This procedure allows you to change the shape and balance of the face using implants to correct the projection of the chin, the cheeks, etc.

WHAT CAN YOU EXPECT ?         
The facial implants are frequently used by plastic surgeons to balance the profiles of the face, usually in combination with other cosmetic surgeries. For example rhinoplasty in patients with poor chin projection allowing balancing the harmony of the profile, or facial lifting procedures to highlight the appearance of cheekbones and give a more youthful appearance.

WHAT MIGHT BE THE COMPLICATIONS?                 
The facial implants have a low level of complications,among the most common are:

Misplacement: the implant can move from its original location and may require a review surgery if this defect is notorious.

Infection: it can occur in any surgery. It is treated with antibiotics and if not resolved it may be necessary to temporarily remove the implant.

The implants are made of rubber-like silicone. There is no scientific evidence that this type of implants are somehow harmful to the body. These implants do not, generally, need to be replaced.

SURGICAL PLANNING
The initial consultation is very important. In this consultation Dr. Tagliapietra require your medical history, allergies, current medications: vitamins, aspirin or other, and if you are a smoker. In this interview he will discuss your expectations with you, the  outcome of the intervention and whether any additional procedure is indicated in your case.

Dr. Tagliapietra will explain the techniques of anesthesia to be used, and the risks and costs of the proceedings. Do not hesitate to carry out this consultation all the questions you have, especially those related to the expected results.

TYPES OF ANESTHESIA
This surgery is usually performed under local anesthesia and sedation. You will be awake during the surgery but relaxed and insensitive to pain.

THE SURGERY

Chin implant
The placement of a chin implant may take approximately 30 minutes. During the procedure a small pocket is done accessing either through the skin below the chin or inside the mouth, according to the particular case. In this pocket is placed a solid silicone implant size suitable for the desired correction and then closed with delicate stitches and immobilized for a few days with microporous tape  to minimize swelling.

Malar implants
The placement of malar implants are either a single procedure or as a complement to a lifting facial. The approach routes for placement are usually two: via lower eyelid or the same lifting approach. During the procedure a small pocket is done over the cheekbone (malar bone). In this pocket is placed a solid silicone implant the size and shape appropriate and the closed with delicate stitches.

AFTER SURGERY

Chin implant
You may experience some discomfort and swelling in the area for a few days, also some difficulty to smile. Some bruises or ecchymosis can be visible in the area of the chin or neck for a few days. If the implant is placed through submental approach the stitches will be removed a week and if placed by intraoral approach the sutures will reabsorb in two to three weeks.

Malar implants
If this is the only procedure you will see a moderate swelling in the area and probably some minor bruising. If  made during a facelift, will be most unnoticed concealed by inflammation of the main operation.