Cheek and Chin Implants to Enhance Facelift Results

Abstract

The traditional rhytidectomy addresses facial and neck aging as it relates to soft tissue laxity. The modern volumetric facelift provides optimal results by addressing not only skin laxity but also the loss of volume secondary to tissue atrophy and bony resorption. While multiple techniques including fat grafting, dermal fillers, and tissue resuspension are used to correct the tissue loss, alloplastic midface augmentation remains the most permanent method. In our practice we often address midface cheek hollowness or atrophy with the placement of submalar implants at the time of rhytidectomy. In addition to midface volumetric rejuvenation, alloplastic chin implantation can help strengthen and further define a retrusive chin and weak jawline. In this article we discuss technique, indications, and benefits of performing alloplastic augmentation as an adjunct to rhytidectomy.

Keywords

facelift - rhytidectomy - implants - chin - cheek - malar - augmentation

• References

• 1 Skoog TG. Plastic Surgery: New Methods and Refinements. Philadelphia, PA: Saunders; 1974
• 2 Barrett DM, Casaneuva FJ, Wang TD. Evolution of the rhytidectomy. World J Otorhinolaryngol 2016; 2 (01) 38-44
• 3 Tessier P. Facelifting and frontal rhytidectomy. In: Transactions of the Seventh International Congress of Plastic and Reconstructive Surgery. Rio de Janeiro: Brazil; 1980: 39
• 4 Scales JT. Discussion on metals and synthetic materials in relation to soft tissues: tissues reaction to synthetic materials. Proc R Soc Med 1953; 46 (08) 647-652
• 5 González-Ulloa M. Building out the malar prominences as an addition to rhytidectomy. Plast Reconstr Surg 1974; 53 (03) 293-296
• 6 Terino EO. Alloplastic facial contouring by zonal principles of skeletal anatomy. Clin Plast Surg 1992; 19 (02) 487-510
• 7 Binder WJ. Facial rejuvenation and volumization using implants. Facial Plast Surg 2011; 27 (01) 86-97
• 8 Hamra ST. The deep-plane rhytidectomy. Plast Reconstr Surg 1990; 86 (01) 53-61 , discussion 62–63
• 9 Hamra ST. A study of the long-term effect of malar fat repositioning in face lift surgery: short-term success but long-term failure. Plast Reconstr Surg 2002; 110 (03) 940-951 , discussion 952–959
• 10 Keller GS, Namazie A, Blackwell K, Rawnsley J, Khan S. Elevation of the malar fat pad with a percutaneous technique. Arch Facial Plast Surg 2002; 4 (01) 20-25
• 11 Seitz IA, Llorente O, Few JW. The transconjunctival deep-plane midface lift: a 9-year experience working under the muscle. Aesthet Surg J 2012; 32 (06) 692-699
• 12 Ramirez OM. Three-dimensional endoscopic midface enhancement: a personal quest for the ideal cheek rejuvenation. Plast Reconstr Surg 2002; 109 (01) 329-340 , discussion 341–349
• 13 Binder WJ. Submalar augmentation: a procedure to enhance rhytidectomy. Ann Plast Surg 1990; 24 (03) 200-212
• 14 Dhir K, Binder W. Solid Midfacial Implants: When Fillers Are Not Enough. Facial Plast Surg 2016; 32 (05) 480-487
• 15 American Society of Aesthetic Plastic Surgeons; 2015
• 16 Hamra ST. Surgery of the aging chin. Plast Reconstr Surg 1994; 94 (02) 388-393
• 17 Mittelman H, Spencer JR, Chrzanowski DS. Chin region: management of grooves and mandibular hypoplasia with alloplastic implants. Facial Plast Surg Clin North Am 2007; 15 (04) 445-460 , vi
• 18 Greenstein G, Tarnow D. The mental foramen and nerve: clinical and anatomical factors related to dental implant placement: a literature review. J Periodontol 2006; 77 (12) 1933-1943
• 19 Hopping SB, Joshi AS, Tanna N, Janjanin S. Volumetric facelift: evaluation of rhytidectomy with alloplastic augmentation. Ann Otol Rhinol Laryngol 2010; 119 (03) 174-180
• 20 Juvederm Voluma XC Directions for Use; 2013
• 21 Hasson O, Levi G, Conley R. Late infections associated with alloplastic facial implants. J Oral Maxillofac Surg 2007; 65 (02) 321-323