Facial Implants

Symmetry, balance, and optimal proportion of the bone structures of the face present a more favorable aesthetic appearance. Sometimes the bone structure of the chin, jaw, or cheekbones can be underdeveloped or out of proportion in relation to other structures of the face. It is also the case that as the facial soft tissues ages, the relative importance of the underlying bone structures becomes more evident. When necessary, changes to the appearance of the chin, jaw, or cheekbones can be achieved by augmenting the existing bony framework with facial implants. Specifically, augmentation of the chin, jaw, or cheekbones can bring a recessed mandible or “hollow” midface in harmony with other facial features for a more balanced, appealing look.

An underdeveloped chin is often a characteristic not easily recognized by a patient. At times, a smaller or recessed chin can yield the appearance of a larger nose, shorter neckline, or more prominent jowls. Augmenting the chin with a small facial implant is a relatively simple procedure which can improve facial balance and proportions, help create a more aesthetically pleasing lower face, and at the same time indirectly enhance the appearance of the nose and neck. In fact, chin augmentation is often performed in combination with rhinoplasty (nasal reshaping) and facelift operations.

Similarly, a lack of presence of the bony architecture at the cheekbone area can allow the face to appear “hollow,” with more associated “droopiness” of the soft tissues of the mid-face as we age. Small implants can be placed and secured to subtly enhance this area for a long-term improved appearance.

Implants are safe and easy to perform. They appear entirely natural, and significant improvements can be made with these small, subtle changes. The placement of implants can be performed as an isolated procedure, or in combination with other surgical procedures. They can be placed using oral sedation with local anesthesia, or in an operating room setting with deeper sedation or general anesthesia, depending on the circumstances.

The surgical implants Dr. Sparano uses for subtle augmentation are of the best materials made. They are safe and relatively non-reactive, and integrate to have a feel like the surrounding bone. The surgical placement of facial implants is most commonly performed in combination with rhinoplasty (nasal reshaping) or facelifting.


Who is a good candidate for a chin implant?
Any healthy patient with a recessed chin in relation to other facial anatomy may benefit from a chin implant. The procedure is often performed at the same time as rhinoplasty or facelifting.

Who is a good candidate for a malar (cheekbone) implant?
Any healthy patient with underdeveloped cheekbones in relation to other facial anatomy may benefit from a malar implant. Healthy and natural-appearing cheekbones help counter the effects of the sagging tissues of the mid-face.

Where is facial implant surgery performed?
Implants can be placed in Dr. Sparano’s office-based setting under local anesthesia with oral sedation, or in an outpatient operating room setting especially if combined with other procedures.

Where are incisions made for facial implant surgery?
Incisions for facial implants are usually made inside the mouth. Sometimes a small incision under the chin is used for placement of a chin implant.

What is the recovery like after facial implant surgery?
Swelling, bruising, and temporary numbness are common after facial implant surgery for the first 7-10 days. Discomfort is easily controlled with oral pain medication. Stitches in the mouth will dissolve on their own, and stitches under the chin will be removed in 6-7 days.

How much time off from my daily activities should I schedule?
Most patients return to their normal daily activities within 7-10 days.