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Cheek implants are most useful for individuals who lack adequate prominence of the cheek bones related to the way that their facial architecture developed. Prominence in the cheekbone area is a very attractive feature for men and woman. Fat injections or filler substances can be used to increase cheekbone contour but in general those results are temporary.
Silicone cheek implants, which are placed through a small incision inside the mouth, can produce excellent cheek contour and the results will be permanent. In some patients the cheekbones are asymmetrical and Dr. Aston carves the cheek implants individually to correct the asymmetry.
It is Dr. Aston’s opinion that loss of cheekbone prominence, that is part of the aging process due to the decent of the facial soft tissues, should not be corrected with cheek implants. Instead, the patient will get a much more natural result and will have their cheek contour restored to a more youthful appearance with a proper facelift procedure. In general, at an earlier stage in one’s life the cheek contour is wider across the upper face in the cheekbone area and narrower along the jawline. With the aging process the decent of the soft tissues produces a thickness along the side of the nose and mouth, called the nasolabial fold, and widening along the jaw line producing jowls and the cheekbone area becomes less prominent.
When the patient is a candidate for cheek implants the procedure takes approximately 1 hour and is performed under local anesthesia and intravenous sedation. Like all other procedures the amount of swelling associated with cheek implants varies from person to person, but in general many patients return to regular activity within a few days.
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Chin implants help improve the appearance of a weak chin, achieving a harmonious balance to the facial features and enhancing the facial profile. Dr. Aston uses soft silicone chin implants exclusively and they can be customized to the patient’s anatomy. It is not unusual for a chin to be stronger on one size than the other. By customizing the implant, greater chin symmetry is achieved.
Chin implants are often performed in conjunction with rhinoplasty in to achieve a more satisfying facial proportions. Dr. Aston feels that in many patients a chin implant is more important than the rhinoplasty in producing an overall balanced and pleasing appearance. Frequently Dr. Aston performs this procure in conjunction with a facelift. Likewise patients with a week chin frequently benefit from a chin implant at the time of a facelift. Of course chin implants are performed as a stand-alone procedure to give a better jawline in individuals with a week chin and jawline. Chin implants provide a permanent, natural-looking solution for patients unhappy with the appearance of their chin and overall balance of their facial features.
Dr Aston places all chin implants through a small incision made in the skin crease under the chin. The implant is placed on the surface of the bone and the "pocket" created for the chin implant is exactly the size of the implant, making it impossible to move out of the desired position. Some surgeons utilize an incision inside the mouth, but Dr. Aston feels that this unnecessarily exposes the implant to bacteria, and the implant can not be secured in the desired position as well as when it placed though a small incision under the chin.
A chin implant procedure takes less than an hour to perform, and it usually associated with a few days of swelling and minimal bruising. There is some discomfort which is treated with mild analgesics such as Tylenol. Dr. Aston permits his patients to resume their normal diet the day following surgery.
The policy of our office is to preserve patient confidentiality. During your consultation, you will be able to view pre-operative and post-operative photographs of patients who have given us permission to show their photographs.