Washington Univesity Facial Plastic Surgery Center
Washington Univesity Facial Plastic Surgery Center
Facial Implants
Facial implants can improve your appearance by balancing the symmetry of the face or by creating stronger features. 
Facial implants for cosmetic surgery
Implants are effective in strengthening a jaw line or bringing the chin or cheekbones into balance with the rest of the face. Frequently, these implants will help provide a more harmonious balance to your face and features, so that you feel better about the way you look.

Placed in the chin, jaw, or cheek, facial implants can produce a more contoured, and visually striking face. They are used to correct poor definition or inadequate projection and can be combined with rhinoplasty; eyelid surgery and other enhancement procedures.

Facial Implant Options
Several varieties of cheek implants are available. Some enhance the projection of the highest point of the cheek or malar bones. This type of cheek implant is more commonly referred to when discussing a cheek implant procedure.

Also available are cheek implants that add volume to a sunken or hollow cheek by placement in the submalar area or the hollow below the cheek bone.

There are extended cheek implants, designed to add volume in the under eye area, by filling in the tear trough. In addition to cheek implants, separate orbital rim and tear trough implants can be used.

For the chin area there are traditional implants that add projection to a weak chin. Other options include several varieties of extended chin implants designed to fill in the groove or sulcus that forms at the jowl area of the jaw line. There are called pre-jowl sulcus implants and can be used separately or in combination with a chin implant.

Many implants are available, manufactured from a variety of materials. Some materials are porous; while others are solid. Most implants are made of silicone (solid, not gel) or Gore-Tex (expanded polytetrafluoroethylene-ePTFE). They have a small pore size and are well tolerated by the body. There are some larger, more porous implants that have more fibrous tissue ingrowth. Our specialists may use this type for specific reconstruction cases.

Most implants are anchored with either permanent sutures or screws. Once the implant heals into the surrounding pocket that forms - it rarely moves, unless it is dislodged by trauma. The type and location of the implant will determine the choice of anchoring style. More often, a suture will be used to hold the implant in place for six weeks or the time it takes a surrounding pocket to form.

This surgery can be done with a local anesthetic or under general anesthesia. Possible complications include infection, which is treated with antibiotics and shifting of the implant.
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