Because well-defined facial features are a mark of physical beauty, enhancing the chin, cheeks and jawline can provide a more defined and attractive appearance. Facial implants can create remarkable changes by adding balance and definition to underdeveloped features.
Manufactured from a variety of materials, facial implants are available to augment the cheeks, chin and jaw. Implants are made from silicone or porous polyethylene. There is no current scientific evidence to suggest that any type of implants are harmful.
Preparing for Surgery
If an incision is to be made inside your mouth, it is important that you inform Dr. Waslen if you smoke or if you have dental or gum problems. If you do, you may be instructed to take oral antibiotics before and after surgery to protect you from infection.
2 Weeks before surgery
- Avoid all aspirin containing products, all anti-inflammitory medications (ie: Ibuprophen such as Advil or Motrin), all products containing 400 IU's of vitamin E and all herbal products. These products can increase bleeding both during and after surgery and may lead to increased post-operative bruising, swelling and recovery time.
- Stop or at least cut down on smoking. Smoking constricts small blood vessels causing delayed healing, increased scarring and increased recovery time.
- Begin taking a multivitamin tablet daily, which can speed healing and shorten recovery time. It is recommended to continue your multivitamin for one month following surgery.
- Arrange for transportation to and from surgery. You must have someone responsible pick you up and remain with you for a minimum of 24 hours. You cannot take a taxi home on your own.
- It is recommended to restrict activity for approximately 2 weeks following surgery. It is advisable to make arrangements for assistance.
- Avoid dental appointments 2 weeks prior to your surgery as well as 2 weeks post operatively.
- Arnica capsules or pellets can be taken orally starting 2 days before surgery and can continue for 5 days post op. This homeopathic medication can assist in decreasing bruising and swelling due to surgery.
24 hours before surgery
- Avoid alcohol or smoking.
- Nothing to eat or drink after midnight the night before your surgery (no water, no gum). If surgery is booked after 12 noon, clear fluids may be allowed up to 6 hours before surgery (ie: black coffee/tea, clear juice, water). Our nurse will advise you on this when you are given your time for surgery.
- Begin taking your anti viral medications 1 day before surgery.
Day of surgery
- Wear loose, comfortable button-up/zipper clothing (ie: jog suit, slip on shoes).
- Leave valuables at home (remove contact lenses, jewellery or piercing of any kind).
- Take any regular prescribed medications (ie: blood pressure medications) with a small amount of water.
Though facial implant surgery may require only local anesthetic, general anesthesia is also a possibility.
Chin Implants (Mentoplasty)
Your surgeon may recommend chin augmentation surgery often with nasal surgery when it is clear that a chin implant will add to your facial balance and harmony.
Frequently, for instance, a chin implant will be used together with rhinoplasty in a teenage patient whose face lacks the right proportion.
Chin implant surgery takes about an hour. During surgery, the implant (which is pre-selected according to size and shape) is inserted into a pocket that Dr. Waslen creates on the bone. Incisions can be made inside the mouth or in a crease under the chin.
The chin may be taped after surgery to minimize swelling and sutures will remain for five to seven days. If an intra-oral incision is used, dissolving sutures will be used.
Swelling and bruising may be visible around the chin and neck for about a week. During that time, you will experience some difficulty smiling and talking. Our office will give you instructions about dental hygiene and eating after surgery.
Cheek implants (Malar augmentation)
A patient may wish to have cheek implants to restore a more youthful appearance. In patients 40 - 50 years old, for instance, cheek implants can improve the contour of the mid-face and restore sagging tissues.
Cheek implants come in a variety of shapes and sizes. They can be custom-fitted for a more natural look.
Cheek implant surgery usually takes less than an hour. When cheek implants are inserted at the same time as another cosmetic procedure, the implants can be inserted through the incisions made for that procedure.
Alternatively, an incision is made inside your upper lip, a pocket is formed and the implant is placed directly on or below the cheekbone.
After your surgery, movement of your mouth and lips will be limited. Swelling and bruising typically last about a week.
- Some pain and nausea can be expected. This can be relieved with anti-pain and anti-nausea medications. Take them as directed. If you are coming from out of town, please have these medications with you.
- Begin taking antibiotic medication once home from surgery and continue until the prescription is finished.
- Any bandages worn post-operatively should be comfortable and not too tight. Adjust as necessary.
- Use cold compresses 20 min on and off during waking hours. Use a facecloth soaked in ice water and drape over face. Never place ice directly on skin.
- Maintain a regular fluid intake during the day. Gatorade is a good option. Restrict fluids after supper; increased fluid intake will increase swelling.
- Rest is important to minimize pain, nausea and swelling.
- Try to maintain an upright sitting position at all times (ie: 25-45 degree angle) for the first 2-7 days post-op. This will assist in the reduction of post-operative swelling and speed healing time.
- Begin a light nutritional regime and increase food intake as tolerated.
- Take anti-pain medications with food to avoid an upset stomach. Begin taking antibiotic medication once home from surgery and continue until prescription is finished. Eat yogurt while taking antibiotics. If diarrhea occurs, stop antibiotics and call our office for further direction.
Call (403) 228-1313 if you have any questions or concerns.
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Post-operative Day 1
- You may remove the bandage and shower if you wish. Remove all gauze.
- Be aware of any unusual swelling or a sudden increase in pain. If either of these are noted, phone the office as soon as possible.
- Continue to maintain a regular fluid intake during the day, decrease after supper.
- Continue to maintain an upright position.
- Use cold compresses for 72 hours to decrease swelling (ie: ice cubes or ice chips in a bowl of cold water with facecloths).
- Be aware of decreased skin sensation. Do not apply excessive heat or cold to the operative areas.
- Do not smoke.
- Rest as much as possible.
- A nurse will call you by noon to assess how you are doing. At this time, you will be given further post-operative instructions as well as an appointment for your first post-operative visit.
Post-operative Days 2-7
- Continue to maintain an upright position.
- Gradually increase your activity level after 7 days post-operatively. As individuals, everyone's post-operative healing phases will differ. Generally speaking, gentle exercise may resume at 10 days with moderate exercise resuming after 3 weeks. It is advisable to abstain from a full exercise regime until 6 weeks post-operatively.
- Scar tissue (firmness or hardening of operative tissues) may increase up to 6 weeks with the resultant softening of the tissues.
- Approximately 75% of swelling will diminish within 3 - 4 weeks. Any remaining swelling can take from 6 months to 1 year to absorb.
- Best results are usually not seen until 3 months following surgery.
- The final stages of healing are usually not complete until 1 year post-operatively.
Every surgical procedure involves a certain amount of risk. It is important that you understand the risks involved with this procedure. An individual's choice to undergo a surgical procedure is based on the comparison of risk to potential benefit. Although the majority of patients do not experience these complications, you should understand the potential complications.