What is Facial Augmentation?
Facial augmentation helps restore and improve facial volume that is commonly lost with age. Dr. Bentkover uses a number of different materials for permanent facial augmentation at his Worcester, MA practice. The most common areas augmented are the chin (often at the same time as a rhinoplasty or face lift), 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 Injectables & Fillers and Wrinkles & Scars page.
What is a Cheek Augmentation?
A cheek augmentation is a cosmetic surgical procedure that creates fuller and more defined cheeks. Cheek augmentation is most commonly used by men and women seeking to improve harmony among their facial features and may also be used to enhance or create a younger and fuller facial profile.
What is a Chin Augmentation?
A chin augmentation is a procedure that is performed for a wide variety of reasons. Equal number of men and women opt for this popular procedure annually as more become known about the procedure’s many potential benefits. Choosing to have a chin augmentation, also known as a chin implant or "chinplant," is a very personal choice. Dr. Bentkover usually uses silicone plastic implants for permanent chin implants.
Dr. Bentkover has more than 35 years of facial surgical experience, and he provides cheek and chin augmentation for men and women in Worcester and Boston, MA, who desire higher and fuller cheekbones and a balanced chin.
Why Have Facial Augmentation?
Facial augmentation can be done for cosmetic, medical, or a combination of reasons. Cheek augmentation achieves dramatic but natural-looking results with a limited recovery time. Men and women use cheek augmentation to:
- Resolve mid-face unevenness
- Restore lost volume (due to age or massive weight-loss)
- Add dimension to the cheeks and face
- Balance their profile
- Create improved facial harmony
Women frequently use cheek augmentation to achieve high, full cheekbones that are considered to be an important aesthetic feminine feature. Men frequently use cheek augmentation to balance their facial profile and to create fullness.
For some patients, a chin augmentation can correct structural bite issues or longstanding health issues that relate to a small or receding chin. For other patients, a chin augmentation procedure can provide greater facial harmony and symmetry to the features of the face, opening up new possibilities for self-confidence and appearance satisfaction. Chin augmentation can also be performed to reverse signs of the natural aging process at work, smoothing and evening out skin firmness and tone across the face.
In fact, recent research shows that plastic surgery, including facial augmentation, can turn back the clock by as much as nine years. Here, having facial augmentation is a particularly popular choice, since this area can be one of the first to indicate the aging process has begun.
Facial Augmentation Procedure
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.
Dr. Bentkover and you will pick an appropriate size and shape implant from a variety of silicone plastic implants. He uses silicone plastic implants for permanent augmentation. For long term temporary implants he currently uses Voluma, Restylane Lyft, Sculptra, or Radiesse. The implant is placed through a small incision in the back of the mouth above the gum line.
Cheek implant surgery may be performed in a single treatment or in combination with other surgical treatments such as a facelift, eyelid surgery or rhinoplasty. Cheek augmentation may also be completed in conjunction with a chin or jaw implant. Cheek augmentation is most commonly performed by Dr. Bentkover in the Same Day Surgery Unit of Saint Vincent Hospital at the Worcester Medical Center. General or local anesthesia with intravenous sedation is required.
A chin augmentation surgery begins with a small incision at a visually hidden location, such as inside the lower lip or underneath the chin itself. The surgeon then creates an appropriate space for the implant to be slipped inside and positioned. Typically the implant is placed in front of the jaw bone and above the chin bone and below the chin muscles. Exact placement will depend on your unique facial anatomy and your desired results.
Once the implant is successfully placed, sutures are used to close the incision site. You will then enter the recovery phase. Once you feel ready, you can return home (it will be necessary to have someone drive you home for your own safety).
Recovering from Facial Augmentation Surgery
Recovery is commonly quick, and most patients experience minimal symptoms of soreness and swelling on the day of the surgery. 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. If the implant is inserted at the eyelid, bruising and swelling may be experienced in that area. If the implant is inserted through an incision in the mouth, numbness similar to a dental visit may be experienced. Instructions will be given to reduce and limit swelling and bruising. Complications are rare but can include persistent swelling for a few weeks, bleeding, infection and persistent numbness
Over-the-counter or prescription pain medication may be used if you experience discomfort or pain. An antibiotic may be prescribed to prevent infection. Keeping your head elevated may minimize any initial swelling.
If the incision is completed in your mouth, a bland, soft diet is typically recommended for several days. Rinse your mouth after eating. The sutures will dissolve over time. Rinsing with salt water, mouthwash or prescription mouthwash may be included in your post-surgery instructions.
Instructions for post-surgical care, after an eyelid incision and insertion, will be provided. Lubricants may be prescribed to minimize dryness, and eyelid stitches are removed during a follow-up visit.
Am I a Good Candidate for Facial Augmentation?
You may be a good candidate for facial augmentation if:
- You have decreased volume in your cheeks due to age and this causes you to look haggard or fatigued.
- You are dissatisfied with the appearance of your profile and desire improved facial harmony.
- You have had temporary treatments and liked the effects that you achieved with soft tissue fillers, Juvederm or Voluma.
- You are in general good health.
- You have healthy cosmetic expectations.
- You desire to improve your self-image and self-esteem.
- You are a non-smoker or are willing to quit smoking briefly before the surgery and during the recovery process.
Dr. Bentkover will meet with you in a private consultation to share facial augmentation expectations and his recommendations.
Facial Augmentation FAQs
In most cases, a facial augmentation procedure can be completed in 45-60 minutes or less. It will depend on the treatments completed at the same time.
After a facial augmentation procedure, it is very normal to experience some discomfort, but this can be easily managed with medication. Dr. Bentkover and his staff will make sure you have the prescriptions you need to recover most comfortably. Following instructions from the doctor will reduce risks and promote healing.
Patients most frequently report some minor swelling and bruising as temporary, short-term side effects. In nearly all cases, these side effects will subside during the first week of recovery. Sometimes you may find that eating softer, warm foods and doing less talking, smiling and laughing can ease any discomfort as well.
As with any type of surgical procedure (basically, one that requires incision into the skin), there is always a slight risk of infection. As well, there is some slight risk of bleeding, scarring or a loss of sensation. If these rarer side effects are of concern to you, please talk with Dr. Bentkover about them during your consultation.
Ask the surgeon for any specific instructions, but patients typically return to all normal activities and work within one week. Facial implants can be damaged by impact, and activities that would increase the risk of impact must be avoided until they are approved by Dr. Bentkover. Most patients experience mild symptoms on the day of the surgery. Bruising and swelling will decrease each day.
It is important as well to be willing to wait up to six weeks before resuming vigorous, intense physical activity or exercise. This includes all contact sports. If this restriction is currently not possible due to your career or leisure activities, please talk with Dr. Bentkover about the best time to schedule your chin implantation procedure.