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Malarplasty Cheek and Chin Facial Implants Information

Time: 30 minutes to 2 hours

Recovery Time: Up to 1 week

Results Duration: Permanent implant

Cost: Approx. £1,500 - £3,000

Anaesthesia: General anaesthesia or and sedation

For a full list of FAQs please .

is the medical term used to describe the augmentation or general reshaping of the cheeks and jaw. Cheek and chin implants were first used for reconstruction of the face after birth and damage caused by or trauma. Now, cheek and chin implants are used regularly by cosmetic to make a person’s cheeks or jaw line of a more pleasing shape. Various types of materials are used in implants, from silicone to your own body fat. The takes between 30 minutes to 2 hours on the extent of the procedure and the material used. Considerable swelling, some pain and difficulty talking and smiling for several days following the surgery is normal after chin and cheek implants. You can expect to return to work after 2 days to 1 week. Private prices for facial cheek or chin can be in the £1,500 - £3,000 range depending upon the type of used.

Malarplasty Cheek and Chin Facial Implants Information FAQs

Cheek and chin implants were first used for of the face after birth and damage caused by accidents or trauma. Originally, solid implants were being used in the late 1950’s for the face in this way.

Now, in the early 21st century, cheek and chin are used regularly by cosmetic surgeons to make a person’s cheeks or jaw lines more and of a shape and to any that may have occurred.

Malarplasty is the medical term used to describe the or general of the cheeks and jaw.

Patients with a major chin deficiency may require a more serious type of procedure, bone surgery to move the bone of the chin to reshape the chin.

Chin can also be performed by to reduce the bone to make the chin less .

Certain types of facial implants can be used to reduce the of lines and wrinkles, particularly around the nasolabial area (between the corners of the nose and the lips).

According to statistics from the American Society for Plastic Surgery (ASAPS) there were just over 1,700 cheek in 2009, a decrease of 18% over 2008 figures, and 7,149 chin augmentation performed in the U.S. in 2018, an increase of 19.9% on 2017 statistics. (Note: due to an insufficient sample of physicians cheek implants, figures on the procedure were excluded from results in later years).

There are no similar detailed available for the United yet, but we do know that this kind of surgery is still available in the UK.

If you are considering a facial implant the following information will give you a basic understanding of the procedure. It can't answer all your questions, since a lot depends on the individual patient and the . Please ask a about anything you don't understand.

Originally bone grafts (bone taken from another part of the body to be used in the face) were used to help the chin. The disadvantage of this is the of first having to a piece of bone from a donor site in the patient’s body.

The first synthetic (or man-made) that avoided this problem were designed in the 1950s and were made of solid silicone. These implants are safe, long lasting, and are still a popular choice used by many today.

Rigid polyethylene are an alternative to silicone and can be screwed into place into the bones of the face to prevent them moving after the operation.

Another common implant used in the U.K. is a called ePTFE ( polytetrafluoroethylene).

It is a white "rubbery" - the same thing used in Gore-Tex™ boots and rain jackets - but of course it is sterile and made specifically for use only.

EPTFE was first used as an in humans in the 1970s as a for small of veins.

Development of this into different shapes has allowed it to be used as a facial implant for chin and cheek augmentation, lines and in the face, and lip enhancement. Your own body tissues can grow around these and help to keep them in place.

Silicone chin image courtesy of Nagor Limited

Hydroxyapatite Implants: medical science has come up with a way to alter coral into an implant material that closely resembles natural bone. It is called hydroxyapatite or simply, H.A. It has both the sponge-like and chemical of bone so that the body accepts it completely. The body’s tissue can be integrated naturally and it will not cause the that is sometimes the problem with implants. H.A. is the closest thing to a natural bone graft that scientists have yet .

Another different approach used by some is the use of human tissue. Some will use small strips of your own tissue (cut from areas such as the groin) and, after careful preparation, these strips into your face. This is known as an autograft and has the benefits of being your own material, which will not be rejected by your body.

In practice, this procedure is now little used owing to the fact that you will have scars at the point from which the tissue is taken and your donor tissue is to in order to achieve a successful graft.

Alloderm® is another alternative. This uses donated human skin that has been especially by the outer layer of skin and freeze drying the layer underneath the . Using someone else’s tissue rather than your own is known as an .

Careful of the for is undertaken, and the material is specially prepared so that there is little chance of your body reacting to it or rejecting it. A skin test is not before the of this implant. Over time, this biological implant grows into the patient's own soft tissue, but it may not last as long as other forms of .

Your own fat may also be as an implant . This can be from different parts of your body using and then into different parts of your body. Please see our  section for more details.

Certain  may also be suggested as an to the described above.

These are particularly used for lines and wrinkles or "plumping out" the cheeks.

In your first discussion with a practitioner, you should explain what you expect from the and how you would like to look afterwards. He or she should tell you exactly what the treatment will involve, and any complications and the process following any . He should make it clear that he can the results that you desire.

You will need to the and disadvantages of the different types of and implant material used. If you choose a synthetic implant, you would normally require a skin test before surgery to ensure that you are not to the material.

A medical history should be taken by the practitioner to make sure that there are no why you shouldn’t have a facial implant. Once this is established, you would normally be asked to read detailed information and sign a consent form, which means that you have the potential and risks associated with the procedure.

may also be taken by the for use as a "before and after" comparison at a later date.

Anaesthesia

Local anaesthetic injections along with a mild sedative to make you feel drowsy may be used. Alternatively, a full general anaesthetic may be used, depending upon the area treated and implant used.

As with any procedure, the use of a general anaesthetic carries a small additional risk which your practitioner will discuss with you. No form of anaesthetic will be given to you without your surgeon discussing it with you first.

The

The is usually performed in an outpatient centre, either run separately by your surgeon, or in a . The takes between 30 minutes to 2 hours depending on the extent of the procedure and the implant material used.

Procedures vary depending upon the surgeon and used, but as a guide you may expect the following…

Cheek
This placing the over the cheekbone through a cut made inside the mouth or through an opening just beneath the lower eyelash. The blends with the lash line and is nearly . The surgeon creates a pocket in the tissue and then places the implant in there.

Malar implants are inserted in the outer upper cheek area giving that high look of many models.

Submalar implants are in the lower or region to help fill out a sunken face. The face seems to become as we age and many people seek this kind of to return their faces to a more youthful look. In fact, a more natural appearance can be achieved with  because this the "rounder" look to your face by using your own fat from somewhere else in your body.

Some choose to have a of both malar and submalar to plump out both the cheekbones and main cheek areas.

In some cases, depending on the type of material used, a small titanium screw may be used to attach the implant to the bone. Incisions used are closed with that in a week or two.

Chin implants
Incisions are usually made inside the mouth on either side of the lower lip. However, depending on the of your face, some surgeons may use an point under the chin which will leave a small scar.

The surgeon creates a pocket into which the implant can be placed. Cuts under the Medicated Skin Care are closed with stitches, and incisions on the outside of the skin are usually stitched with stitches.

Implants for lines/
This procedure is usually done using a local, rather than a general, and takes around 30 minutes or so.

The most common area of use is for nasolabial folds (the lines between the of the nose and the mouth).

Small incisions are usually placed either side of the line, and the is through the skin the fold to help to plump out the line. The tiny incisions are then together.

Repeat procedure

No repeat procedure is required for as their effect is permanent, but if you choose to use a implant material, you may need to return to have another implant put in.

Depending on the procedure and the extent of the bruising and swelling, you can expect to return to work after 2 days to 1 week.

There will be some considerable swelling associated with the disturbance to the tissues, especially if there were screws in fixing the .

Some pain and talking and for several days following the surgery is normal after chin and cheek .

Most of the and bruising will have within a week, but longer mild swelling after both chin and cheek implants may prevent the final, new shape of your face not being apparent for several months.

You may feel a degree of numbness that should within months.

As with most medical procedures, there is always a possibility of risks or side effects following malarplasty facial implant surgery. These include infection, a reaction to the anaesthesia, (a mass of clotted blood), or seroma (a of the watery of the blood which gathers underneath the skin). Both and seroma may need to be with a syringe.

Asymmetry, or a look to the face following implants, and nerve damage, can also be complications.

on the type of used, can occur. This is a condition in which the scar tissue after the operation becomes very tight, thus causing the implant to become . However, this is a very rare complication.

Sometimes, a facial can shift slightly out of its proper place and a second operation may be necessary to replace it in its proper position.

Tiny scars from any cuts to the skin are visible, although they usually become over time and can be camouflaged with .

It is very important that you follow the advice of your practitioner after a facial to help to the of the procedure and reduce the risk of complications or side .

Post-treatment advice may include:

First and foremost, an must be in good health, not have any active or and must have expectations of the of the surgery.

For chin and cheek implants, any problems with bone may make you for this type of procedure.

You should not have been on isotretinoin for the last 6 months or sometimes more. This drug causes facial bone growth, called Hyperostosis, and increased scarring after skin such as is caused by an operation.

If you are prone to keloid (red, angry, raised) scars, or have a history of problems with wound your practitioner may not recommend this or may caution you that scars could be raised and very visible.

Only fully trained and surgeons should perform cheek or chin malarplasty surgery.

For more information about practitioner training, and relevant medical organisations please view the information contained within the  section of the Room.

It is highly unlikely that anyone considering a facial implant for purely cosmetic (rather than reconstructive) reasons would be able to access this free of charge on the National Health Service.

However certain regions do make cases, and we would always that you visit your General Practitioner before embarking upon a cosmetic surgery.

As well as their advice and they may also be able to refer you to a local NHS for a consultation.

The NHS has set out the following guidelines on how to get surgery through the NHS:

"To qualify for surgery on the NHS you must meet specific criteria as set out by your local health authority. The NHS will not pay for surgery for cosmetic reasons alone. Reconstructive and cosmetic surgery to correct, or improve, congenital abnormalities and injuries will usually be carried out free of charge.

NHS reconstructive surgery is performed by plastic surgeons who have had extensive training and belong to the British Association of Plastic Reconstructive and Aesthetic Surgeons. Surgeons who carry out cosmetic surgery through the NHS also belong to the British Association of Aesthetic Plastic Surgeons.

To receive cosmetic surgery from the NHS, you will normally need a referral from your GP. You will have a consultation with a plastic surgeon and an assessment by a psychiatrist, or psychologist. It will then be decided whether there is enough social, psychological, or physical benefit to be gained to justify surgery."

Private prices for facial cheek or chin implants can be in the £1,500 - £3,000 range depending upon the area of surgery and type of implant used.

Permanent cheek or chin implants skilfully placed can produce subtle but very definite cosmetic improvements to your face that can last a lifetime.
Similarly used for deep folds or wrinkles can provide an instant in their that can be long .

Some people believe that they have received too much and demand that their implants be removed; however must bear in mind that there is significant swelling immediately following this and that mild may for several months afterwards. Thus, you have to be patient after an implant operation as it can be months before you see what your "new face" really looks like.

Careful discussion of your expectations, the appropriate type of implant, and choice of a skilled surgeon, are all very important factors for you to consider before going ahead with a facial implant.

Please note that results of vary enormously, upon both the patient and the skill of the individual surgeon, so outcomes for will always be more than those for less invasive treatments.

(All before and after featured are real by highly experienced surgeons, your results may differ).  

Before Cheek Augmentation (left) and After Cheek Augmentation (after)

Cheek Augmentation before and after pictures of Consultant Surgeon, Mr Inglefield, BSc, MBBS, FRCS (Plast) at London Bridge Plastic .

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All information contained within this site is researched and maintained for accuracy of content. Please note that for prospective purchasers of treatments, information and provided does not substitute an in-depth consultation with an .