CHIN AND CHEEK IMPLANTS
What are the benefits?
Facial implants are currently used by plastic surgeons in order to restore facial harmony or highlight a specific area of the face. For example, this type of procedure can correct a receding chin or cheeks that seem to be collapsing.
Is it for me?
Implants can improve your appearance and self confidence, however, it won’t necessarily change your relationship with others. Before opting for this type of procedure, be clear about your expectations and discuss them with Dr. Duclos. She’ll be happy to answer any questions clearly and provide information on the type of procedure that’s best for you, including the pros and cons.
What techniques are used?
Many types of implants are available. However, this section only deals with implants inserted by incision, as opposed to temporary or permanent injection products that allow for an increase in chin or cheek volume without surgical intervention or incision (see the section on injections).
For the traditional implant, the procedure consists of making an incision inside the mouth or occasionally on the skin, to make a pocket. The appropriate implant is then inserted and positioned. This procedure may be done alone or combined with a face lift or rhinoplasty.
What should I expect?
During your consultation, Dr. Duclos will examine your face to determine if chin and/or cheek augmentation will respect the structure and harmony of your face. After checking your general health and your expectations, Dr. Duclos will make her recommendations as well as inform you on the type of implant and diameter and site of incision. For cheeks, the incision is generally inside the mouth and for the chin, it can be inside the mouth or under the chin. Dr. Duclos will also explain the inherent risks of the procedure, explain each step of the procedure itself, which is usually performed under general anaesthetic, and discuss pre and post operative care.
Procedure length is determined by the amount of work that needs to be done.
You will then remain under observation until the doctor decides you may leave the clinic. Painkillers will be prescribed and the date of your next appointment will be given to you before you leave. Make sure you ask someone to accompany you back home.
After the procedure, pain is generally light and may be relieved with the medication prescribed. The pain should subside after two days. Swelling and bruising will be at their worst two or three days after the procedure. In general, bruising subsides after 14 days.
If the incision is inside the mouth, you should follow a liquid diet for 36 hours, followed by soft foods only for another 36 hours. You should also rinse your mouth with a solution three times a day for five days.
You should wear a chin strap and avoid intense physical activity for the first two weeks. Avoid exposing your scars to sunlight or in any kind of tanning salon for 6 months.
What are the risks?
Complications rarely occur but it is important to be aware of the risks associated with these procedures. Bleeding or bad scarring may occur. As with any procedure, infection can also occur and is generally treated with antibiotics. However, if the implant is infected, it must be removed and you must wait a few months before replacing it with another.
The implant may move, creating asymmetry or touching a nerve. A second surgery may be necessary. A loss of sensation of part of the face may also occur. This change in sensitivity is usually temporary but could be permanent. In rare cases, neuralgia may occur and in even rarer cases, a loss of facial motor functions can occur.