head elevated and applying cold compresses during the first 48 hours will expedite the resolution of swelling. Final results however, take time and each individual varies in their own healing patterns. Each type of implant will involve a specific recovery experience. Cheek implant surgery recovery will involve possible limited movement of the mouth and lips for one to two weeks. Chin implant and lower jaw implant surgery may leave the lower lip/mouth area temporary weak or numb. Following genioplasty surgery, you may experience numbness as well. For procedures performed through the mouth, it is important to maintain oral hygiene to minimize the risk of infection. Following all of these procedures, you will initially be instructed to adhere to a soft diet protect your face from any potentially injurious activities.
No matter what, all surgical procedures carry some risk. Possible complications from these specific procedures may include bleeding, infection, unsatisfactory scarring, poorly healing incisions, risk from anesthesia, prolonged numbness, prolonged swelling, prolonged bruising, change in texture or contour around the implant, shifting or movement of the implant, prolonged pain, skin sensitivity at the implant site, and possible need for revision surgery. As head and neck surgeons with specialized training in facial plastic and reconstructive surgery, we have an unparalleled knowledge of facial surgical anatomy and function. Trusting your face with a surgeon with this level of expertise will help ensure that an optimal outcome is achieved.
Facial implant and chin surgery procedures are generally not covered by health insurance unless they are being done for reconstructive purposes (after trauma or cancer surgery). If you are eligible, our representatives are happy to consult your insurance carrier for coverage benefits as a courtesy.