Facial implants are surgically placed in certain areas of the face to define the jaw line or augment the chin so that the patient obtains symmetrical and balanced traits. We can also surgically correct the chin by procedures on the mandible. You can decide, together with our team, which is the right option for you so that the result is safe and satisfactory.
What are the indications for facial implants?
If you are in good health and have realistic expectations about facial implant surgery, you are a good candidate for this procedure. It is also important to understand and feel that you can manage the limits of the method, including the inability to move your mouth or lips freely for several weeks after surgery and the need to maintain a certain diet.
During the first consultation, before planning your surgery, Dr Sinescu will evaluate your facial structure and discuss in detail the changes you would like to make with the implants. With our guidance, you will decide what type of facial implant is right for you, as well as its size, shape and position.
We will discuss what you can expect from this surgery and we’ll review all the existing options. You will be given a detailed explanation of the procedure, steps to be followed before and after surgery, potential risks and complications, costs and payment methods. We will answer all your questions. We’ll ask for medical history, information on cigarette and alcohol consumption and a list of all the medicines you use, including the over the counter ones.
Surgery will take place in one of the ultramodern clinics where our surgeons work, usually on an outpatient basis. The operation lasts 30 minutes to 1 hour and can be done in general anesthesia or local anesthesia with sedation, depending on what you and your doctor prefer. With general anesthesia, you will be completely asleep throughout the procedure. With local anesthesia, you will be slightly sedated, and the face and neck area will be numb. You will be awake but you will be relaxed and you will not feel uncomfortable. The type of anesthesia used and the need for hospitalization will be discussed with you prior to surgery.
An incision is placed under the chin and the doctor dissects a subcutaneous pocket in which he/she inserts the implant. The implants are made of a synthetic material similar in texture to natural tissue and are available in a wide variety of sizes and shapes. This allows a personalized fit of the implant and an individualized approach to every patient’s face. After implantation, fine sutures are used to secure the implant and to close the skin.
For mandibular implants, the incisions are made bilaterally on the lower lip mucosa. After the pocket dissection and insertion of the implant, it is positioned and the surgical wound is closed with resorbable sutures, the whole procedure generally lasting for 1-2 hours.
Facial implants are made from a variety of materials. Occasionally, fat transfer is used instead of solid implants.
Shower / bath – the first day postoperatively
Suture removal – 5-7 days postoperatively
Return to work – one postoperative week
Intense physical activity – 4 weeks postoperatively
Fading of the scars – a few months to a year
What are the possible side effects or risks?
Every surgery has a certain degree of risk; however, the complications of these procedures are usually minor. During the first consultation, the individual risks will be evaluated and discussed. You can help reduce risks by carefully following the pre- and post-operative instructions provided. Our staff will be at your side at every step of the way to ensure a safe and aesthetic result.
The most likely side effects include the following:
– sensory or motor peripheral nerve injury
– facial asymmetries
– pathological scarring
– permanent anesthesia
– implant shift
How long do the results last?
The results are permanent if silicone implants are used. In case of cosmetic fat transfer, the procedure may need to be repeated periodically. It is important to note that the effects of aging, gravity and environmental factors will continue to affect the elasticity and tone of the face and neck. Constant skincare is essential to maximize the efficacy and longevity of surgical results.
Frequently asked questions
Are there any procedures we might associate for an improved result?
There are several surgeries that can provide a younger look. These include blepharoplasty, rhinoplasty, forehead lift, neck lift, facelift.
Is my health insurance covering the costs of the surgery?
Facial implants are aesthetic interventions and therefore are not covered by insurance. You are responsible for the full payment of the procedure. Cost and payment information will be fully discussed with you during the first consultations.
Are there any alternatives to facial implants?
Fillers, such as collagen, hyaluronic acid or hydroxyapatite, offer temporary localized improvement. Transferring your own fat from another area of the body can improve the shape and contour of the face. This approach usually requires one to three procedures to get the desired result.