IMPROVA PLASTIKKIRURGI AB
Kungstensgatan 2 . 114 25 StockholmTel 08 696 23 43 alt. 08 411 43 40
Fax 08 696 23 42
Facial Implants
Chin plastic surgery
The importance of the chin area is considerable when it comes to the entire facial balance. A small chin can give the impression of the nose dominating the facial area. 20 % of the patients who wish to undergo nasal plastic surgery benefit from increasing the size of their chin. A chin enhancement can be carried out in combination with other facial procedures such as chin liposuction or a face lift.
Chin implants are made in a variety of sizes, forms and using different materials. We normally use solid silicone implants which are well accepted by the human body. The form of the implant may be gently curved or more “angulated”. The form and size of the implant is decided together with the surgeon during the medical consultation.
The consultation is usually performed using so-called video imaging technique which entails your physician using a computer to show you how the profile of your chin can be changed. One must however remember that the computer image is not a 100% image of what is to take place but rather a technique enabling the patient to better understand the surgical process and end result.
Operation
This operation is performed under general anaesthetic in combination with a local anaesthetic. A small incision is usually made under the chin using an existing skin fold (the incision can also be made via the mucous membranes inside the mouth). This type of scar tissue is usually barely visible. A suitable cavity is made extending down into the underlying cheek bone. The implant is inserted via the incision ensuring that the fit is correct. The pocket or cavity for the implant must not be too large thus ensuring that the implant to heal correctly and in the right position without dislodging.
Complications
Bleeding and infections are rare. There is always a slight risk that the implant does not remain in the correct position but this is usually prevented by ensuring that the pocket is of the correct size and that the implant is attached to the bone tissue. Temporary lack of sensations may occur when the neighbouring nerve tissues surrounding the surgical area are stretched. The most important complication which can usually be avoided through a successful consultation is that the patient does not adequately understand the alteration to the facial form following the operation.
Post-care
Bruising, swelling, diminished sensation and stiffness are common during the first two week period. Normally a chin bandage is used during this two week period following the operation. Contact sports with the risk of contact with the chin area ought to be avoided during a three month period. The final result can be evaluated first after a six month period following surgery.
Cheek bone plastic surgery
Cheek bone implant
This type of implant can be used to raise a “depressed area” in the middle face area. Lifting the cheek bone area can lead to a positive change to the shape of the face and the entire eye region.
In conjunction with the physician consultation computer animation can be used to see how a cheek bone implant can achieve an altered appearance for each individual patient.
The implants we use are primarily the silicone type of various sizes and shapes. It is important that the implant is placed close to the bone surface in order to avoid detecting any edge surfaces.
Operation
The operation is performed using anaesthetic combined with local anaesthetic agents. A small incision is either made in the mouth or else the implant is inserted via an incision in the temple area.
Complications
Bleeding and infections may occur but are not very common. However we do see an increased risk of wound fluid build-ups (serome) surrounding the cheek bone implant when compared with the chin implant. In the event of such a build-up this can be emptied using a needle. Reduced sensitivity in the upper lip may occur but this usually disappears over time.
Post-op
The sensation of feeling bloated and “stiffness” in the facial region are common especially directly after surgery. It may be difficult to chew during the first week after surgery. S well as rinsing your mouth with a Hibitane Dental solution (a mouthwash readily available from chemist shops) both morning and evening. The stitches in the mouth do not usually need to be removed as they normally dissolve themselves. Stitches in the temple area are removed after 14 days.
After 6 months a new consultation takes place in order to evaluate the final results.