Charles Perry, MD, Plastic Surgeon
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Cheek and Chin Augmentation

Chin Implants

Chin implants can make a weak chin stronger, strengthening your profile and improving facial balance. They can also correct a receding chin caused by disease, genetics or facial trauma. Chin implants can also be used to draw attention from your nose by creating harmony amongst your facial characteristics.

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Cheek Implants

Cheek implants can give fullness to flat cheekbones, enhancing your beauty or restoring a youthful look. Genetics, trauma, or aging can give a person inadequate cheek volume, and cheek implants minimize this. Cheek implants can also be used post-traumatically, to treat congenital deformities, or to correct asymmetry.

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Both chin and cheek implants are subtle enhancements that are not overly noticeable on their own, but rather re-focus attention to your best features. The placement of facial implants can be combined with facelift or eyelid surgery (blepharoplasty) to achieve more comprehensive facial enhancement. Similar, though less permanent, ways to achieve the cosmetic results of chin and cheek implants include fat transfer and dermal fillers such as Sculptra™ or Radiesse™.

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Implant Materials

At Chrysalis Cosmetics, we offer two different types of implant materials: MEDPOR®, a porous material; and solid, flexible silicone. MEDPOR® is a type of polyethylene, a material long used to create surgical implants. Polyethylene is easily cut and trimmed to precise, individual specifications, and the implant relies on tissue integration to stay in place. The porous material promotes tissue ingrowth, which helps minimize the chance of implant movement or extrusion.

Silicone also has a long history as a facial implant material. It is solid, flexible, and durable. Unlike MEDPOR® implants, silicone is easily removed if necessary, and has no liquid or gel that can leak or bleed out. Silicone implants are non-porous and do not rely on tissue integration; rather, the implant becomes bonded to the bone via titanium screws. Both MEDPOR® polyethylene implants and silicone implants have advantages and disadvantages, and it is best to discuss which type of implant is best for you during your consultation with our experienced plastic surgeon.

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What Makes Someone a Good Candidate for Chin and Cheek Implant Surgery?

The ideal candidate for chin or cheek implants is a healthy, mentally stable adult who wishes to improve the look of his or her cheekbones, jawline, or chin.

Facial implant surgery is not recommended for:

  • Individuals with unrealistic expectations
  • Individuals with active diseases or pre-existing medical conditions – These include bleeding disorders and problems with healing. Talk to Dr. Charles Perry about your medical history.
  • Individuals with certain dental issues – These types of problems can especially jeopardize cheek implant surgery.

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Things to Consider Before Receiving Cheek or Chin Implants

Facial implants often compliment facelift surgery

Facial implants, especially cheek implants, are commonly combined with facelift surgery to improve the end result. The implants can be placed through the same incisions created during facelift surgery, creating more complete cosmetic enhancement. Facial implants can also be combined with eyelid surgery for impressive results.

Avoid forceful contact to the implant site for several months

This can cause the implant to shift or otherwise jeopardize the results of the surgery.

Further surgery may be necessary

In some cases, the patient will be disappointed with one or more aspects of their surgical results. Some patients choose to undergo additional surgery, while others accept the result. In other cases, complications may create a need for further surgery, which will cause the patient to incur additional charges.

Financial responsibilities

Facial implant surgery that is performed for purely cosmetic reasons is not covered by health insurance. However, if your facial implant surgery corrects a congenital defect or the effects of facial trauma your health insurance may cover a portion of the cost. To find out whether or not your plan covers the procedure, please refer to your health plan’s Evidence of Coverage.

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How Is Cheek or Chin Implant Surgery Performed?

Facial implant surgery is usually done under general anesthesia, though it can also be done with local anesthesia combined with IV sedation. Before surgery, you will discuss whether a MEDPOR® or silicone implant will be best for you. Once the material is chosen, the surgeon will shape and size the implant depending on what will best work for you.

Chin Implant Placement

Chin implants are placed through a small incision on the inside of the mouth or, especially if the implant is on the larger side, on the underside of the chin.

Cheek Implant Placement

Cheek implants are placed through an incision on the inside of the mouth, in the lower eyelid, or in the temple area behind the hairline. The surgical approach depends on the size of the implant; the eyelid approach, for example, may complicate the placement of a larger implant.

After the chin or cheek implant is placed, the incision is sutured close, usually with dis-solvable stitches. Facial implant surgery is an outpatient procedure, so you will be able to return home the same day.

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Are There any Risks to Chin or Cheek Implant Surgery?

Facial implant surgery is generally safe, though any surgery carries risks. The following list covers some, though not all, possible risks; you will further discuss the risks of surgery with Dr. Perry during your consultation.

Infection

While infection can usually be managed by antibiotics, in extreme cases the implant may need to be removed and replaced to control infection.

Shifting of the implant

Implant movement is impossible to predict, and would require surgery to correct. MEDPOR® implants are made of a porous material through which tissue grows, virtually eliminating chances of the implant shifting.

Hematoma / Seroma

Collection of fluid or blood under the skin requires draining by a physician.

Sensory changes

Asymmetry

Facial implants can be used to correct facial asymmetry; however, in some cases they can create asymmetry. This can be corrected with further surgery.

Visibility of the implant through the skin

Facial implants are designed to bond with tissue or bone, and to become undetectable by sight and touch. However, in some cases this does not happen, and the implant can be seen or felt beneath the skin.

Implant extrusion

In rare instances, the implant can come through the skin. In this case, the implant must be surgically removed.

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Complete Pre- and Post-operative Instructions for Chin and Cheek Implant Patients

This comprehensive list of instructions provide pre- and post-operative guidelines for patients undergoing facial implant surgery. We recommend that you read over the instructions as soon as your surgery day is scheduled, then print them out and bring them with you on the day of surgery.

Cheek Implant Instructions (printer-friendly)

Chin Implant Instructions (printer-friendly)

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*Individual Results May Vary

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