Facelifts with Implants
If your cheeks have taken on a hollow look and the skin under your eyes is sinking into your bones, you're experiencing what surgeons label as "volume loss"- a natural phenomenon that occurs with aging. A typical side effect of aging, loss of facial volume means that the fat and muscle in your cheeks have atrophied. Plastic surgeons can address this problem by filling the depressions and hollowness with implants, fat injections, or injections of other materials. Implants are a more permanent solution to this problem. Fat transfer is probably the most commonly used injectable method which lasts the longest as far as a filler, if you are not interested in an implant. The chin area and jaw also experience bone absorption, where the bone thins and becomes smaller and you may require a chin implant as well.
Our doctor, a New York City based facial plastic surgeon, performs cheek implants in about 10% of facelift surgery and chin implants in about 25% of facelift surgery at the same time. Understanding Implants - Implants are used to augment or enhance bony structures, such as a weak chin or flat cheekbones. Cheek implants, chin implants, and even lip implants can be used to help replace tissue lost to the aging process. These implants can significantly enhance the result of a facelift and are important for facial harmony and a true natural youthful appearance, according to Our doctor. These implants are made of alloplastic material, meaning they aren't biological in origin. After the surgeon inserts them, they stay intact and don't get absorbed into the body. Cheek implants are usually inserted through an incision inside the mouth. Chin implants are usually inserted through an incision under the chin.
Implantables are called implants as well but are softer than cheek or chin implants. These substances are used to fill out soft tissue volume loss, such as in thin lips or in furrows such as the cheek folds (nasolabial folds). Usually these implantables are quite soft and can be placed though small incisions and then threaded or pulled to where they're needed. Implantables can be either synthetic and permanent, such as Gor-Tex, or biological, like Alloderm, which is derived from human skin. The latter often have a softer feel, but are not 100% permanent. Some of the Alloderm will absorb and part of it remains. Alloderm can be used to augment lips or can be placed under wrinkles or depressions. It is very well tolerated and some of it lasts up to 2 years or more. Alloderm is human dermis (the undersurface of skin) that has been harvested from healthy cadavers. All cellular structures have been removed (so no one is allergic to Alloderm), leaving only the framework of connective tissue. The biggest benefit of this product is that it feels extremely natural after it's implanted. Gor-Tex is a synthetic material that's available in threads or sheets and can be used in ways similar to Alloderm. Gor-Tex appears to be well tolerated in the body. If you have an infection or tissue reaction, Gor-Tex is relatively easy to remove. In recent years, Gor-Tex has been used most commonly for lip augmentation by providing a more defined lip border.
Combining facial procedures with Facelift Surgery: The impact of aging affects all areas of your face: your brow droops, your eyelids get heavier, your neck sags, and so on. So when you visit a surgeon for a consultation, they'll most likely discuss all possible "problem" areas that they see but also, more importantly, pay attention to what bothers you. If you have more than one area of concern, addressing all areas in the same operation is a reasonable and logical approach. According to Our doctor, he likes combining facial procedures to achieve total facial rejuvenation and harmony, particularly eyelift surgery with facelift surgery. In the face, most facial plastic surgeons typically perform multiple facial procedures simultaneously. When surgeries with similar recoveries are combined together, patients recover from each procedure at the same time.
Additionally, one anesthesia is better than 2 separate anesthesias. The Injectables: Injectables are often combined with facelift surgery. Our doctor believes that facelift surgery and fillers improve different aspects of beauty and youth and are complementary procedures. Safe injectable skin fillers, which are used to address loss of volume, have been available for years and include collagen products and, hyaluronic acid derivatives such as Restylane and Juvaderm. Radiesse is also another potential longer lasting filler than hyaluronic acid products, which is good for the nasolabial folds and cheeks but should not be used in the lip. Hyaluronic fillers or collagen such as cosmoplast and cosmoderm are best for the lips. Fat (from your own body) has been used as an injectable for many years and is another option as a longer filler.