Plastic surgery restores form and function through reconstructive procedures, cosmetic enhancements, and body contouring.
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The consultation is the foundational step in any facial augmentation journey. It begins with a detailed physical examination where the surgeon analyzes the patient’s facial structure from multiple angles. The surgeon assesses the skin quality, the underlying bone structure, and the facial symmetry.
Measurements are taken to determine the precise degree of projection or volume needed. This anthropometric analysis helps identify which specific features—chin, cheeks, or jaw—are contributing to the overall imbalance. The surgeon evaluates the patient’s dynamic facial expressions to ensure that any augmentation will look natural during movement.
Advanced digital imaging is a standard part of the consultation for facial augmentation. Using 3D camera systems like VECTRA, the surgeon captures a high-resolution topographical map of the patient’s face. This data is then used to create a digital simulation of the post-surgical result.
This technology allows the patient and surgeon to experiment virtually with different implant sizes and shapes. It bridges the gap between the patient’s desire and the surgical reality, ensuring that both parties have a shared visual goal. It is a powerful communication tool that manages expectations.
A thorough medical history is crucial to ensure patient safety. The surgeon reviews any past surgeries, current medical conditions, and medications. Specific attention is paid to conditions that might affect bone healing or implant acceptance, such as autoimmune disorders or uncontrolled diabetes.
A history of dental issues is particularly relevant for chin and jaw augmentation. The surgeon checks for gum disease or root infections that could pose a risk of infecting an implant placed near the oral cavity. Any history of facial trauma or previous injections is also documented.
For patients undergoing structural augmentation, selecting the right implant is a critical preparatory step. The surgeon presents various options regarding material (silicone, polyethylene) and shape (anatomical, extended, button).
Based on the physical exam and 3D imaging, the surgeon recommends specific dimensions. Sizers may be placed over the patient’s skin or demonstrated on the 3D model to show how different projections will alter the profile. The goal is to choose an implant that fits the bone contours snugly without creating visible edges.
For chin and jaw procedures, the relationship between the teeth (occlusion) is vital. The surgeon evaluates the bite to ensure that the aesthetic concern is not actually a functional jaw misalignment requiring orthognathic surgery.
If the bite is misaligned, the surgeon may recommend a consultation with an orthodontist or oral surgeon. Aesthetic augmentation should camouflage skeletal deficiencies, not mask functional problems that require corrective jaw surgery.
Nicotine is a potent vasoconstrictor that impairs blood flow and significantly delays healing. For facial augmentation, particularly procedures involving implants or fat grafting, adequate blood supply is non-negotiable. Smoking increases the risk of infection, implant rejection, and fat necrosis.
Patients are required to stop smoking and using all nicotine products (vapes, patches, gum) for at least 4 to 6 weeks before and after surgery. This washout period allows the body’s microcirculation to recover and optimizes the environment for healing.
Certain medications and supplements can increase the risk of bleeding and bruising. Aspirin, ibuprofen (NSAIDs), and herbal supplements like Vitamin E, fish oil, and ginkgo biloba must be discontinued at least two weeks before surgery.
The surgeon provides a comprehensive list of safe and unsafe medications. Patients on prescription blood thinners will need to coordinate with their prescribing physician to manage a safe bridging protocol if necessary.
If the patient opts for custom implants, a CT scan of the facial bones is ordered. This high-resolution scan provides the DICOM data needed to manufacture the implant. The scan must be performed according to specific protocols to ensure accuracy.
The surgeon uses this data to design the implant in a CAD (Computer Aided Design) environment, defining the exact footprint, thickness, and screw fixation points. This process typically takes several weeks of planning and manufacturing.
Proper nutrition supports the immune system and tissue repair. Patients are advised to maintain a healthy diet rich in protein and vitamins leading up to the surgery. Hydration is also emphasized.
Some surgeons may recommend specific supplements like Vitamin C and Zinc to boost healing, or Arnica Montana to reduce post-operative bruising. However, this is strictly controlled to avoid interactions with anesthesia.
Elective facial surgery requires emotional stability. The surgeon assesses the patient’s motivation and psychological readiness. Patients must understand that while surgery can improve appearance, it will not solve personal problems or guarantee perfection.
Discussions about body dysmorphia are sensitive but necessary. The surgeon ensures the patient has a realistic outlook on the recovery process, including the temporary swelling and feature distortion that occur before the final result settles.
Preparation extends to the home environment. Patients are advised to arrange for a responsible adult to drive them home and stay with them for the first 24 hours. Recovery supplies such as ice packs, soft foods, and prescribed medications should be purchased in advance.
Patients should plan for time off work and social activities. Depending on the extent of the augmentation, social downtime can range from one to two weeks. Planning reduces stress and allows the patient to focus entirely on recovery.
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For standard implants, booking a few weeks in advance is usually sufficient. However, if you are getting custom implants, the process of CT scanning, designing, and manufacturing the implant takes significantly longer, often requiring 6 to 8 weeks of lead time before the surgery date.
Men are usually asked to shave the morning of surgery to keep the field clean, especially for chin or jaw procedures. Women do not need to shave, but should remove all makeup and avoid applying lotions or creams to the face on the day of surgery.
No, you should not wear contact lenses to the surgery. Your eyes may become dry during anesthesia, or protective ointment may be applied. You should wear glasses on the day of the procedure and plan to wear them for a few days during recovery if you have significant swelling.
If you develop a cold, fever, or any sign of infection in the week leading up to surgery, you must notify your surgeon immediately. Elective surgery typically needs to be rescheduled until you are fully healthy to avoid complications with anesthesia and healing.
If you have a history of dental issues or if the implants are being placed through the mouth (intraoral approach), your surgeon may request a clearance from your dentist. This ensures there are no active gum infections or abscesses that could spread bacteria to the implant
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