CHIN AND CHEEK IMPLANT
Chin and cheek implants are highly individualized based on each patient’s pre-operative anatomy and goals. The implants are available in various shapes and sizes and are composed of a firm type of silicone that mimics the consistency of bone.
Chin implants are common among patients who desire a more forward chin projection or patients who ask for a more prominent downwards projection. Cheek implants are useful for patients who feel that their midface area is sunken in. Cheek implants will help achieve higher and more prominent cheekbones, but we would like to remind our patients that moderation is key to a natural appearance.
Good candidates for this procedure:
Patients seeking a more prominent protrusion of the chin
Patients seeking facial symmetry and balance with features like the nose, eyes, and ears
Patients who have undergone facial trauma and need reconstruction
Patients who seek enhancement for self confidence and enjoyment of life
Young patients who have inherited a deficient cheek structure
Patients who suffer from hollow and aged appearance in the lower face and under the eyes
What to expect: Consultation
All cosmetic consultations are complimentary and serve as a great opportunity to gain further insight by voicing your concerns and having questions answered. During the initial consultation, Dr. Hsu will ask some questions to get to know you and determine if you are a good candidate for chin and cheek implant surgery.
During the consultation, Dr. Hsu will first assess the area of concern, whether that is the chin and cheek, and evaluate it in the context to the other parts of the face. This will help to ensure that the surgical plan achieves overall facial harmony. He will also ask about your medical history, including existing medical conditions, past surgeries, tobacco usage, daily medications, supplements, and allergies. If you are determined to be a good candidate for the procedure, Dr. Hsu will explain the next steps in going forth with the procedure. In order to reach your aesthetic goal, both you and Dr. Hsu will work together to decide all the necessary details that will ultimately give you the best results
On the day of surgery, arrive early to fill out paperwork, meet the anesthesiologist, and be prepared for surgery. Dr. Hsu will meet you in the pre-operative area before surgery to make markings on the areas planned for surgery and answer any last minute questions you may have.
Chin implant operations are completed in approximately an hour and a half under general anesthesia. During the procedure, Dr. Hsu will make a small incision underneath the chin or intraorally, depending on the type of projection desired. Cheek implant operations are completed in approximately two and a half hours also under general anesthesia. In this operation, Dr. Hsu uses a lower eyelid incision to place the silicone implant in position.
Recovery & Post-operative Instructions:
For chin implant surgery, Dr. Hsu will wrap dressings around your head and tape your chin for approximately a week to heal in an upward position. For the first couple of days, you should consume a liquid diet to avoid uncomfortably chewing solids. Dr. Hsu will advance your diet throughout the following weeks as he tracks your healing progress.
For cheek implant surgery, Dr. Hsu will not wrap dressings around your head, but you should ice the area for the first 48 hours.
It is very important that you keep your head elevated at all times during your recovery period. An easy way to maintain the elevated position during rest is to sleep on two pillows at night. We also highly recommend wearing a handkerchief or shawl to cover the area so that you will be more comfortable going outside. For most patients, bruising and swelling has subsided substantially after a week, so they can cover any remaining bruises with concealer. During the recovery period, walking assists with healing and minimizing blood clots.
The surgical area should stay dry until Dr. Hsu indicates that it is permissible to shower. In the meantime, to clean the rest of your body, you can bathe from the shoulders down. Dr. Hsu will usually remove stitches during your first week follow up appointment. Swelling & bruising will peak about 48 hours after surgery but will gradually decrease in about two weeks. Most patients return to work after two weeks, but many return even sooner -- especially those who work from home. The biggest limitation for post-operative patients is driving, which should be avoided when on pain medication. Patients are usually off their pain medication after five days, so plan your work schedule accordingly. Six weeks post-operation, most patients can return to their normal routines including exercise and returning to the gym.
Dr. Hsu will be available 24 hours following the surgery to address any immediate concerns. He will continue to follow patient progress for an extended period of time to ensure that you are healing well. Follow up appointments are scheduled immediately after surgery and for up to one year afterward.
Dr. Hsu's view on Chin & Cheek Implants.
Chin or cheek implants are overall a nice way to change the facial contour. It seems to me that over the past decade, requests for chin implants have increased and yet requests for cheek implants have decreased. Nevertheless, they both can work quite well for the right patients.
Most patients I see for chin implants would like to have more forward projection of their chin, so that their profile looks more balanced (especially with regards to how the overall facial shape fits with the nose). In some of these patients, they would also like the chin implant to make the face slightly longer as well, to have a more “V-shaped” appearance from the front. For cheek implants, the objective is to have stronger appearing cheek bones in the upper cheek and right in front of the ears.