Facial implants can improve and enhance facial contours. Frequently, implants will help provide a more harmonious look to your face and features. Many implants are available, in a variety of materials. Implants can help strengthen a jaw line or bring the chin or cheekbones into balance with the rest of the face. They can enhance your appearance and boost your self esteem. Patients can choose to have a facial implant done in conjunction with another cosmetic procedure like a Facelift.
Facial implants are used to enhance certain features of the face and aesthetically improve the facial contours by improving proportions and profile as well as correcting imbalances caused by injury or hereditary traits. These procedures are usually performed under local or general anesthetic on an outpatient basis.
The procedure involves the placement of usually synthetic materials under the subcutaneous tissue and onto the underlying bone. There are several different types of materials used for this purpose including:
High-density porous polyethylene; and
The most common types of facial implants are cheek and chin implants with lower jaw and paranasal implants seeing less popularity.
Ideal candidates are those looking for improvement in their facial contours and proportions, particularly in the areas of the cheeks, chin or low jawline. If you're healthy and realistic in your goals, you are a good candidate.
The First Step
A personal consultation with Dr. P. Kesarwani is the first step toward realizing your goals in improving your facial appearance. She will take the time necessary to answer your questions and explain how this procedure can fulfill your aesthetic goals. You'll also be able to see before and after photos.
During your consultation, Dr. Kesarwani will review your medical history. She'll also show you before and after facial implant photos from patients she has performed the procedure on previously.
Your Facial Implants Expert
Performed by a facial plastic surgeon with extensive knowledge and training in facial structures.
Advanced techniques are applied to achieve desired results with the fastest recovery.
Though less popular since the advent of fillers and fat injections for some patients who are looking for bigger changes inserting a facial implant is the right procedure.
Cheek implants are meant to increase the projection of the cheekbones and add volume to recessed or flat areas. For this procedure the implant is placed internally through the upper lip or externally through the lower eyelid. An incision is cut through which the surgeon slides the implant into place over the cheekbone. This is often performed with other procedures which may help to determine the placement of the sutures.
Material: Most implants are made of silicone but both expanded polytetrafluoroethylene and high- density porous polyethylene offer better integration with the underlying bone and tissue.
Shape: There are three general shapes of cheek implants: malar, submalar, and combined. Malar implants are the most common and are placed directly on the cheekbone to add projection and create a higher contour. Submalar are not placed on the cheekbone but rather are used to augment the mid-face. Combined implants augment both the cheekbone and the mid-face by combining these two types.
Incisions: Most commonly the incisions are placed in the upper mouth area near the top of the gum line as this prevents visible scars. However, incisions in the mouth are more prone to infection. Alternatively the incision can be external and placed near the eye but this is a less popular option due to the visible scarring.
Risks: Cheek implants carry the usual risks associated with surgical procedures including:
Formation of blood clots;
Severe swelling; and
Temporary or extended loss of sensation.
Asymmetry of features after the operation is also a rare but possible side effect. This can be caused by uneven absorption, implant displacement, or shifting caused by swelling, trauma, or scarring.
Alternatives: Fillers and injections are popular alternatives to cheek implants as they are less invasive and less expensive but they do have less dramatic results. Injections can be done with hyaluronic acid or autologous fat transfer with the fat transfer being the more permanent option.
Chin implants are placed internally through the lower lip or externally under the chin and the sutures will depend upon the incision point. This procedure is performed in order to alter the size and projection of the chin if it is not proportional to the rest of the patient’s facial features. Reductions in the projection of a patient’s chin are referred to as mentoplasty while additions (implants) are referred to as genioplasty. This procedure is often performed at the same time as a rhinoplasty and is a relatively easy operation for the patient while providing dramatic results.
Material: These implants are often made from the patient’s own bone donated from the ribs and part of the pelvis but this is associated with a higher risk of infection than synthetic materials.
Risks: The risks for this procedure are relatively minor and include many of those associated with undergoing a surgical procedure of any kind:
Numbness of the lower lip;
Bone changes; and
Displacement of the implant.
Recovery: Due to the placement of the implant and incision chewing should be kept to a minimum for several days so be sure to stock up on some healthy smoothie or other food replacement beverages. Remember not to use a straw if you sutures are internal to the mouth or you may rip them out!
Lower Jaw Implants
These implants are intended to increase the width of the lower third of the face and are placed inside of the lower lip. The incision site is secured with sutures which dissolve in about a week. As with chin implants, these implants may require a more careful recovery period and limited chewing for several days following surgery.
Why choose dr. PRIYA KESARWANI
Dr. Priya Kesarwani is the facial plastic surgeon at Cosmedical Rejuvenation Clinic. As a board certified Otolaryngologist Head and Neck Surgeon, Dr. P. Kesarwani has specialized training in addressing diseases, disorders and aesthetic concerns involving the head and neck.
You'll speak with Dr. Priya Kesarwani directly during your initial consultation. She has a gentle approach and unwavering commitment to achieving the beautiful, natural looking results you want. She takes the time to discuss your goals and assess your situation before providing you with a custom tailored solution. No detail is overlooked. You will appreciate her fastidious and exacting nature — traits that are essential when performing any procedure, particularly those targeting the face!
Dr. P Kesarwani is dedicated to delivering you beautiful results while maintaining excellent patient safety and achieving superior patient satisfaction.