Both chin and cheek augmentation create a new, natural look that is in harmony with your other facial features. A weak or recessive chin can be improved with a chin implant or non-surgically with microfat grafts. Similarly, malar augmentation can enhance flat cheeks.
The size and shape of your implants, which are generally made of silicone, are customized for a subtle but significant new look that is in proportion to your facial features.
Exciting new developments in chin augmentation include new implant shapes and textured surfaces, more and biocompatible implants. The face is now divided into zones and custom implants are prepared for the patient. This further introduces aesthetic enhancement into facial implant surgery over the conventional 4-sizes-fits-all philosophy of implant placement.
The implants are usually made of dimethalpolysiloxane which is a silicone compound. Occasionally other materials may be used. Prior to the surgery, the type, size, and method of placement of the implants will be discussed carefully with you.
People who feel they have flat cheeks or a weak chin may benefit from chin or cheek implants. Men frequently opt for chin implants to improve the jawline, and teenagers are sometimes candidates for implants if they feel their facial features are out of proportion and they have a “weak chin.”
Our team will listen to your concerns about your cheeks or chin and will advise you what can be accomplished through implant surgery. The two of you will determine the size and shape of your implants, and he will devise a surgical plan that is tailored to your needs and anatomy. He will answer all of your questions and explain what you can expect before, during, and after the procedure.
In some cases, we may suggest injections, such as microfat grafts, Restylane, Juvederm, Juvederm Voluma, Botox, or Dysport instead of or in addition to implants to further sculpt your face for optimal improvement. For some patients, injectable fillers may be sufficient to lift flat cheeks. If surgery can be avoided to achieve your desired results, your surgeon will let you know during your consultation.
The procedure is frequently done in conjunction with a face lift or other facial surgery, or may be done as an isolated operation. It is usually done under general anesthesia in our outpatient surgical center. It also may be performed under local anesthesia with sedation if so desired. There is absolutely no pain involved during the procedure because of the anesthetic. The procedure takes approximately one hour to perform.
Implants can usually be inserted while you are under a local anesthetic and IV sedation rather than general anesthesia.
After the surgery there may be some elastic tape placed on the face to help hold the implants in place while they heal. It is helpful to use cold compresses for the few days immediately after the surgery to reduce the swelling. During this time, there may be some discomfort which usually responds quite quickly to pain medication.
The incisions for cheek implants are usually made inside the mouth or near the hairline where they will be hidden. Incisions for chin implants are made inside the lower lip or under the chin. The implant is inserted, and the incision is sutured closed.
Chin and cheek augmentation is generally an outpatient procedure. The incisions are dressed after your surgery.
If external sutures were used, they will be removed several days after the procedure during one of your follow-up visits with your surgeon.
Most patients take 7-14 days off from work to recover from facial implant surgery. Some swelling, bruising, tingling, tightness, and tenderness are normal for 1-2 weeks after the procedure.
Topical Arnica Montana can speed the healing of bruises, and elevating your head while sleeping will reduce swelling. Cold compresses or ice packs can also be used for that purpose. Your doctor will provide pain medication to make your recovery time more comfortable.
You should avoid strenuous activities for a period of 2-3 weeks, and you may find smiling uncomfortable for a few weeks. You will begin to see the results of your procedure once the swelling has subsided, but the full results will not be visible for 4-12 weeks.