Chin, Cheek & Facial Implants

Facial Implants Ft. Lauderdale

Do you have concerns over your facial appearance?

Does your appearance make you look older than your real age?

Do you notice uneven or irregular appearance to cheeks or jaws?

When patients require cosmetic/esthetic enhancement to balance the face, implants can be inserted. The most common areas treated are the chin, cheekbone (malar bone) and lower jaw (mandible).

Patients who are candidates for these implants commonly:

  • Have cosmetic/esthetic concerns only
  • Have a good bite relationship
  • Have a good jaw relationship
  • Have had previous jaw correction (orthognathic) surgery
  • Have facial deficits from previous traumatic injuries

The goals of placing facial implants is to achieve balance and harmony of the facial structures. If your condition also involves a problem with the way your teeth come together (malocclusion), there may also be a problem with alignment of the jaws (skeletal jaw deformity). Signs of this deformity include:

  • Overbite or underbite
  • Deepbite or open bite
  • Open bite

In these cases you may benefit from orthognathic surgery. However, facial implants can be used as a replacement for orthognathic surgery in some circumstances to mask, or camoflague the jaw discrepancy. Placement of facial implants are commonly used as an adjunct to jaw repositioning surgery to correct resultant contour irregularities that sometimes appear postoperatively.

FACIAL IMPLANT SURGERY:

HOW IS IT PERFORMED?

Dr. Sultan prefers the use of implants manufactured from porous plastic material, or a combination of silicone coated with plastic. These materials never resorb, or dissolve, have less risk of infection, and do not cause scar tissue capsules around them, which can result in a contour irregularity.

These implants are placed either through small incisions in the mouth, or from inconspicuous incisions well hidden on the face. Deep sedation or general anesthesia is preferred for patient comfort, delivered by a Board Certified Anesthesiologist. The majority of these procedures can be performed in our sate of the art hospital style outpatient facility.

The most common areas for correction with facial implants are:

  • Chin
  • Cheeks
  • Lower jaw (mandible)
  • Para-nasal (around the nasal base)
  • Lower rim of the eye socket (infraorbital rim)

If necessary, soft tissue procedures are performed at the same time as implant placement to enhance the results:

  • Midface suspension sutures (Midface lift)
  • Removal of fat from beneath the jaw (lipectomy/liposuction)

Many times Dr. Sultan utilizes preformed shapes, or stock implants in different sizes. However, as no person is perfectly symmetric, and many conditions are patient-specific, custom Computer Designed Facial Implants can be manufactured (see below).

HOW DO FACIAL IMPLANTS COMPARE TO INJECTIBLE FILLERS?

Many of the common materials used to augment the face (dermal fillers, fat) achieve only temporary results. As such, they need to be performed on multiple occasions to achieve and maintain their results. Facial implants, when placed, give a long lasting, consistent improvement of restoring smooth, even contour to the facial structure.

CHIN IMPLANT VS GENIOPLASTY:

WHICH IS RIGHT FOR ME?

The most common chin conditions requiring correction include:

  • Excessively long or pronounced chin
  • Deficient, short or pointed chin
  • Asymmetric chin position (off center, uneven)

Surgery is performed to reposition or recontour the chin region in order to improve facial profile and lip posture. Some cases are amenable to the placement of an implant, while others are corrected by sectioning and then repositioning the chin using small titanium screws (genioplasty).

The decision to perform a chin implant or chin repositioning with genioplasty is made during consultation and based on the type correction required and the needs and desires of the patient.

THE CUSTOM IMPLANT PROCESS

Certain patient conditions are not amenable for correction with stock, or “off the shelf” implants. For example, a patient with an asymmetric, or uneven face. When the manufacture of a patient specific custom implant is required, a CT is taken of the patient and sent to our medical modeling facility. Data from the CT scan is converted to usable three dimensional images that are analyzed for proper dimensions, symmetry and contour. An online meeting is set up for Dr. Sultan, the patient and our Virtual Modeling Engineer to design the ideal implant shape. This virtual design is then converted to an actual custom implant ready for placement within approximately two weeks.

Although the cost of these custom implants are higher than the “stock” variety, their placement results in a more accurate result, less operating time and decreased risk of complications.

Please refer to the section on Computer Guided Surgery for a more in depth discussion on the topic.

Deficient Chin Chin Advancement (w/implant)
Excessive Chin Chin Reduction
CUSTOM CHEEK, ORBIT POST TRAUMA Cheek Implant
Cheek implant
CUSTOM WRAPAROUND MANDIBLE Lower Jaw Implant
Lower jaw implant
Chin Implant CUSTOM CHEEK, MANDIBLE, GENIOPLASTY

Computer Design Cheek

Computer Design Cheek, Orbit