Facial implant surgery - including mentoplasty or
genioplasty, cheek implants or a
jaw implant can have potential risks.
Sometimes the implant might shift, infection, capsular contracture or the
implant has an unnatural shape requiring additional surgery. Having your
surgery performed by a board certified plastic surgeon helps minimize some of
these potential complications from happening. Making sure the patient has
the pre and post operative instructions and be able to comply with them will
help as well.
Fortunately most "bad
reactions" to anesthesia are not life-threatening. However, all forms of anesthesia including the different forms of local, can
carry a risk of an allergic reaction. Anesthesia exposes the body to
controlled levels of toxic chemicals in order to make sure there is no pain felt
during a surgical procedure. The main goal of anesthesia is to either stop
pain temporarily or to induce a semi-conscious or unconscious state. Even
though anesthesia carries a risk, the benefits outweigh any potential
The most important factor is making sure that
whoever administers the anesthesia are board certified in anesthesiology. By doing this, you reduce the risks of any complication that might arise during
surgery. All body functions and chemistry are monitored during your
surgery to ensure a safe procedure.
The most common reaction or danger of having
anesthesia is an allergic reaction to one of the medications used. This is
addressed immediately by the attending anesthesiologist by monitoring your vital
signs. If an allergic reaction occurs, your anesthesiologist is equipped
to handle this immediately. Severe allergic reactions during
anesthesia are fortunately rare.
It is very important to tell your
anesthesiologist every medication you take on a regular basis, so that he can
prevent any potential problem during surgery.
are a risk that is associated with any type of
surgery. Any surgery that involves the use of general anesthesia for longer than
30 minutes carries a high elevated risk of causing internal blood clots. Blood
clotting is nature’s way of controlling bleeding after an injury or an incision
is made, however; blood clots can become dangerous. When a clot forms inside a
blood vessel, it can interfere with your circulation or become lodged in an
artery inside the heart, causing a heart attack. Clots can also travel to the
brain and can become the cause of having a stroke, as well as the lung in which
it would end up being a pulmonary embolism.
At the initial consultation you will be asked to give your medical history
along with any and all medication you are taking on a regular basis. It is
this information that the surgeon will be able to ascertain whether or not you
are at an increased risk of forming blood clots following surgery.
For patients that are
known to keloid or have hypertrophic scarring, it is best to ask your plastic
surgeon what incisions will be is going to be right for you with placing facial
surgeons believe that the best way to prevent keloids is meticulous, expert
technique. Not too much tension on the closure with clever suturing. The
mini-lift is known for producing keloid scars. Reasoning is because there
is too much tension placed on the incisions and they tend to stretch out causing
excessive scarring. Patients who are darker skin have more melatonin in
their tissue, and tend to get hypertrophic or keloid scarring much easier.
face is normally not symmetrical to
being with. There can be distinct
differences between one side of the face
versus the other. During your
consultation with your surgeon, he or
she will tell you what the chances of
this occurring with facial implants.
The blood has collected under the skin
and may have to be removed. Other factors that are associated with an increased risk of hematoma
include high systolic
blood pressure, aspirin or anti-inflammatory medications were not
stopped before surgery, and smoking.
surgery is performed on any part of the body the risk of bleeding is
there. Hypertension (high blood pressure) that is not under
good medical control may cause bleeding during or after cosmetic
surgery. Bleeding risks can start from the day of surgery to several
days after the procedure. It is important during the recovery
period that the patient does not get their blood pressure elevated
or their heart rate increased - as this can add to the risk of
possible bleeding. If bleeding does occur and it is not
stopped sometimes a wound will have to be surgically opened - and
the blood vessels contributing to the bleeding will have to be
Skin necrosis results from the loss of skin from a poor blood supply.
It is more common in larger operations and smokers. The skin changes coloration
from a light red to a darker color over the course of a few days. This skin
might blister and peel, and also turn black over a period of a week. Patients
who are still smoking and also ex-smokers who newly quit will be at a higher
risk for this severe complication. In smaller skin necrosis cases, areas of the incision will scab over
and take a very long time to heal. This complication is very rare in
Fat necrosis occurs when fat cells
lose blood flow. Fat cells are living cells and if there is no blood flow,
they may die and cause "fat necrosis". The liquefied fat cells can harden
overtime underneath the skin, causing firmness or contour irregularities.
Surgical intervention might be needed to help alleviate some of the symptoms
caused by fat necrosis.
Seromas are fluid collections that can arise
after surgery along the incision line. Drains are used to help combat this
complication. Because of the location of the lymphatic system - seromas
and swelling is very common with this type of surgery. Wearing the
compression garment helps to prevent a seroma.
Extrusion, a condition in which the implant can
be seen through the skin, is a rare risk. If this occurs, the implant must be
surgically removed. In some cases, the implant may shift or collect fluid, also
requiring a second surgery.
There are nerves which supply sensation to the
cheek and chin which can be damaged with placement of implants. This can result
in temporary or possibly permanent numbness of the areas around the implant. For
chin implants, any nerve damage in that area can result in lip numbness and
sometimes difficulty with drooling.
Most nerve problems come from the bruising of the
mental nerve during surgery. Normal feeling is normally restored within
three to six months.
There are two nerve roots that come out of the
lower jaw and provide feeling to the lower lip. Placement of a chin implant is
below these nerves. However, sometimes these nerves can get bruised or
stretched and will take time to recovery. This can take up to a couple of
months to recover from this. Very rarely is the numbness permanent.
Nerve regeneration takes a long time, as nerve fibers grow and repair themselves
at a very slow rate. Taking Vitamin B Complex helps nerve regeneration.
such as blood vessels, muscles, and particularly nerves may be damaged during a
procedure placing facial implants. Different techniques can sometimes have higher risks than
others. Injury to these deeper structures can be temporary or permanent.
with any cosmetic surgery procedure, an infection can occur.
Patients will be given antibiotics during the surgery through an
IV, as well as oral antibiotics to be taken for at least a week
to ten days following the procedure. This is done as a
preventative measure to make sure an infection doesn't occur. Facial implants tend to be more porous and sticky making them
potentially more prone to infections.
If an infection should occur post operatively and
does not dissipate then the possibility of the implants having
to be removed might be likely. If this should happen, the
surgeon will wait until the infection completely is cleared up
and then replace the implants at a later time.
Bruising and swelling
normally occurs following a rhytidectomy or face lift
procedure. The skin near
the incision site can appear either light or darker than the surrounding tissue. In rare circumstances, swelling and skin discoloration or bruising can be
permanent or lasts for long periods of time following the face lift procedure.
associated with having facial implants is generally for the most part
moderate to minimal, however some patients have a harder time than
others simply because everyone's own pain threshold is so different. Your surgeon will be prescribing narcotic pain medication for
several days after surgery, to make sure you are comfortable during
the initial recovery.