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September 10th, 2018 Share

As many of you know, I offer all types of body and facial implants for men and women. In this post, I will focus on the facial implants I use to help my Toronto patients enhance the cheeks, jaw, chin, and other facial features.

All facial implants are made of silicone that is solid but very soft. Some are made of e-PTFE (Goretex, Teflon). They can be smooth or textured. Some are inserted through an internal approach (such as within the mouth); some require an external approach where the incision is hidden in a natural crease or the hair-bearing scalp.

  • Chin implants are very commonly placed as an individual procedure or with a neck lift and facelift for men and women. We have 13 different models, each available in various sizes. Some are also meant to correct the jowls. Some are more oval and some are more square. Because the chin and nose go hand-in-hand, both areas 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 of the jaw while others will augment both the jaw’s width and vertical height, efficiently lowering the jaw angle area for a stronger jawline. Please note that women also desire a more defined jaw angle (like Angelina Jolie).
  • Nasal implants are secondary options whenever there are no good “donor” sites during a rhinoplasty procedure. I like using the septal (septum) cartilage whenever possible; otherwise, I use ear cartilage and then a nasal implant.
  • Piriform (mid-face or perinasal) implants augment the region around the nostrils and upper gums, an area commonly under-projected in Asian and African-American populations. These implants are inserted via an intramucosal approach (in the nostril sills) so the scars are well hidden.
  • Cheek implants have been around for a very long time. We have many models and sizes for both men and women. These implants are inserted via an intraoral approach.
  • Tear trough implants are commonly inserted during lower eyelid surgery. These tiny implants help fill out the darker region under the eyes seen with age-related volume loss. Tear trough implants can be placed with or without fat repositioning, fat redraping, or fat grafting, which are commonly done during lower eyelid surgery.
  • Temple implants are a wonderful alternative to injectable fillers for correcting the hollowing in the temples (sometimes called “peanut head”) seen in aging or with chronic diseases such as HIV-related lipoatrophy. These implants come in two models and can be carved into custom shapes. They are easily inserted under the fascia through an incision in the hair-bearing scalp. Temple implants can be inserted as an individual procedure under local anesthesia or during a facelift or brow lift procedure.

I often use fillers to let patients “try on” the look before they have surgery. Fillers also help me understand the look the patient wants and choose the right implants. Patients can see and feel sample implants when they visit my office for a consultation.

Here are some other blog posts I wrote about facial implants:

If you are ready to discover how facial implants can enhance your look, contact us using our online form or by calling (416) 929-9800. I look forward to speaking with you.

Dr. Marc DuPéré, aesthetic plastic surgeon.

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