What is a facial implant?
Facial implants are permanent facial implants used to augment deficient facial bony, and sometimes muscular, structure.
What are the different implantable facial regions?
The two most commonly implanted regions by Dr. Moubayed are the chin and the cheeks.
Other types of implants are possible such as temporal implants and mandibular implants.
What material do you use for facial implants?
Two most commonly implanted materials are polyethylene (Medpor) and silicone. Silicone being safe, easy to remove, and has a more natural feel, it is the material of choice most often used by Dr. Moubayed.
What are the risks of a facial implant?
Like any surgery, facial implants present the universal (but minimal) risks of scarring, bleeding (and bruising), infection (superficial or deep), and pain (temporary or permanent).
However, the main risk of any cosmetic surgery is to not be satisfied with the result. After a proper consultation that includes a complete examination and photo evaluation, Dr. Moubayed can generally produce the results desired by the patient. Facial implants are secured to surrounding tissue to minimize their movement after surgery. However, we do not control healing and some patients heal in a way that mobilizes the implant and produces asymmetries or irregularities that need touch-ups. This is rare.
Forehead lifting involves the risk of producing paralysis of a facial nerve branch or temporary (and sometimes permanent) numbness of the face. Rarely, an implant can become infected and extrude (come out), which requires it to be removed.
Dr. Moubayed is a surgeon that is exclusively trained in facial surgery. He has a conservative and individualized approach with each patient. All patients are followed closely after surgery with very precise and very clear instructions. All of this is done in order to minimize the risks listed above.
What happens during a facial implant consultation?
A consultation starts with a complete questionnaire and physical examination. A particular attention is taken with the examination of your jaws, dentition, and nerves. Photos are taken and analyzed with your surgeon. This is an essential communication tool as some patients want changes that are not always possible in surgery.
Then, we talk about surgery and recovery, and Dr. Moubayed answers any and all questions you may have.
Multiple consultations are sometimes necessary before deciding to proceed with surgery. Cosmetic facial surgery is an important decision to make and it is important that you are well informed before proceeding with it.
Ideal chin position line
Source: Moubayed et al., Facial Plastic and Reconstructive Surgery: Concepts, Questions, Answers, 1st ed.
How to prepare for a facial implant consultation?
It is a good idea to prepare for a facial implant consultation. First start by listing in order of importance the facial features you would like to enhance such as cheeks, chin, temples, or jaw. Second, ask yourself it here are other areas that bother you around your face, such as your jowls, your neck, your forehead, eyes, nose or lips. Finally, if you have had prior facial surgery or injections, try to find the date as well as the products that were injected, and try to obtain the operative report. Do not forget to mention if you have any jaw or occlusion problems, or have had jaw surgery.
How long does it take to perform a facial implant?
Facial implants are a surgery of sterility, finesse, and precision. When performed using modern techniques that enable maximal control, they take in general 45 minutes per implant.
What type of anesthesia is used for facial implants?
Facial implants can be performed under local anesthesia, local anesthesia with sedation, or general anesthesia. For general anesthesia, the type of anesthesia used is total intravenous anesthesia (without using anesthetic gases). This type of anesthesia is safe and helps reduce nausea and coughing after surgery. Our patients often report how positive their anesthesia experience was.
What surgical approach is used for chin implants?
There are two ways to place chin implants: the external approach that produces a visible scar on the chin, or the intraoral approach, through the mouth, that leaves no external scars. Both approaches have the same low rates of infection. For this reason, Dr. Moubayed prefers the intraoral approach in order to avoid external scars. Although a little more challenging technically, we find that our patients appreciate the avoidance of a visible external scar.
How long is recovery from a facial implant?
Patients leave the surgical center the same day and recover at home with a large dressing and very precise instructions, such as the need for a soft diet.
Your first post-operative appointment will take place 5 to 7 days later, where your dressing and stitches and staples will be removed, and your wound will be examined. At that point you can return to your regular activities and any bruising can be hidden with concealer.
Light physical activity can be resumed after a week, but for more vigorous activities like weightlifting, it is recommended to wait three weeks to minimize bleeding risk.
How long does swelling last after a facial implant?
After a week, you will very presentable in society. The majority of swelling decreases over the first three months, but minimal (barely visible) swelling can persist for up to a year.
How do I find the best surgeon for a facial implant in Montreal?
It is important to look at multiple factors during your facial implant surgeon choice:
1- Does your surgeon have specific expertise in facial surgery and anatomy to be able to minimize complications?
2- Can your surgeon perform all types of facial implants to be able to choose which one is most adapted to your needs?
3- Can your surgeon offer you alternatives to facial implants, such as fillers, to be able to decide whether an implant is the best option for you?
4- Did you have a positive experience and feel comfortable during your consultation?
Are there non-surgical or minimally invasive alternatives to facial implants?
Carefully selected patients can benefit from hyaluronic acid or fact injections.
Nothing replaces a consultation with a specialist that offers all procedures, non-invasive and invasive, to be able to determine what is the best option for you.