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Treatment · Oral and Maxillofacial Surgery (OMS)

Facial Implants: Information & Specialists

Author of this articleLeading Medicine Guide editorial team

Minor imperfections on the face can often be easily concealed with makeup. However, more significant asymmetries pose a challenge. Facial implants offer a proven solution in these cases. Small silicone pads can be used to effectively alter the contours of the face. The procedure is low-risk and quick to perform.

This article provides the most important information about the surgery and post-operative care. You can also find a selection of specialists in facial implants here.

What exactly are facial implants?

In plastic and cosmetic surgery, implants are used to alter the shape or contour of the body. Implants are cushion-like inserts that are usually made entirely of silicone. The surgeon inserts them under the skin during a surgical procedure.

On the face, an implant is primarily used to correct

  • the jaw,
  • the nose,
  • the chin, and 
  • the cheek area.

Reasons for using an implant in the face include

  • dissatisfaction with the shape of the face,
  • the desire for more feminine or masculine facial features, or
  • a more youthful appearance.

The range of possible corrections extends from correcting minor irregularities to a complete transformation of the facial shape.

Often, even minor changes in the chin area are enough to achieve a significant improvement in harmony and symmetry. This includes, for example, correcting a chin that is too small—a so-called “receding” chin. A receding chin not only adversely affects the profile but also the overall facial contour.

A facial implant can permanently achieve the desired balance in this case.

Surgical Correction of a Receding Chin
Correction of a receding chin using a facial implant © rumruay | AdobeStock

Implants are usually tailored specifically to the individual skeletal structure of each patient.

When are facial implants used?

In general, facial implants are suitable for anyone who finds their face unattractive.

Many asymmetries are congenital. Some people, however, suffer from facial deformities caused by accidents or injuries. In such cases, the procedure is more about reshaping the face than reconstructing it.

The target group also includes people who struggle with typical signs of aging, such as sunken cheeks.

The body tolerates silicone particularly well, which is why this material is usually the best choice, especially given its other properties. A facial implant is only possible if there are no allergies to the filler material.

Procedure for Facial Implant Surgery

The placement of facial implants is performed on an outpatient basis and takes one to two hours on average.

The preparatory phase

In-depth consultations with the plastic surgeon are necessary to select the implant. During these consultations, you’ll discuss your personal wishes and expectations and inform the surgeon of any allergies you may have.

The surgeon will also discuss with you

  • the procedure,
  • possible side effects, and
  • the best aftercare.

Before the procedure, you must avoid alcohol, cigarettes, and, if applicable, certain medications.

The Surgery

The first step is to administer a local anesthetic to the area to be treated. The surgeon then makes a tiny incision, which usually leaves only a small scar. The incision is made

  • in the upper mouth area for cheek implants,
  • for chin implants, under the chin or on the inside of the lower lip,
  • for nose implants, inside the nostril; and
  • for jaw implants, on the inside of the lower lip.

The surgeon inserts the implant so that it reflects the intended facial shape. He then closes the incisions with sutures and applies a bandage.

What should you keep in mind after the procedure?

After the surgery, you should take it easy. Avoid stress and excessive physical and emotional strain. Strictly follow all essential hygiene measures as well as your doctor’s instructions.

The subsequent recovery phase requires patience. Final results often do not become apparent until up to two months after the procedure. Depending on the extent of the procedure, you will also need time to get used to your new facial features.

Depending on their size and location, the incisions will take one to two months to heal.

In some cases, chewing motions can cause the implants to shift. Pain may also occur. In this case, you will need to switch to a liquid diet for a short time.

What risks and complications can occur?

  • Pain,
  • swelling, and
  • numbness in the area of the facial implants and incision sites

usually subside after a week. If this is not the case, you should contact your doctor.

In general, the procedure described here is highly effective, offering very good treatment outcomes with minimal risks. Infections and serious complications are rare. Serious complications would include

  • the implants protruding through the skin or
  • the implants shifting out of position under the skin.

Both would require implant removal.

Concerns regarding scarring are also unfounded. Qualified plastic and cosmetic surgeons take care to make the incisions in areas that are as inconspicuous as possible.

Advantages and Disadvantages of Facial Implants

Facial implants offer accident victims and people with congenital deformities the opportunity to alter their facial features.

Many patients also hope this will lead to greater self-confidence and success in their professional and personal lives.

In general, the surgery is a relatively low-risk procedure. An important prerequisite is choosing a skilled and experienced specialist with proven additional training in plastic and aesthetic surgery.

However, caution is advised when dealing with medical professionals who use only unprotected titles such as “cosmetic surgeon” or “aesthetic surgeon.” These individuals usually do not have the required six years of specialized training. As a result, they are not suitable candidates for the safe, complication-free, and generally successful use of facial implants.

Sources
  • Bingöl, A.: Plastische und ästhetische Chirurgie, Urban & Fischer 2021 (2. Auflage).
  • Holtmann, H. u.a. (Hrsg.): Mund-, Kiefer- und Plastische Chirurgie, Urban & Fischer 2020 (2. Auflage).

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