Think of it as changing the underlying architecture of your face.
Dr. Bentkover uses a number of different materials for permanent facial augmentation. The most common areas augmented are the chin (often at the same time as a rhinoplasty or facelift), the lips, the cheeks, and the deep groove between the cheek and the upper lip (the nasolabial or melo-labial groove). For temporary augmentation, he uses facial fillers. For a full discussion of his philosophy on facial fillers please see the page on this website titled Fillers/Overview and Fillers/Types of Fillers.
Generally, for permanent augmentation, he uses silicone plastic implants for the chin and cheeks and a soft, woven Teflon®-like material (PTFE) called Advanta® for the lips and nasolabial grooves. Sometimes he recommends a trial with a temporary filler like Restylane or Radiesse in the lips, nasolabial groove, cheeks, or chin before going on to a permanent solution — just in case you do not like the look. The type of silicone plastic implant he uses has been used successfully and safely in facial augmentation for over 30 years. They are not gel implants; they do not leak.
Our staff will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and medications. If you smoke, he will ask you to quit for at least two weeks before and after your surgery, since smoking may have an effect on how well you heal. You must stop all anticoagulant medications and herbal preparations like aspirin, ibuprofen, vitamin E, gingko, garlic or ginseng 10 days before surgery. You may be required to take antibiotics to prevent infection. You should shampoo your hair the night before surgery.
With local anesthesia in our office OR…
The most common permanent augmentation we do in our office OR is Advanta—to the lips and nasolabial folds. Local anesthesia is sufficient for these procedures. We will prescribe something for your nerves if you think it is necessary. The pain is minimal, usually only the pain of the injection of the local anesthetic.
With intravenous sedation or general anesthesia…
Most permanent chin and cheek augmentations are done under general anesthesia or intravenous sedation as an outpatient in the Day Surgery Unit. They are done as independent procedures or along with other procedures like rhinoplasty and various forms of facelifts and minilifts.
After Surgery-what to expect
Pain is mild to moderate, well controlled with medication. Bruising and swelling are common. The amount of bruising, swelling and pain depends on the location of the implant and how much other surgery was done at the same time. Complications are rare but can include persistent swelling for a few weeks, bleeding, infection and persistent numbness
Dr. Bentkover can modify the shape of your chin or cheeks with a permanent implant. These types of implants have been used for many years and are very safe. He frequently combines these procedures with a rhinoplasty, facelift, minilift or neck lift
Some degree of swelling may persist for 3-6 weeks, but you usually look presentable by and may return to work by 10 days.