Plastic surgery restores form and function through reconstructive procedures, cosmetic enhancements, and body contouring.
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Chin augmentation is one of the most transformative procedures in facial balancing. It addresses a weak or recessive chin, known clinically as microgenia. By advancing the chin’s anterior projection, the procedure improves the profile and creates a stronger definition between the face and the neck.
The procedure can be performed using a silicone implant placed over the existing bone or by cutting and advancing the jawbone itself, known as an osseous genioplasty. Implants are available in various shapes and sizes to widen, lengthen, or project the chin.
Cheek augmentation targets the malar complex to restore lost volume or create high, defined cheekbones. This procedure is vital for patients with flat faces or those experiencing age-related midface deflation. It lifts the visual center of the face and supports the lower eyelids.
Implants are typically placed through incisions inside the mouth or lower eyelid. Alternatively, fat grafting or heavy dermal fillers can be used for a softer, less invasive augmentation. The goal is to re-establish the Ogee curve, the youthful S-shaped curve of the cheek seen from a 45-degree angle.
Jaw angle augmentation is designed to widen the lower third of the face and create a distinct separation between the jaw and the neck. This is particularly popular in male aesthetics to create a strong, square jawline, but is also used in women to define the posterior jaw.
Implants are placed at the mandibular gonial angle. This procedure can correct a sloping jawline and add structure to a face that appears bottom-heavy due to soft tissue descent. It provides a structural bookend to the face.
The temples are often overlooked in facial rejuvenation. Temporal hollowing creates a peanut head appearance, where the forehead looks wide, the temples narrow, and the cheeks wide again. This hollowing is a hallmark of aging and weight loss.
Augmentation in this area is typically achieved with fillers, fat grafting, or occasionally custom silicone implants. Filling the temples smooths the transition from the brow to the cheek, restoring a seamless, youthful oval shape to the face.
Fat grafting is a versatile procedure that harvests fat from the patient’s body via liposuction, purifies it, and reinjects it into the face. It is used to fill hollows under the eyes, volumize the cheeks, lips, and temples, and smooth deep wrinkles.
Because it uses the patient’s own tissue, there is no risk of allergic reaction. It also contains stem cells, which may improve the quality of the overlying skin. Fat grafting is often combined with facelifts to address both laxity and volume loss simultaneously.
For patients with significant asymmetry, congenital disabilities, or specific aesthetic desires that standard implants cannot meet, custom implants are the gold standard. These are designed using 3D CT scan data of the patient’s skull.
The implants are manufactured to fit the unique contours of the patient’s bone perfectly. This reduces the risk of displacement and ensures precise symmetry. Custom implants can be created for the chin, jaw, cheeks, or orbital rims.
A liquid facelift refers to the comprehensive use of injectable dermal fillers and neurotoxins to augment and rejuvenate the face without surgery. Hyaluronic acid fillers or biostimulators are placed deep in the bone to mimic skeletal structure and superficially to smooth wrinkles.
This approach offers immediate results with minimal downtime. It allows for precise, adjustable augmentation of the cheeks, chin, jawline, and lips. However, the results are temporary and require regular maintenance treatments.
Lip augmentation increases lip fullness and projection. While commonly done with fillers, surgical options also exist. Lip implants made of soft silicone can provide permanent volume.
Another surgical option is the lip lift, which shortens the distance between the nose and the upper lip (the philtrum), rolling the lip outward to expose more vermilion (red lip). This increases the apparent size of the lip without adding volume material.
The pre-jowl sulcus is the indentation that forms on the jawline between the chin and the jowl as we age. This creates a break in the smoothness of the jawline. Augmentation of this specific area camouflages the jowl and straightens the jawline.
This is often treated with specific pre-jowl chin implants that have lateral wings, or with precise placement of dermal fillers. Filling this void restores the mandible’s continuous line.
Orbital rim augmentation addresses hollow or deep-set eyes (tear trough deformity) and a lack of bony support beneath the eye. By adding volume to the infraorbital rim, the surgeon can reduce the appearance of dark circles and bags.
This can be achieved with tear trough implants or, more commonly, with fat grafting or fillers. It pushes the soft tissue forward, eliminating the shadow that creates the tired look.
While often considered a separate category, rhinoplasty frequently involves augmentation. This is particularly common in ethnic rhinoplasty or revision cases where the nasal bridge is low or the tip lacks projection.
Cartilage grafts from the septum, ear, or rib are used to build up the bridge (dorsum) and project the tip. In some cases, alloplastic implants made of silicone or Gore-Tex are used to augment the nasal dorsum.
Forehead augmentation is used to correct a flat or swept-back forehead, or to smooth out irregularities and bossing (prominent brow ridges). It creates a convex, smooth curvature, often associated with a more feminine or youthful appearance.
This procedure can utilize custom solid implants, bone cement (methyl methacrylate), or fat grafting. It is a common component of facial feminization surgery but is also sought for aesthetic contouring.
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A chin implant involves placing a silicone material over your existing chin bone to add projection. A sliding genioplasty consists in cutting your own chin bone and moving it forward, securing it with plates. Genioplasty is better for correcting vertical height issues or severe recession.
Fat grafting is considered semi-permanent. When fat is transferred, about 30 to 50 percent of the cells may be reabsorbed by the body in the first few months. The cells that survive this period establish a blood supply and remain permanently, aging naturally with you.
Yes, fillers can migrate from the injection site over time, though this is uncommon with proper technique. It often happens when too much product is used or if the area is massaged aggressively. Migrated filler can usually be dissolved with hyaluronidase.
Properly placed cheek implants should not be palpable or visible. They are placed deep under the muscle tissues and directly on the bone. If an implant is palpable, it may be too superficial or large for the patient’s anatomy.
Yes, a surgical lip lift involves removing a strip of skin under the nose, physically shortening the lip and rolling it out. Unlike fillers, which dissolve, the structural change from a lip lift is permanent and does not require repeat treatments.
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