Plastic surgery restores form and function through reconstructive procedures, cosmetic enhancements, and body contouring.
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The results of facial implant surgery are not immediate. While the structural change is present, it is masked by swelling. The “reveal” happens gradually. By 6 weeks, about 80% of the swelling is gone, and the new contours are visible.
However, the final result takes 3 to 6 months to manifest. During this time, the soft tissue (skin and muscle) shrinks and wraps around the new implant structure. This settling process refines the definition, making the implant look less like an addition and more like a natural bone feature.
For external incisions (submental), scar care is essential. Once sutures are removed, silicone gel or scar strips can be applied to keep the scar flat and pale. Sun protection is vital to prevent the scar from darkening (hyperpigmentation).
Intraoral scars require no maintenance other than keeping the mouth clean while they dissolve. They typically heal seamlessly within the mucosal lining and are undetectable. The focus for external scars is minimizing their visibility through diligent care in the first year.
Over the first few months, the body forms a fibrous capsule around the implant. This is a natural healing response that helps secure the implant in place. This capsule creates a snug pocket that prevents migration.
For porous implants (Medpor), tissue ingrowth occurs during this time, creating a biological bond between the implant and the bone. Once this integration or encapsulation is complete, the implant is highly stable and resistant to movement.
In rare cases, pressure from a chin implant can cause a small amount of bone resorption (erosion) beneath it. This is usually minor and clinically insignificant. Modern implants are designed to distribute pressure evenly to minimize this risk.
Surgeons may monitor bone health with X-rays during routine dental exams years later. Generally, the relationship between the implant and the bone remains stable for the patient’s lifetime without causing structural issues.
Infection is the most significant long-term risk of facial implants, though rare. It can occur weeks, months, or even years later if bacteria from the bloodstream (e.g., from dental work) seed the implant.
Patients are advised to maintain excellent dental health. Some surgeons recommend prophylactic antibiotics before major dental procedures to protect the implant, as is done for artificial joints. Any sudden swelling, redness, or pain around an implant requires immediate medical evaluation.
Facial implants are permanent, but the face continues to age around them. The skin will still lose elasticity, and the soft tissues will still descend. However, the implant provides a permanent scaffold that helps mitigate these aging changes.
A strong chin or cheekbone helps “hold up” the face, often delaying the need for lifting procedures. The implant ensures that the underlying structure remains youthful even as the surface ages. Patients with implants usually age better than those without structural support.
While intended to be permanent, facial implants can be removed or exchanged. If a patient desires a different look or size years later, the implant can be accessed through the original incision. Solid silicone implants are straightforward to remove as they slide out of their capsule.
Porous implants are more difficult to remove due to tissue ingrowth, but can be sculpted or removed by an experienced surgeon. The reversibility of the procedure provides peace of mind, knowing that the change is durable but not irrevocably permanent.
Patients with chin or jaw implants should inform their dentists and orthodontists about their implants. While the implants do not interfere with routine cleaning, care should be taken during X-rays or aggressive dental work to avoid traumatizing the tissue overlying the implant.
The implant does not affect the roots of the teeth or orthodontic movement, but it is a permanent neighbor to the dentition that dental professionals should be aware of.
Adjusting to a new facial feature can take time. Unlike a haircut, a chin or jaw implant changes the fundamental geometry of the face. Patients may go through a period of “getting used to” their new reflection.
Because the change is structural, it often changes how others perceive the patient, projecting more authority or balance. The psychological boost in confidence is usually significant once the patient integrates the new feature into their self-image.
Occasionally, minor touch-ups are desired. This might involve using a small amount of filler to blend the edges of an implant if they are palpable, or revising a scar. These are minor maintenance procedures that refine the result.
Sometimes, patients decide to add a complementary procedure later, such as neck liposuction, to further the jawline created by a chin implant. The implant often serves as the cornerstone for further aesthetic refinement.
Facial implants are designed to last a lifetime. Unlike soft tissue fillers that dissolve, the solid material does not degrade or change shape. The aesthetic improvement achieved at the 6-month mark is generally permanent.
This longevity makes facial implants one of the most cost-effective aesthetic investments. The structural enhancement remains constant, providing a durable foundation for the face regardless of age or weight fluctuations.
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Once healed (after 6-8 weeks), the implant is very stable. However, a severe impact (like a car accident or a punch) could potentially fracture the bone or shift the implant. You should treat your face with the same care you would naturally use.
No. Facial implants are made of silicone, polyethylene, or other non-metallic materials (except for the tiny titanium screws). They do not contain metal in quantities that would trigger metal detectors or airport scanners.
Late infections are rare but possible. If an infection occurs that does not respond to antibiotics, the implant usually has to be removed. After the infection clears and the tissue heals (usually 3-6 months), a new implant can be placed.
Yes, facial implants are generally MRI-safe. The tiny titanium screws used for fixation are non-magnetic and MRI-safe. However, you should always inform the technician about any implants you have.
The skin adapts to the implant’s new volume. It does not continue to stretch indefinitely. If you remove the implant later, the skin may be slightly looser than before, but it usually retracts reasonably well, depending on your age and skin elasticity.
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