What is facial implant surgery?
Facial implant surgery is a cosmetic surgical procedure designed to correct or improve the shape and projection of facial structures, such as the chin or cheekbones.
A prominent chin can be reduced by removing a portion between the chin and bone, and a receding chin can be built up either by pushing the bone forward or by introducing an implant onto the bone.
Each of these operations is performed through an incision made in the space between the lower lip and gum, although if an implant is used, the surgeon may recommend that the incision be made in the natural crease under the chin.
Flat cheekbones can be built up by inserting implants over the cheekbones, usually through incisions made inside the mouth where the cheek joins the upper gum. The implants used are commonly made of silicone or other biological materials and are safe and well-tolerated by the body. Sometimes it is necessary to use a bone graft, which could be taken from the hip crest where it leaves a visible scar. These operations can usually be performed at the same time as other cosmetic surgeries, such as a facelift or nose reshaping surgery.
Who is a good candidate for facial implant surgery?
01. Who is a good candidate for facial implant surgery?
When we talk about the usual appearance of the face, we understand that there is a “normal” balance of facial features – especially the nose, chin, and cheekbones. If one of these features is disproportionate to the others, the appearance of the face may be seen as unusual or perhaps “abnormal,” especially for someone who is aesthetically sensitive. Because it is instinctive for most of us to want to look good, it is understandable that a person may feel affected if a feature of their face is disproportionate; either too large or too small.
02. What happens before the surgery?
Before the surgery, the surgeon will perform a consultation in which they will examine the facial bones and most likely you will need to have a CT (computed tomography) scan for a correct assessment of the bone structure and the position of the bones. They will also discuss with you the objectives of the surgery, determine the sizes of the implants, and perform a computerized simulation of the face as it will look after the insertion of the implants.
Due to the risk of infection, it is very important that the mouth is healthy and that there is no dental infection. We strongly recommend that you contact your dentist for questions if you have any doubts.
03. How can I help make the surgery a success? How can I help make the surgery a success?
Maintaining a state of health as good as possible and a weight appropriate to your age and height will help with a quick recovery, without complications. If you smoke, quit smoking six weeks before the operation; this will help with healing and reduce the chances of complications.
You should not remove/shave hair from the vicinity of the areas where the cuts will be placed on the skin. Maintaining strict hygiene will help reduce the risk of infection.
04. How facial implant surgery is performed.
Chin implant surgery
The insertion of a chin implant can take between 30 minutes and an hour. During the operation, the surgeon selects the implant of appropriate size and shape to improve the appearance and introduces it into a pocket above the front part of the jaw. A small incision is made to create the pocket and to insert the implant, incision placed inside the mouth (along the lower lip) or in the skin immediately below the chin area.
Usually the chin is bandaged after the operation to minimize swelling and discomfort. Skin sutures will be removed after 5-7 days. If an intraoral incision is made, the sutures will self-dissolve.
Cheek implant surgery
Cheek implant surgery usually lasts about 30 to 45 minutes. When cheek implants are performed in combination with another cosmetic procedure, such as a brow lift, facelift, or eyelid surgery, the implants can be inserted through incisions made for these procedures. Otherwise, an incision will be made in the upper lip or lower eyelid. A pocket is then formed and an implant is inserted.
Jaw implant surgery
The insertion of the jaw implant usually takes 1 to 2 hours. Internal incisions are made on each side of the lower lip, ensuring access to create a pocket in which the implant for the lower jaw can be inserted. Self-dissolving sutures are used to close these incisions.
05. How long does the surgery take, is hospitalization necessary?
The surgery can take place in a medical office unit, an independent surgical center, or an outpatient hospitalization unit. Sometimes, your plastic surgeon may ask you to stay overnight. Your doctor will make such a recommendation depending on your general condition and whether another cosmetic procedure was performed simultaneously with the facial implant surgery. In some cases, facial implant surgery may only require local anesthesia combined with a sedative. However, most often, general anesthesia may be recommended.
06. Alternative procedures to facelift and neck lift surgery.
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07. Recovery and some tips for a good recovery.
Tips for a good recovery.
- Exposure to direct sunlight or in tanning salons. Exposure to the sun causes skin damage. Exposure of operated areas and suture lines can lead to poor healing and hypo or hyperpigmentation color changes. Patients who want to expose themselves to the sun to tan should inform their doctor and postpone this activity until it is risk-free. The harmful effects of sun exposure also occur when using sunscreens.
- Travel. Any surgical procedure involves possible risks and complications that can delay healing and return to normal life. Please inform the surgeon about travel plans, important scheduled meetings so that surgery planning can be done efficiently. However, there are no guarantees that you will be able to return on time to planned activities.
- Long-term results. Changes in the results of the surgical procedure may occur over time due to aging. sun exposure, weight loss or gain, pregnancy, menopause or other circumstances unrelated to the procedure itself.
Information for female patients. It is important to inform the surgeon if you are using contraceptives or if you have the slightest suspicion that you may be pregnant. Many antibiotics can decrease the effectiveness of birth control pills. - Intimate relations after the surgical procedure. Surgery involves the coagulation of blood vessels to stop bleeding and physical activity of any kind can cause the opening of vessels and bleeding and/or hematoma formation. Activities that increase pulse and heart rate can cause additional bruising and bruising, inflammation and the need to open the operation to control bleeding.
What to expect after the operation?
These operations are usually performed under general anesthetic for which you should stay in the hospital at least overnight. You can expect a moderate intensity of pain in the first two days and a wound in the mouth in the area where the stitches are located. If you have had chin surgery, you may be immobilized for a few days. Sometimes it is necessary for a cheek implant to be stabilized with a lateral suture in the first 4 days.
The most important thing you need to do is treat your face gently and avoid disturbing the implant by touching it or, worse, trying to feel if it is moving. Do not rest your chin in your hand. Keep your mouth clean and wash with mouthwash after meals until the stitches dissolve. When brushing your teeth, you must be careful not to open your scars with the toothbrush. You will need at least a week of medical leave.
Risks and side effects associated with the operation
Specific risks.
- There is a minimal risk that part or all of the lip will be permanently numb, and there is an equally minimal risk that you will feel some weakening of one or more muscles around the mouth.
- Occasionally, the pressure of an implant can thin the underlying bone, and if the roots of the teeth are nearby, they may also be weakened.
Sometimes, an implant can slip out of place and require additional surgery to reposition it. - Occasionally, these operations are complicated by infections, which appear as pain, swelling, redness, and it may be necessary to remove the implant to clean it. If necessary, the implant can usually be replaced once the infection has been eliminated.
General complications associated with surgery
Healing
Certain diseases, nutritional supplements or medications can delay normal wound healing. Patients who have suffered massive weight loss may have delayed wound healing or dehiscence, infection, requiring prolonged hospitalization and additional surgical procedures. Patients who suffer from diabetes or are under long-term steroid treatments may have delayed healing. Smoking can cause delayed healing and the need for additional surgical procedures. Healing can also be delayed by inflammation or bleeding or by a surgical procedure with long-term general anesthesia. There are nerve endings that can be trapped in the scar associated with healing and can produce pain or hypersensitivity even if larger nerve trunks are not injured. Massage and other non-surgical procedures applied at the beginning of the healing process can relieve these pains. It is important to discuss aspects related to postoperative pain with the surgeon.
Bleeding and hematomas
There may be episodes of bleeding during the operation or post-operative. In most cases these are an exception. If postoperative bleeding occurs, emergency treatment may be needed to drain the accumulated blood or blood transfusion may be necessary, these complications are truly rare in this operation. It is important to follow the postoperative instructions exactly and not to perform physical activities during the specified period of time. The administration of aspirin or nonsteroidal anti-inflammatory drugs (nurofen) is prohibited for 10 days before and after the operation because they can increase the risk of bleeding. Nutritional supplements or herbal medicines can increase the risk of bleeding. A hematoma may appear in the first 2 weeks after surgery, usually after physical trauma to the operated site. Bruising is to be expected after surgery, which should disappear within 2 weeks of surgery.
Infection
It is an unusual complication after surgery. If the infection occurs, antibiotics will be administered and hospitalization and additional surgical procedures may be necessary. It is important that patients specify if they have suffered an infection in the period prior to the operation. Infections in other parts of the body can lead to infection of the operated site.
Vicious, hypertrophic scars
All types of operations leave scars, some more visible than others. After surgical procedures, good healing is expected, although abnormal scarring can occur both at the level of the skin and in the deep tissues. Although attempts are made to place the scars in inconspicuous places, there is a small chance that they will be visible, being different in color from the skin in the vicinity. The appearance of the scar may vary on its surface, it may be asymmetrical (the left side may look different from the right). There is the possibility of visible scars left by the sutures. Scars of the deep tissues can become hardened sometimes requiring revision or additional procedures to improve their quality.
Altered skin sensitivity
A decrease (loss) of skin sensitivity in the operated area is frequently encountered. The decrease in sensitivity may not be completely resolved. Itching, sensitivity or exaggerated response to heat or cold may occur after surgery. These symptoms subside after a variable period of time post-surgery, but in rare cases can become chronic.
Sutures
In addition to the sutures on the skin that are visible, deep sutures are also used. These deep sutures can be felt under the skin and can be exteriorized through the skin, becoming visible and producing inflammation, requiring their removal.
Pain
Pain will be one of the symptoms present after the operation. Pain of different variety and intensity may persist after surgery. After surgery, chronic pain occurs very rarely and is due to nerve endings trapped in the scar or due to tissue stretching.
Complications due to general anesthesia
General anesthesia
Local but especially general anesthesia associates risks for the patient. The possibility of injury to the respiratory tract, cardiorespiratory problems, allergies, anaphylactic shock or even death are very rare in all forms of anesthesia associated with surgery.
Shock
In very rare circumstances, the surgical procedure may cause trauma, especially when multiple extensive procedures are performed. Even if serious complications are rare, infections, excessive fluid loss can lead to serious illnesses. If surgical shock occurs, hospitalization and additional treatment are required.
Allergic reactions
In rare cases, allergy to dressings, suture material, glue, blood products, intravenously administered agents, local creams have been reported. Serious systemic reactions such as anaphylactic shock may occur in response to medications administered during surgery or prescribed post-operative. Allergic reactions may require additional treatments.
Cardiac and pulmonary complications
Pulmonary complications may occur secondary to blood clots (pulmonary emboli) fat (fat emboli) or partial collapse of the lungs (atelectasis) after general anesthesia. Pulmonary emboli can endanger the patient’s life in certain circumstances. Inactivity, sedentary lifestyle, smoking, birth control pills and other conditions can increase the incidence of blood clots that reach the lungs and can cause death. It is important to discuss with the surgeon any symptoms such as leg swelling or blood clots in other parts of the body as they can contribute to the formation of pulmonary emboli. Cardiac complications are a risk associated with any general anesthesia and surgery even for patients without symptoms and healthy. If you suffer from fatigue or difficulty breathing when you exert yourself, chest pain, arrhythmic heartbeats, you should be consulted immediately by a doctor. If any of these complications occur, you will require hospitalization and additional treatment. In the case of healthy patients without associated diseases, these complications are very rare.
What is the price of facial implant surgery?
€1,000 / procedure
Facial implant
The mentioned costs are estimates, these may vary depending on the number of implants used.
A detailed final cost can only be established following a medical consultation, in which the patient’s clinical situation will be assessed and the individualized therapeutic plan will be established. These costs include: the surgeon’s and anesthesiologist’s fees, the hospitalization period, all the medicines and materials needed during the surgery and during hospitalization. For a personalized estimate, we recommend scheduling a consultation.