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Guide on every facial implant area, what it does, the options and each one's risks.
Recessed Chin (Photo before and after)
Chin is below your lower lip when looked at from the side, causes your nose to look disproportionate and makes jawline non-existent.
Weak Jawline
Face looks round with no angularity, very common.
Flat mid-face
Can cause shrunken cheeks, the area under your eyes and across your cheekbones is flat and it makes you look older and tired.
Hollow Temples
Sides of your forehead above the outer eye are shrunken and make you look aged and skeleton-like.
Flat Brow (Cant find images)
The forehead slopes back, making the upper face look soft.
Wide Nasal base
Flat sides of the nose where your nose meets your upper lip. Makes the nose look too high and exaggerates nasolabial folds.
Chin is below your lower lip when looked at from the side, causes your nose to look disproportionate and makes jawline non-existent.
Weak Jawline
Face looks round with no angularity, very common.
Flat mid-face
Can cause shrunken cheeks, the area under your eyes and across your cheekbones is flat and it makes you look older and tired.
Hollow Temples
Sides of your forehead above the outer eye are shrunken and make you look aged and skeleton-like.
Flat Brow (Cant find images)
The forehead slopes back, making the upper face look soft.
Wide Nasal base
Flat sides of the nose where your nose meets your upper lip. Makes the nose look too high and exaggerates nasolabial folds.
Chin implants
The most common implant
Silicone implant placed on the front of the mandible to add forward growth.
Depending on the type and the design it can also add vertical height and width to the face.
Types
- Anatomical - This projects the skin forward and wraps slightly along the jawline making the implant look natural and is a smooth transition making the implant not look too obvious.
- Square - Masculine approach which causes a more defined chin shape
- Tapered/round - A more feminine approach where the face changes into being softer and having having a smoother contour
- Vertical Lengthening - Adds extra height and projection for short chins, will focus on removing the recessed jaw fallio.
- Pre-Jowl - Extensions that wrap around the sides to fill the jowls' hollows, this would prevent jowls which are very common when you age and your skin starts to sag.
Operation
An incision is made inside the mouth, there is no scar however this causes a higher infection risk. Or there is an incision under the chin in the natural crease - this is usually a very small scar but this is usually not visible.The material is soft silicone elastomer, firm and rubber like. They cause a soft, natural feel and these are permanent but can easily be removed if you don't want the implant anymore.
Recovery
2-3 weeks for swelling so you would need a soft diet for the first couple weeks.Numbness in lower lip temporarily
After a week the implants swelling is no longer such bad swelling that you can leave your house.
Implant can be removed or replaced if bone resorption occurs over some years
Price: 2500-5000 in Turkey
Jaw Implants (Mandibular)
For a more angular lower ⅓ area
There are three jaw zones that the implants are:
-The angles (Back corners)
-The body (Horizontal span of the jaw)
-And the chin
Most people usually get implants in ⅔ zones.
There are three jaw zones that the implants are:
-The angles (Back corners)
-The body (Horizontal span of the jaw)
-And the chin
Most people usually get implants in ⅔ zones.
Types
- Angle implants: Add width/vertical height to back of the jaw, incisions inside the cheeks are where the implant is placed.
- They are screwed into place, they can also make the face look boxy if the implants are overdone.
- Body Implants: Fill in a weak jaw between the chin and the angle, these are usually done in addition with another implant.
- Wraparound: This is one continuous implant that covers the chin, both sides of the jaws body and also both angles.
- These are especially designed from using a CT scan which would then have the result of being more natural and comprehensive due to no transitional points.
- These are more expensive but have more ROI
Material
The material is silicone like chin implants or PEEK. PEEK are for the customised wraparounds, it's a rigid, bone-like material, far more expensive but also far more precise.
Recovery
3-4 Weeks is the recovery time for the initial swelling of the surgery. It takes 2-3 months for the implants to take their final shape, just like the chin implants a soft diet is needed for the first 2-3 weeks.However jaw implants have much more swelling and bruising than the chin alone, and you will also have temporary numbness around the jawline.
ROI is extremely high, its a permanent transformation and especially for men, since a strong jawline is one of the most masculinizing features
Price: 3000-5000 in Turkey (Can exceed this price on many occasions)
Cheek/Midface Implants
High, defined cheekbones or filling midface hollowness.
The cheek has multiple areas where you can get implants.
The cheek has multiple areas where you can get implants.
Types
- Malar Implants - Implants directly on the zygomatic bone (Cheekbone).
- Added projection, can potentially give the hollow cheek look. Should be used for flat or underdeveloped cheekbones.
- Submalar Implants - Below your cheekbones in the hollow area, this fills gauntness and improves nasolabial folds.
- Combined Malar-Submalar - Covers both zones. Projection above and fills below.
- Tear Trough Extension - Specialised implant which extends towards the inner eye to fill the hollow between the lower-eyelid and cheek.
- Permanent solution to tired eyes, however is a very difficult surgery so not many surgeries offer this.
Surgery
Incision inside the mouth is very common, sometimes the incision is in the lower eyelid for better access.
Material
Is possibly Silicone or MedporSilicone is easier to place, removed and can be trimmed during surgery.
Medpor which is porous polyethylene. However face tissue grows into it making it stable but impossible to remove without damage. Medpor is usually preferred since the cheeks are very mobile and medpor is unlikely to move, but you could not change the size later.
Recovery
2-3 weeks for the majority of swelling. Causes temporary puffing of the midface and temporary numbness.Should avoid blowing nose or any sinus pressure for 2 weeks.
Costs: 1,300-3,500 in Turkey
Temple Implants
Hollow temples are usually common in older people, and if you are younger they age the face significantly because they disrupt the curve from your forehead to cheek.
Fillers and Fat grafting are methods sometimes used but fillers are temporary and Fat grafting has low survival rates in the temple.
Types
- Standard Pre-Molded: Soft silicone in either small/medium/large. Placed through the hairline incision above the ear.
- 3D Custom: Designed from a CT scan for a perfect fit and more symmetry, these are more expensive but more favourable than the Pre-molded implants.
Surgery
A hidden incision in the temporal hairline, its scar disappears and becomes invisible
Material
Soft silicone, designed to feel like fat - not hard block like some other implants.
Recovery
Quickest/Easiest of facial implants, during healing the area is covered by hair. After 1-2 weeks most swelling is non-existent. Implants slightly move when eating - this is normal and isn’t noticeable to others. High impact with a low recovery time.Price: 1,300-4,000 in Turkey
Brow/Forehead Implants
Used for flat brow ridges. Common in manculinising faces allowing males to have more projection. The brow ridge is a secondary sexual characteristic.
However, females can still benefit from this as it improves the look of the eye area.
However, females can still benefit from this as it improves the look of the eye area.
Types
- Brow Implants: Adds projection to the brow bone, creates a shadow over the eyes making them look deeper set.
- Forehead Implants: Large implants that cover the frontal bone for people with severely retruded or flat foreheads, this is the more technical surgery.
Operation
A coronal incision across the scalp which is hidden in the hair, or endoscopic with smaller incisions.
Material
PEEK the rigid bone like implant, this is for larger implants. Silicone is used for smaller-brow only work.
Recovery
Around 2-3 weeks for the swelling, there will be significant puffiness in the forehead and eyelid. Risk of numbness due to the supraorbital nerve. Around a medium risk for the entire surgery.
Price: 1,500-3,500 in Turkey
Paranasal Implants
Small implants either side of the nasal base where the nose meets the upper lip. If the area is fat the nose looks larger and nasolabial folds become more apparent and deeper.
It visually reduces the nasal prominence and supports the upper lip making it look fuller as well as softening the nasolabial folds.
Operation
Theres a small incision made inside the mouth through the upper gum, theres no visible scar
Material
Small silicone implants.
Recovery
Minimum swelling due to small implant the healing is quick around 1-2 weeks
It's a subtle effect but improves facial harmony.
Price: 1,000-2,500 in Turkey
Tear Trough Implants (Cheek extensions)
Specialised extension of submalar/ malar implants targeting the hollow between the lower eyelid and cheek (nasojugal groove).
It's a permanent smooth correction of under-eye hollows. Stronger option than fillers because skin is thin in area and filler would show through.
It's a permanent smooth correction of under-eye hollows. Stronger option than fillers because skin is thin in area and filler would show through.
Surgery
Incision made through cheek (intraoral) or lower eyelid
Material
Standard cheek implant material.
Recovery
Same recovery timeline as standard cheek implants, however this is more technically demanding.
There's a risk of visible edges or eyelid issues if the surgery goes incorrectly.
Price: Implants usually range from 600-1,500 for the implants but most patients usually need syringes for the total treatment, increasing price to 1,000-2,000.
(Couldn’t find the total pricing anywhere except the USD)
Materials
Usually it is best to discuss the material you are choosing to use with your surgeon.
However here are a few motes:
Usually it is best to discuss the material you are choosing to use with your surgeon.
However here are a few motes:
Silicone
- Soft, flexible and feel natural
- Easy to remove later
- Good for reversibility
- Can form scar capsule, although this is usually fine
- Long term pressure may cause mild bone thinning
Medpor (Porous Polyethylene)
- Hard, your tissue grows into it
- Extremely stable when healed, no shifting
- Perment
- Infection risk is harder to treat
- Preferred for mobile areas where there is displacement risk
PEEK (Polyetheretherketone)
- Bone-like density
- From CT scan for the exact custom fit
- Best for complex and larger implants
- Very expensive and time consuming due to CT imaging and fabrication time
- Permanent
Notes on recovery
Week one is where the swelling would peak (days 2-3). Looks as if you got punched, need a soft/liquid diet. Elevated sleep and cold compression.No smoking as nicotine messes up healing.
Week two to three is where the swelling would subside you would still look puffy and may have numbness in areas. Soft diet continues depending on the surgery.
Months one to two, the swelling would decrease still. Final shape is still emerging due to swelling subsiding there may be some asymmetry.
Months three to six, final shape would emerge as all the swelling is gone. The implant would now feel like your face and you can press it, eventually a thin capsule will form around the silicone if you have silicone implants which will help stability.
No need for any maintenance, no injections. The bone may be slightly thinned but it's not visible.
Risks
Infection - Most serious and usually appears within days or weeks shown by an increase in pain, redness, swelling or a fever. Mouth incisions have the highest risk as you can't sterilise your mouth.Treatment is antibiotics and if it doesn't get better the implant is removed and you can get a new one months later.
To prevent this get an experienced surgeon check the reviews and don't smoke and have good oral hygiene.
Displacement - Implant is not secure or the pocket is too big, most common with silicone. You have to go back to the surgeon and get the implant repositioned and screwed.
Nerve Injury - Usually temporary numbness, can take weeks or months to resolve.
With an experienced surgeon permanent numbness is rare.
Unnatural - Most common risk of implants, may be wrong shape, poorly placed or too big. Prevention is conservative sizing, choosing the right surgeon and 3D imaging if available.
Extrusion - The implant pushes through skin or mucosa, this is rare but requires immediate removal, could be caused from infection, thin tissue or an oversized implant.
To be as safe as possible choose a very experienced surgeon
Final Notes
- Start with conservative sizing as you can always upsize later, it's harder to downsize than do this.
- Combination procedures are usually common
- Younger patients may heal faster but also have the implant for longer
- Need to make sure you are done growing before the surgery (Mid 20s)
- Consider your ethnicity, some implants are better suited for certain facial structures, choose a surgeon who does not just use the same implant on everyone.
- Implants pricing is more upfront but it is permanent, fillers need to be maintained and cost more over time. They also look worse.
