As many of you now know, I perform all types of body (breast, pectoral, buttock, hip, calf, etc.) and facial implants for men and women: chin, jaw angle, mid-face/peri-nasal, nasal, cheek, tear trough, temple, etc. I also perform custom-made implants when needed.
All facial implants are made of silicone solid but very soft material. Some are made of e-PTFE (Goretex, Teflon). Some are smooth and some are textured. Some are inserted via an internal mucocal intramucosal approach, some require an external approach, either in a hidden line or in the hair-bearing scalp.
Chin implants are very commonly performed alone or with a neck lift and facelift, for men and women. We have 13 different models, each coming in various sizes. Some are also meant to correct the jowls. Some are more oval and some are more square. Chin and nose go hand-in-hand so the two are often considered when discussing and studying your Profiloplasty procedure.
Jaw angle augmentation is also a growing trend today. Round faces can be made more angular with jaw angle implants (and with buccal fat pad removal). Some implants will solely augment the width while other will augment both the width and the vertical height, efficiently lowering the jaw angle area for a stronger jawline. Please note that women are also considering a more defined jaw angle area as seen on Angelina Jolie.
Nasal implants are secondary options whenever there is no other good “donor” sites. I like using the septal (septum) cartilage whenever possible, otherwise, ear cartilage and then a nasal implant.
Another common implant is the piriform – or mid-face or perinasal – implant, needed to augment the region around the nostrils and upper gums, an area commonly under-projected in Asians and African-American populations. Those are inserted via an intramucosal approach or in the nostril sills so well hidden.
Cheeks implants have been around for a very long time and we have many models and sizes, for both men and women. They are inserted via an intraoral approach.
Tear trough implant are tiny implants, commonly inserted during a lower lid (blepharoplasty) surgery, to help filling up this darker region seen with age-related volume loss. This can be done with or without fat repositioning, redraping or fat grafting, latter 3 procedures commonly done when doing a lower lid lift.
Temple implants are wonderful alternatives to fillers to fill up the hollowing in the temples (called sometimes “peanut head”) seen in aging or with chronic diseases such as HIV-related lipoatrophy. Those implants come in two models and are cartable. They are easily inserted under the fascia and the incision is in the hair-bearing scalp. This can be done alone under local anesthesia or during a facelift and brow lift procedure.
Fillers are often used first to “try” the look and guide me as to “which effect” you are looking for, and for closing the right implants. I also have samples in-office to show you.
Here are some more information in a concise fashion:
Dr. Marc DuPéré, aesthetic plastic surgeon.