Facial implants CENTER FOR FACIAL PLASTIC SURGERY AT ENT SPECIALISTS
Facial implants
Facial implants are medical devices designed to enhance or augment specific features of the
face. These implants are often made of biocompatible materials such as silicone or porous
polyethylene and are surgically placed to create a more harmonious and balanced facial
appearance. Facial implants can be used to enhance various facial areas, providing
definition and symmetry.
Dr Georgescu specializes in the following facial implants:
1. Cheek (Malar) Implants:
- Purpose: To add volume and definition to the cheeks (malar area). Although, this
can be done in any patient that presents with deflated cheeks, it is particularly
useful for patients that have severe or irregular volume loss following surgery or
disease.
- Procedure: Surgically placed over the cheekbones through a small incision inside
the lower eyelid. Does not require fixation with screws.
2. Chin Implants:
- Purpose: To improve the projection and definition of the chin. Usually done at
the time of necklift surgery in patients where chin augmentation can significantly
improve the result, using the same incision.
- Procedure: Placed through an incision either inside the mouth or under the chin
(necklift incision). Does require fixation with screws.
3. Temporal Implants:
- Purpose: To add volume to the temporal area in patients seeking a permanent
solution to the hollow temples. Can be done as a standalone procedure or at the
time of browlift or cheek-lift surgery via the same incision.
- Procedure: Placed through incisions in the hairline. Does not require fixation.
Facial implant surgery is typically performed under sedation or general anesthesia,
depending on the extent of the procedure. Recovery time varies, but patients may
experience swelling and bruising, which usually subsides within a few weeks.
Considerations:
- Customization: Implants are often available in various sizes and shapes to allow for
customization. Choosing the right size implant is key in order to avoid unnatural results.
- Combination Procedures: Facial implants can be used in combination with other facial
surgeries such as blepharoplasty, browlift, cheek-lift or facelift for a comprehensive
enhancement.
- Reversibility: While most facial implants are considered permanent, they can be
removed or adjusted if necessary.
BEFORE THE SURGERY
From the time of your first consultation (whether on-line or in person) till the day of surgery you will have the opportunity to discuss with Dr Georgescu and his staff all your questions and concerns related to the surgical procedure, the preparation and the recovery. Make sure you fulfill all your financial obligations at least 2 weeks prior to surgery. Stop all anticoagulants (Eliquis, Pradaxa, Plavix, Coumadin, Warfarin), anti- inflammatory medication (Aspirin, Ibuprofen, Naproxen, Diclofenac, Indomethacin) and all vitamins and supplements (except for Calcium and Vit. D) two weeks prior to surgery, but only with the approval of your primary care doctor or cardiologist. Smokers need to stop smoking or vaping at least 4 months prior to surgery. Nicotine patches or gum are accepted. Make sure you fill your prescriptions before surgery, as you will not be able go to the pharmacy immediately after surgery. You need to make arrangements for someone to bring you to the surgery center and take you back home, as you will not be able to drive the day of surgery. You also need someone to stay with you for at least the first night after surgery.
THE DAY OF SURGERY
Do not eat or drink anything past 10:00 PM the night before! If you need to take your blood pressure or anxiety medication, do so with a sip of water when you wake up. Make sure you arrive at the surgery center at the time indicated (our staff will call you the day prior with the exact time you need to be there). Our surgery center staff will greet you and make sure all the consent forms have been signed. Your companion can either wait in our comfortable waiting area, where there is coffee, water and snacks, or can return back home and we will call as soon as the surgery is over. You will be then taken to your room where our nurses will place an IV and EKG electrodes. A urine pregnancy test is performed on all pre-menopausal women. Then, you will meet in person our anesthesiologist who will explain the anesthesia procedure. Most surgeries are done under general anesthesia. Dr Georgescu will come and read to you the consent form and answer any last-minute questions you may have. He will then do the skin markings and may take some additional photographs. The bed will then be wheeled into the operating room where the time out will be performed before you go to sleep. The anesthesiologist will then give you IV medication that will allow you to fall asleep. At the end of surgery, you will be taken to the recovery room where you will wake up with no pain. We typically use ice-packs in recovery for 20 minutes to decrease swelling. You and your companion will be shown in detail how to apply the ointments and how to vacuum the drains. After approximately 1-2 hours you will be discharged to go home with your companion. We will bring you to the car in a wheelchair. You will be given Dr Georgescu’s personal cell number to call at any time if you have any questions or concerns and Dr Georgescu will call you the night of surgery to make sure you are doing well and following the instructions.
RECOVERY & RESULTS
Most patients take between 7 and 10 days off after facial implant surgery. Stitches
dissolve or are removed at 10 days. Bruising and swelling typically go away in about 2-3
weeks. Antibiotic and pain medication may be prescribed for a few days. You will need
to apply ice packs 20 min / hour while awake for 2 days. Starting on the 3 rd day you
switch to warm compresses twice a day 10 min each till the bruising is completely gone.
You will need to apply antibiotic ointment on the incisions 4 times a day for 3 weeks.
Strenuous activity, such as golfing, swimming, tennis and weightlifting should be avoided
for 3 weeks. Walking is allowed the day after surgery. Light running and biking can be
resumed after 1 week. The hair can be dyed after one month. Makeup can be applied as
early as 2 weeks after surgery.
You will need to come back to the office the following day to ensure that you are healing
well. You will also be seen on days 7 and 14 followed by 1 month, 3 months and 6
months. However, Dr Georgescu is available to see you at any time if you have questions
or concerns.
Although most patients look really good at 6 weeks, they are only 25% healed at this
time. Full healing normally takes 6 months, at which time the numbness around the
incisions is typically resolved.
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2122 NW 62nd ST, Ste 229 Fort Lauderdale, FL 33309
