Facial Implants: The Permanent Filler

Facial Implants: The Permanent "Filler"

Contents


Introduction to Facial Implants


Silicone facial implants are meant to augment the bone or soft tissue to make the area look fuller and, therefore, more youthful. Implants that are meant for bony areas, like the chin and cheek, are designed to be firm and conform to the underlying facial bone, while implants that are meant for soft areas, like the lips, are engineered to be soft and flexible to simulate tissue. Silicone implants provide volume in a consistent, symmetric, and reproducible manner that is nearly impossible to achieve with injectable fillers or fat transfer. These solid silicone implants are safe and cannot burst or leak. Although the procedure provides a permanent result, it is also reversible should one decide to remove the implants in the future.

Aging of the face is not all about droopy, lax skin. For most, it is also about volume loss in the face. Candidates for silicone facial implants have hollow or flat cheeks, thin lips, and/or an under-projected chin with poor neckline/jawline definition. They may have developed this from the normal aging process, been born with smaller facial bones, or have had soft tissue volume loss due to extreme activity (e.g. avid runners) or chronic medical disease. Many are tired of the price, inconvenience, and inconsistency of repetitive dermal filler treatments. Most patients have variations of volume loss and the silicone implants may be tailored to suit a patient’s unique facial appearance.

Approaches & Techniques


Cheek Implants

Permanent cheek augmentation may be performed with solid silicone implants that are shaped to resemble the rounded contour of the lateral cheek. Better cheek volume disguises jowling and restores a youthful contour to the cheek.

Midface Implants

Permanent midface augmentation may be performed with solid silicone implants that are shaped to resemble the bony contour of the midface. The midface is the part of the cheek closest to the nose and contributes to the tear trough. Augmentation in this region helps reduce dark undereye circles and restores a youthful contour to the cheek.

Chin Implants

Permanent chin augmentation may be performed with solid silicone implants that are shaped to resemble the defined contour of the chin and jawline. A stronger chin may make the nose appear smaller, improve the appearance of the neckline, and, with larger implants for men, add to a masculine appearance.

Lip Implants

Permanent chin augmentation may be performed with solid silicone implants that are shaped to resemble the defined contour of the chin and jawline. A stronger chin may make the nose appear smaller, improve the appearance of the neckline, and, with larger implants for men, add to a masculine appearance.

Planning Your Procedure


The Consultation

During the consultation, we really want to get to know you and understand what makes you tick. we will review with you the changes you would like to make and their potential impact on your brows, eyes, and life. We will also review your medical history and the history of your current concerns. We will examine your scalp, brow, and eyelids to determine the optimal combination of procedures for you.

After the consultation there is a second visit prior to surgery called a "preop". At this visit we will go into much greater detail about how to best prepare for the coming surgery. We offer a wealth of information about optimizing your recovery, ensuring proper healing, resuming normal activities, and avoiding complications.

Duration of Surgery & 
Anesthesia Options

Cheek and chin implants take about 2-3 hours and are performed in the surgery center under general anesthesia in the most sterile of conditions. These are all outpatient procedures.

Incisions

Incisions are made inside the mouth and/or just inside the lower eyelid (for midface implants). 

How It's Done

A path is made in a minimally-traumatic plane from the incision site(s) to the area of desired augmentation. The silicone implants are soaked thoroughly with antibiotic solution before and after they are positioned in the face. Once placed, the implants are temporarily secured with sutures. During the healing process, the body forms a capsule around the implant which keeps it in place.

Recovery

The typical at-home recovery time is 5-7 days. Immediately after surgery, light compression taping is used to reduce swelling at the implant sites. The compression taping is removed in 5-7 days. Patients use oral antibiotic rinses (for intraoral incisions) and antibiotic eye drops (for under-eyelid incisions) for about one week. All stitches dissolve on their own.

Pain

The first night after surgery, you will feel a dull ache and tightness around the area of implantation. Everyday thereafter, any discomfort will reduce significantly. It is normal to take opiate medication as needed up to a week after surgery, but most transition to regular Tylenol within the first week.

Swelling & Bruising

Swelling and bruising are expected and mostly subside in the first 2 weeks. Most bruising may be concealed with cover-up as it gradually fades. On average, 90% of the swelling subsides by 6 weeks after surgery. In the end, all swelling and bruising will diminish.
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