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Face / Facial Implants

Facial Implants

Using implants to sculpt attractive facial contours that create balance and harmony between the features of your face is a specialized technique Dr. Marc DuPéré has honed throughout his career.

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Create your optimal appearance

Profiloplasty, Dr. DuPéré’s innovative approach to assessing a patient’s facial structure, involves viewing the face from multiple angles to envision how implants can help create your optimal appearance.

Patients who get facial implants at our Toronto-area practice see immediate, long-lasting results.

Implant Options

Implants can be used to augment or contour virtually any area of the face, from the forehead to the chin. Dr. DuPéré has multiple choices available to accommodate each patient’s unique needs. In some cases, he can have a customized implant made. All facial implants are made of silicone that’s solid, but very soft. Some others are made of e-PTFE (Gore-Tex, Teflon). Implants can be either smooth or textured. In addition to using implants for facial contouring, Dr. DuPéré uses implants for body contouring (pectoral, biceps, triceps, buttocks, hips, thighs, calf) and breast augmentation.

Facial implants offered at Visage include:

  • Temple (temporal) shell
  • Cheek
  • Tear trough (lower lid)
  • Nose (nasal)
  • Mid-face piriform (nasolabial)
  • Chin
  • Jaw angle mandibular
  • Forehead

Aging, terminal diseases, and some immunodeficiency conditions can cause temples to appear hollow. Injectable fillers can temporarily restore volume, but another option is to insert temporal implants. This is a relatively simple procedure Dr. DuPéré performs to minimize the “peanut head” appearance created by the loss of volume in the temples. Dr. DuPéré inserts them through an incision made in the scalp that’s hidden in the hair. The implants are then secured deep under the temporal tissue layers. Several models and sizes exist, and Dr. DuPéré can carve and modify the solid implants for a custom fit.

Even with the development of hyaluronic acid fillers designed specifically to restore volume to the cheeks, cheek implants remain a popular choice for men and women seeking a permanent solution to their facial feature concerns. Dr. DuPéré inserts cheeks implants through incisions he makes in the upper gums. He then positions the implants and attaches them to the bones in the cheek area using a very small screw to prevent them from moving. The sutures inside the mouth dissolve naturally.

Dr. DuPéré often inserts tiny implants into the tear troughs during a lower eyelid surgery (blepharoplasty) to help counter the effects of age-related volume loss. He may use the implants alone or combine them with fat grafting or repositioning/redraping fat, procedures normally coupled with a lower lid lift. Dermal fillers are also an option for restoring volume to the tear troughs.

Nasal implants usually augment the dorsum (bridge) and tend to be curvilinear. Some have a 90-degree angle for tip support. Dr. DuPéré uses nasal implants only if there are no good “donor” sites, such as cartilage from the septum or ear cartilage, to create the desired results. He typically inserts implants using a “closed” approach so that incisions aren’t visible. These implants are used as part of rhinoplasty surgeries, which is typically performed with the patient under general anesthesia. If a dorsal nasal implant is inserted as a stand-alone procedure, Dr. DuPéré can do that using a local anesthetic with IV sedation.

As with other areas of the face, implants can be used as an alternative to traditional, temporary fillers for mid-face contouring. When a patient’ mid-face profile is underprojected, the face has the shape of a dish. People who want to augment the area around the nostrils and upper gums (the peri-alar area), are good candidates for this type of implant. Dr. DuPéré often uses the mid-face implant for Asian and African-American patients who want to add mid-face projection. The implant adds anterior projection to the premaxilla and provides a platform for the nasal base. If done as a sole procedure, recovery is relatively fast with possible, yet barely noticeable, swelling for 1-2 weeks.

Chin implants are among the most commonly requested by patients at our Toronto-area practice. Both men and women concerned about a receding chin (often called a “weak” chin) can benefit from chin implants inserted by Dr. DuPéré. Thirteen models or so exist and some are for males, some for females. The surgeon may use chin implants for rhinoplasty patients to create a more attractive and balanced profile. Dr. DuPéré commonly uses chin implants in his facelift and neck lift patients to improve results and their longevity and also to replenish the bony mass lost with aging. Chin implants are also very useful in transgender patients for both facial feminization and masculinization procedures. Dr. DuPéré understands that the aesthetic ideal of a male chin is quite different than that for females and tailors his technique to achieve the desired results.

One of the most powerful ways to transform a round face into one with more definition is by increasing the jaw’s angles. This can be done for both men and women. Implants that widen the jaw angle are the most common, but other implants can both widen the jaw and augment the jaw’s height. These changes can add to the jaw’s projection, creating the square jaw that is associated with a more masculine appearance. Dr. DuPéré inserts the implant through a very small incision at the back of the molar teeth, so there’s no visible scar. To minimize the chance the implant can be displaced by the masseter muscle, he uses tiny screws to hold the implant in place. Dr. DuPéré’s blog post gives you additional information.

This is a prosthetic surgery that places a silicone forehead implant under the skin to augment the area when a depression or unevenness creates an undesirable appearance. The implant creates a stable, long-lasting augmentation. Dr. DuPéré makes an incision at the scalp behind the hairline and attaches the implant to the bone. This procedure not only reinforces the forehead arc and curvature, but also provides a mild lift for sagging forehead skin.

Custom-made Implants

With the increasing popularity of facial implants, more designs are available than ever before. But not all off-the-shelf implants are right for every situation, and injectable fillers provide only temporary solutions. Dr. DuPéré carves custom implants using square or rectangular silicone carving blocks. Custom implants can reshape the face when pre-shaped implants don’t address a patient’s aesthetic concerns. Advanced 3D computer imaging technology makes it possible for Dr. DuPéré to design an implant to precisely address a specific area of the face. The computer-driven custom design and manufacturing process can produce just about any facial implant that a surgeon wants.

A thorough evaluation of your facial features is the first step in creating a treatment path. Request a consultation using our online form to meet with Dr. DuPéré or call our office at (416) 929-9800 to schedule an appointment at his Toronto Yorkville location.

Below are examples of several types of implants available to our patients. Please be aware these are just a sample, and that many implants are available in various sizes in addition to the availability of custom implants crafted by Dr. DuPéré himself.

Facial Implant Options

FAQ’s About Facial Implants

  • What are facial implants, and how do they work?

    Facial implants are solid, biocompatible materials (usually soft but solid non-gel medical silicone) used to enhance specific facial features and create more balanced and harmonious facial contours. These implants are surgically placed beneath the skin over bony structures or under the muscle’s fascial lining to augment areas such as the cheekbones, chin, or jawline, nose, temples, mid-face, tear troughs) providing a more defined and attractive appearance.

  • Who is a good candidate for facial implants?

    Good candidates for facial implants are individuals who desire to enhance certain facial features that they find underdeveloped or lacking in projection. Suitable candidates should be in good overall health, have realistic expectations about the outcomes of the procedure, and not have any medical conditions that could increase the risks of surgery.

  • What are the types of facial implants available?

    Facial implants come in various shapes and sizes to address specific facial features. The most common types of facial implants include cheek implants to enhance cheekbones, chin implants to improve chin projection and contour, temporal implant to rejuvenate sunken temples and jaw implants to create a stronger and more defined jawline. Nose, mid-face (for underdeveloped mid-face aka mid-face hypoplasia) and tear trough implants are also available.

  • How are facial implants placed?

    Facial implant surgery is typically performed under local anesthesia with sedation or general anesthesia, depending on the type of implants and the patient’s wishes. Dr. DuPéré will make discreet incisions inside the mouth or beneath the chin, or within the hair-bearing scalp to access the implant placement area. The implants are carefully positioned, and the incisions are closed to minimize scarring.

  • Will there be visible scarring after facial implant surgery?

    Dr. DuPéré employs advanced surgical techniques to minimize visible scarring. Incisions for facial implant placement are strategically placed within natural creases or hidden areas, making them less noticeable as they heal.

  • Is facial implant surgery reversible?

    Facial implant surgery is considered a permanent procedure, and the implants are designed to be long-lasting. However, in some cases, if a patient desires removal or replacement of the implants for larger or smaller, revision surgery can be performed to adjust the facial contours.

  • What is the recovery period like after facial implant surgery?

    The recovery period after facial implant surgery varies depending on the specific procedure performed. Patients may experience some swelling and mild discomfort for the first week or two. Swelling tends to last longer for jaw angle augmentation and also when combined implants are being done at the same time (eg. cheek and jaw angle). Strenuous activities and heavy lifting should be avoided for about two weeks, and patients can usually resume regular daily activities within a week.

  • Are there any risks or complications associated with facial implant surgery?

    Facial implant surgery is generally safe when performed by an experienced plastic surgeon like Dr. DuPéré. However, like any surgical procedure, there are potential risks and complications, including infection, bleeding, seroma, implant shifting, capsular contracture and changes in sensation around the implant area. Dr. DuPéré will discuss these risks with you during the consultation and take every precaution to ensure a safe and successful outcome.

  • Can facial implants be combined with other facial rejuvenation procedures?

    Yes, facial implants can be combined with other facial rejuvenation procedures, such as facelift, browlift, blepharoplasty, rhinoplasty, or fat grafting. Dr. DuPéré will assess your unique needs and goals to create a personalized treatment plan that may include a combination of procedures to achieve the best results.

  • How can I get started with facial implants?

    To get started with facial implants, schedule a consultation with Dr. DuPéré. During this appointment, you will discuss your facial enhancement goals and concerns, allowing Dr. DuPéré to recommend the most suitable facial implants and create a personalized treatment plan. Dr. DuPéré’s expertise in facial implants ensures that you receive the highest level of care and achieve beautifully enhanced facial contours that enhance your natural beauty.