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Facial features are an important and highly
visible aspects of a person's physical appearance. For those who want
a more balanced face or create stronger features, facial implants may
be the answer. Implants placed in the chin, jaw, or cheek will create
a more pronounced, contoured, and visually striking face. Facial implants
are designed to provide augmentation or reconstruction of the face,
as well as rejuvenation of the aging face. Facial implants are widely
used for adding or restoring contours for a balanced and youthful face.
FACIAL IMPLANTS - Solide
and Porous:The
implants are of two main types. Solid implants, which are usually made
of silicone and porous implants, which are usually made of polyethylene
(as shown above).
The
most fundamental difference between them is in how the body responds.
Solid implants are walled off by a layer of tissue called a capsule.
The porous implants are fixed by surrounding tissue growing
into them. One of the disadvantages of the solid implant is that it
can move around or migrate. This does not happen with porous implants
which are fixed in one place. This has several advantages. In the first
place they do not droop or become ptotic. Secondly they are less likely
to cause erosion or resorption the underlying bone. Infection is no
more common with a porous implant. Both implants can be cut to shape
but the silicone is probably a little easier to carve. The
main disadvantages of the porous implants are that they are more expensive
and more difficult to place than silicone. This usually means a larger
incision. The implant must be directly positioned rather than squeezed
or pushed into place.
Chin,
Cheek, or Jaw Reshaping / Facial Implants
What is chin, cheek, or jaw reshaping? Cosmetic plastic surgery to change
the shape of the chin, check, or jaw is called a facial implant. This
procedure is typically done to enhance certain facial features, or to
bring a certain aspect of the face into proportion with the rest. For
the reshaping of the chin, check, or jaw, the surgeon inserts an implant
into the area to redefine its appearance.
Cheek
Implants
Indications: This
operation is done to enhance the shape and appearance of the cheek
bones.
Method: There
are many ways to perform cheek implantation. The method must be tailored
to the individual patient needs. The principal is to create a pocket
over the cheek tissue and place an implant into the pocket. There
are two types of implant, solid
or porous. The incision may be placed in the crease lines outside
the eye, in the mouth or on the inner surface of the eye (the conjunctiva).
The operation is done under either local anesthetic (you are awake)
or general anesthetic (you are asleep). You can often choose. Most
of the time this is an outpatient operation and a stay in the hospital
is not needed.
Possible
Problems: All
operations have some risk. The risks of surgery are divided into two
groups. First those that are seen in all operations and second those
that are unique or special for this operation. In the first group,
the main risks are swelling, bruising, bleeding, infection, a scar
and numbness or change in feeling. The main problems which are special
for this operation are patient dissatisfaction and change in position
of the implant.
Postoperative care: The
recovery takes one to two weeks. Most people are back to work within
a week or two.

Chin
Implants
Chin implants are
used to enhance the shape and appearance of the chin. They are sometimes
used to correct a witch's chin deformity.
Method:
There are many
ways to perform chin implantation. The method must be tailored to
the individual patient needs. The principal is to create a pocket
at the chin and place an implant into the pocket. There are two types
of implant, solid or porous.The incision may be
placed in the crease lines under the chin or in the mouth. Some patients
need more extensive surgery to re-position the bone of the chin. The
operation is done under either local anesthetic (you are awake) or
general anesthetic (you are asleep). You can choose. Most of the time
this is an outpatient operation and a stay in the hospital is not
needed. It is not unusual to combine this operation with a rhinoplasty
to improve the facial profile.
Possible Problems: All
operations have some risk. The risks of surgery are divided into two
groups. First those that are seen in all operations and second those
that are unique or special for this operation. In the first group,
the main risks are swelling, bruising, bleeding, infection, a scar
and numbness or change in feeling. The main problems which are special
for this operation are change in position and extrusion of the implant.
Postoperative
care: The
recovery takes one to two weeks. Most people are back to work within
a week or two.

For more
information schedule your free consultation with Dr. Wittenberg to
discuss this procedure in full. Our experienced and professional office
staff members are here to help you with all your questions. Call our
offices at (831) 636-9808.
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