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Well balanced facial features - including the cheeks and chin - add beauty and definition to an individual's appearance. The chin and the cheeks provide structure and anchor the lower and middle face, respectively.
As a board certified facial plastic and cosmetic surgeon, Dr. Denton has extensive experience and expertise in chin implant and cheek implant surgery. During your consultation, you will have the opportunity to discuss your treatment options with Dr. Denton in a confidential and unhurried setting. Computer imaging will be performed to show you the expected result following your procedure. Surgery is performed in Dr. Denton's fully accredited private operating facility in Vancouver, British Columbia.
Chin augmentation
A small chin detracts from an otherwise well balanced face and can make the nose appear more prominent than it actually is. If the teeth are in proper alignment, some patients can benefit from chin augmentation or chin implant surgery.
During chin augmentation, a small incision is made either inside the mouth or in a skin crease just behind the rounded area of the chin. The chin implant, which has a consistency similar to the soft tissues of the chin, is secured in position in front of the jawbone. The incision is then closed, undetectably concealing the chin implant. Chin augmentation can be carried out as a stand-alone procedure but is often performed in combination with neck liposuction, rhinoplasty (nasal reshaping) or facelift surgery.
Cheek augmentation
Cheek (malar) augmentation is indicated in some individuals who have small cheekbones or hollowed mid facial areas (the area under the cheekbone). Cheek implants help to address the sad or tired appearance that exists in these cases.
Like chin implants, cheek implants are made of a medical material that has a consistency similar to the soft tissues of the cheeks. Cheek implants are placed over the cheekbone through small incisions inside the mouth. Healing is generally quite rapid and there are no external scars.
Cheek implants are placed through the inside of the lip to avoid any skin incisions. Chin implants are placed either through the inside of the lip or through an incision hidden within the skin crease normally found under the chin. Not infrequently, chin implant surgery is combined with rhinoplasty and/or neck liposuction.
Any individual with a small, short or narrow chin or flat and sunken cheeks could be considered for this type of surgery.
On the night before your surgery we ask that you not have anything to eat or drink (including coffee, tea and juice) after 12:00 am. This allows your stomach to empty thereby minimizing any postoperative nausea.
Two weeks prior to your surgery all blood thinning medications and supplements (e.g. aspirin, ibuprofen, ginkgo, ginseng and vitamin E) must be stopped. This reduces the amount of swelling experienced postoperatively. A prescription for antibiotics and pain medication will be provided.
A simple blood test to measure your hemoglobin level is performed prior to surgery and, if you are over 50 years of age, a cardiogram is required for your safety.Surgery is performed in our fully accredited operating room under twilight anesthesia. You will be asked to arrive 30 to 45 minutes prior to the onset of surgery. After surgery, patients are taken to our specially equipped recovery area. Once recovered, all patients proceed home accompanied by a responsible adult or to an after care facility.
Moderate swelling and some bruising are normal in the early postoperative period. A tape dressing is placed following surgery and is kept in place for 1 week. Stitches used to close any incisions inside the mouth dissolve on their own and skin stitches placed under the chin are removed in 5 to 7 days.
Following surgery, you should rest quietly for the first 24 hours. Sleeping with two pillows under your head for the first 2 nights helps minimize swelling and bruising. Cold compresses are soothing and will also help with swelling.
Patients are permitted to shower and wash their hair 3 days after surgery.
Bending, heavy lifting and straining are prohibited during the first 48 hours. Light non-cardiac exercise can be resumed 2 weeks following surgery and slowly increased over the ensuing 7 days.
Most patients are back at work within 7 to 10 days of surgery.
Following your consultation, a quote is provided which is guaranteed for one year. Our quotes include all costs: pre-operative tests, anesthesia, facility charges, the services of our staff, and applicable taxes. You are encouraged to make cost comparisons. In comparing, be sure you determine the total of all costs related to the surgery.
A deposit is required at the time the surgery is scheduled in order to hold a specific date for you. The balance is due two weeks prior to your surgery. For your convenience, we accept MasterCard, VISA and debit cards.
We have arranged a financing plan for our patients with an outside financial institution. Ask our patient care coordinators for details about how to qualify.