Chin and cheek Implants

Overview

The use of facial implants changes the shape of your face and is good for people who have a “weak” chin or cheek bones. The implants I use are made of a medial grade polymer, which are pre-shaped and then adjusted to fit each person. They are then fixed to the bone so they cannot move.

I use hard implants, as these are more like bone, whereas the soft silicone implants are not fixed and can change shape and migrate, which is why I do not use them.

See the men section for further example

Click here for Facial Implant FAQs

This lady had a facelift a lip lift, lower eyelids and a chin implant

chin-augmentation-1

 

Facial Implant FAQs

 

The Operation and hospital stay facial implants

The chin implant is placed through an incision under the chin. The cheek implants through an incision inside the mouth (and sometime the inside of the lower eyelid.)

The surgery is performed under general anaesthetic and takes about one to two hours. When you wake up you should be comfortable as local anaesthetic is used in the wounds and you will remain on regular analgesia (painkillers) for several days until you are effectively pain free. After the surgery you will stay in hospital until it is safe to send you home. You will go home with antibiotic ointment or mouthwash or both.

What can go wrong with Facial Implants

I feel it is important that anyone having surgery with me is aware of the possible negative sides of surgery and understands the small but real risks. The following paragraphs cover what happens when things occasionally don’t go as expected.

Like all surgery there are risks of complications whoever does your surgery. It is important you are aware that many of the problems you may get after your surgery, if they are treated promptly, have no obvious effect on the final outcome.

There may be a small degree of asymmetry after the operation, which you may notice, I will point out before the operation if you have any subtle asymmetries. If there are they are likely to be very subtle and not require correcting. (If it is a big difference then a surgical correction can be discussed).

All operations have a risk of bleeding. In facial augmentation surgery there is a very small risk that there may be bleeding leading to a collection of blood (haematoma), which needs to be removed under an anaesthetic (less than 2%). Infection is unusual and antibiotics are given around the time of surgery to reduce the risk. If the infection cannot be controlled the implants may need to be removed. Some people form bad scars (about 2%) and these can be troubling for a while although often respond to treatment over several months. There may be some numbness of the skin, this will normally get better over a period of time but there is a small risk of small areas of permanent numbness. All operations can result in long-term discomfort.

Risks particular to facial implant surgery are problems with infection because of the presence of an implant, although these are very unusual. The area will be swollen and sore for around two weeks. The scar may be sensitive for a while and very occasionally scars remain sensitive.

All operations have a small risk of Deep Vein Thrombosis (DVT), chest infection and Pulmonary embolism. Death following elective surgery is exceptionally rare (1:250,000 in fit and well people)

As this is a surgical procedure to deal with appearance no guarantee can be given to the final appearance, but if we agree it is an unsatisfactory result correction will be offered at no additional cost.

After Facial Implant surgery

Expect to feel washed out for a few days after the surgery and to tire quickly although you will return to your normal energy levels in a few weeks. The skin sutures need to be removed at 1 week. The ones inside the mouth and eyelids are all dissolving, but a one week follow-up will be given to make sure everything is OK. You will be provided with antibacterial cream or mouthwash to use for the first few weeks after the surgery. I will personally see you at 1, 4 and 12 weeks and 6 and 12 months following surgery and more if required.

What to expect from Facial Implants

Facial implant surgery makes an immediate and dramatic difference, although the swelling takes a few weeks to settle completely. There may be some discomfort for a few days. Normally 4-6 weeks after the surgery, you are beginning to return to normal. It may even be quicker than this. As said above, expect to feel washed out for several weeks after the surgery and to tire quickly although you will gradually return to your normal energy levels.

Cost of Facial Implant Surgery

– from £4625 for chin implants
This includes all required follow-up and in the unlikely event you require further treatment due to post-operative problems any further treatment is also included

(prices updated Feb 2018)

Post Operative Instructions for Facial Implants

What to bring to hospital

If you would like, bring a family member or friend. Bring some easy to put on bed wear, preferably with front buttons and your own clothes and toiletries and something to pass the time like books, puzzles or some music . The rooms have televisions and there is free Wi-fi.

What to look out for after you have gone home

Before you come into hospital, you will get a package that contains a set of post-operative instructions and a thermometer.

Watch out for redness, swelling, pain, discharge, opening of the wound, fevers, sweating and shaking. Whatch to see if your temperature is above 37.2C and you feel unwell or it is above 37.6C.

If any of the above are seen or any of the information of the instruction sheet call the numbers on the instruction sheet or the hospital you had your operation.

Things to Avoid

The following are medications or herbal medicines to avoid before surgery.

Please disclose all medications (including self prescribed and herbal and vitamin supplements) during the consultation. The following increase the risk of post operative problems.

Roacutane or other vitamin A skin preparations / aspirin / steroids / warfarin / clopidogrel / Brufen / alka-seltzer / Fish oil / Flagyl / anti-rheumatics-arthritics / blood thinners eg persantin / St John’s Wort / Aloe vera / Cimetidine / Vitamin E (>600mg/day) / Vitamin C (>1000mg/day) / alfalfa / arnica / bromelain / calendula / celery / chamomile / cloves / Evening primrose / garlic / ginger / ginko / goji berries / licorice / meadowsweet / diabetes medication / blood pressure medication / diuretics

Most fruit and pickles have aspirin like chemicals in them so avoid large quantities in the two weeks before surgery.

Please remember that if you have any questions or concerns to ask during one of your consultations. Writing questions down is sometimes helpful.

Driving

Normally you can re-start driving at around 2 weeks. You are fit to drive if you feel you are fit. I recommend you have someone take you to an industrial zone or supermarket car park late at night so you can attempt driving without risk to others. If you find you can drive without problems you are safe to go out on the road

Work

Depending on how physical the work you do is, you can start working from between 1 and 3 weeks.

If in doubt remember you can always ask for advice.

Exercise

At home rest is necessary for one week and any strenuous activity, bending, and lifting etc. is to be avoided. You can shower once your dressings are reduced after your first appointment.

Physical exercise more than a gentle walk should be avoided for the first least 3 weeks and then only undertaken if comfortable. After 3 weeks I allow swimming and cycling and more vigorous walking. After 6 weeks you can, if it is comfortable, return to full activities.