Facial implants - either a chin, jaw or
cheek implant are used to restore balance and enhance certain features of your
face. Facial implants are designed for augmentative or reconstructive
surgeries. These implants do come available in a range of sizes and styles
for the chin, jaw, nose and cheek areas.
A chin implant is either placed internally
through the lower lip or externally under the chin. As with the cheek
implant, the chin implant sutures will depend on whether the incision is
external or internal. This procedure takes approximately 30 - 60 minutes.
This implant is normally placed inside the lower
lip. The incision site is secured with dissolvable sutures - and the
procedure can last one to two hours.
A cheek implant is surgically placed internally
through upper lip or externally through the lower eyelid. This procedure
can take approximately one hour and the type of sutures will depend on the
location of the incision.
There are several
different types of facial implants used today. There are facial implants such as
Gore-Tex, Mersilene, Mesh, MedPor, etc. where there can be tissue in-growth.
And there is also the type of implants that are made of solid silicone which
doesn't allow any tissue in-growth, but forms a capsule around the implant.
The biggest obstacle with facial implants is finding the right type for the
patient.
The SoftForm facial
implant is indicated for the treatment of deep facial furrows or creases -
commonly called the nasolabial folds or smile lines. The nasolabial folds
run from the nose to the corner of the mouth. SoftForm facial implants are also
indicated for deep frown lines and definition of the lip vermilion border.
SoftForm facial implants are permanent but yet are removable.
Alloderm is used
successfully as a surface skin graft for various types of surgeries, including
skin loss from burn injuries or cancer excisions (breast
reconstruction after mastectomy) and also as an "implant" which
is inserted under the surface of the skin to correct soft tissue.
Alloderm is used both as
a surface skin graft for replacing skin loss, from burn injuries or cancer
excisions, and as an implant inserted under the surface of the skin to correct
soft tissue defects.
When Alloderm is applied
as a surface skin graft, a thin auto-graft of the patient's own tissue is placed
on top. This provides similar skin coloration and texture to the implant itself.
Alloderm used as an
implant to repair or replace damaged or loss tissue, the product itself is
folded, rolled or stacked to provide the amount of tissue needed. Alloderm
has been used as a surface graft and also as an implant on almost every single
area of the body successfully.
Silicone facial implants
are constructed of medical grade solid silicone for strength, durability, and
elasticity. Silicone facial implants are sewn into the pocket, and
although there is no tissue ingrowth per se that occurs, a capsule will form
around the implant (like a breast implant) to stabilize it.
Silicone implants can be
easier to remove than Porex implants and also tend to be the most compatible
with the body. The silicone facial implant is made of a hard silicone which is
very different from breast implants. This type of silicone implant that is
used in the face will not leak or break and it is very easy to place or remove
if necessary.
A disadvantage of
silicone implants is that they might cause some bone erosion or could possibly
migrate.
Silicone facial implants
have a very long track record of safety and reliability.
Porex implants, as the name implies, are porous
like a sponge, but solid to the touch, and allows tissue to in-grow into the
implant to help stabilize it.
Porex implants can also be screwed into the bone and or carved to shape.
Methylmetacrylate has a long history of
implantation with very low percentage of problems. Medpor, porous polyethylene,
has a low risk but in terms of rejection appears higher than silicone.
Porex is harder to insert and very difficult to
remove, because of the soft tissue growth into the material. The advantage is
that it has less bone erosion, is harder, and looks more natural.
Each type of implant has
its pros and cons, and each patient is unique with their needs of what will work
best for them.
Silicone and Porex facial
implants are available in a wide range of designs and sizes to meet diverse
patient needs and to achieve individualized aesthetic results. Specific chin,
nasal, and cheek implant styles are available. Having all the different
sizes available makes it easy for the surgeon to find the right implant that
will provide the best look for you.