Manufactured from a variety of materials, facial implants are available to augment
the cheeks, chin and jaw. Many implants are made from silicone. There is no
current scientific evidence to suggest that silicone implants are harmful.

If an incision is to be made inside your mouth, it is important that you inform Dr.
Khanna if you smoke or if you have dental or gum problems. If you do, you may
be instructed to take oral antibiotics before and after surgery to protect you from
infection.

Though facial implant surgery may require only local anesthetic, more often,
general anesthesia is recommended.

In most cases implant surgery is performed on an outpatient basis though an
overnight stay may be necessary if other procedures are performed at the same
time.

Chin Implants ( Mentoplasty)

Dr. Khanna may recommend chin augmentation surgery in addition to nasal
surgery when it is clear that a chin implant will add to your facial balance and
harmony.

Frequently, for instance, a chin implant will be used together with rhinoplasty in a
teenage patient whose face lacks the right proportion.

Chin implant surgery takes about an hour. During surgery, the implant (which is
pre-selected according to size and shape) is inserted into a pocket that Dr.
Khanna creates on the bone. Incisions can be made inside the mouth or in a
crease under the chin.

The chin may be taped after surgery to minimize swelling and sutures will remain
for five to seven days. If an intra-oral incision is used, dissolving sutures will be
used.

Swelling and bruising may be visible around the chin and neck for about a week.
During that time, you will experience some difficulty smiling and talking. Our
office will give you instructions about dental hygiene and eating after surgery.

Cheek implants (Malar augmentation)

A patient may wish to have cheek implants to restore a more youthful
appearance. In patients 40 - 50 years old, for instance, cheek implants can
improve the contour of the mid-face and restore sagging tissues.

Cheek implants come in a variety of shapes and sizes. They can be
custom-fitted for a more natural look.

Cheek implant surgery usually takes less than an hour. When cheek implants
are inserted at the same time as another cosmetic procedure, the implants can
be inserted through the incisions made for that procedure.

Alternately, an incision is made inside your upper lip, a pocket is formed and the
implant is placed directly on or below the cheekbone.

After your surgery, movement of your mouth and lips will be limited. Swelling and
bruising last about a week. The sutures that are used close the incision inside
your mouth will dissolve in about 10 days.

Lower-jaw surgery

Jaw implants are placed directly on the jawbone to create a stronger, squarer,
more defined jawline.

Insertion of jaw implants takes one to two hours. Incisions are made inside the
lower lip and a pocket is created into which the jaw implant is inserted.
Dissolving sutures are used.

After your surgery, movement of your mouth and lips may be limited and you will
have dietary restrictions.

Swelling can be significant following jaw implant surgery. While most swelling will
subside in the first week, you may experience mild swelling over several months.

Problems rarely occur after facial implant surgery, but you need to be informed
about such possibilities.

Implants sometimes shift slightly out of position necessitating a second surgery.

If infection happens and does not respond to antibiotics, the implant might have
to be temporarily removed and replaced in another surgery.

Dr. Khanna will discuss the risks associated with the implant surgery during your
consultation.



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