How Facial Implants Are Placed: Chin, Cheek and Jaw Incision Sites, Pockets and Fixation

Key Takeaways
- Facial implants are placed on bone beneath the periosteum, not under the skin, which is why a well-placed implant reads as natural skeletal structure rather than a visible edge.
- Chin implants can go in through a crease under the chin or through the mouth; the intraoral route leaves no external scar but exposes the implant to oral bacteria and requires careful repair of the chin muscles.
- Cheek implants are almost always placed through an incision above the upper molars and are the most prone to shifting because the cheekbone has no ledge to cradle them.
- Jaw angle implants require lifting the masseter chewing muscle, so screw fixation is standard and mouth opening is typically stiff for one to two weeks.
- Solid silicone is easy to remove because the body forms a capsule around it; porous polyethylene integrates with tissue, which improves stability but makes later removal harder.
- Implant materials do not degrade and have no scheduled replacement, but the aging face, bone remodeling beneath the implant and late infection mean a lifelong result is never guaranteed.
Facial implants are placed through short incisions hidden inside the mouth or under the chin, then slid into a precisely sized space, called a pocket, created directly on the bone beneath the muscle and its covering membrane. Surgeons secure chin, cheek and jaw implants with small screws, sutures or a snug pocket alone. Placement details vary with anatomy and implant material, and are decided by the treating team.
The mirror moment usually comes from the side. A person turns their head during a video call, catches the profile, and notices the chin sits back, or that the cheeks look flat in a way that no amount of sleep seems to fix. Later, searching how are facial implants placed, they find a wall of glossy pages that show results but skip the part they actually want: where the cut goes, what holds the piece in position, and what it feels like to live with something new sitting on the bone.
That is the gap this explainer fills. Facial implants are a mature technique in plastic and maxillofacial surgery, with fairly predictable steps for the chin, the cheekbones and the angle of the jaw. The details differ, but the logic is the same each time: a hidden incision, a carefully sized pocket, and a decision about how to keep the implant from moving.
None of what follows is a recommendation. It is the working knowledge a well-prepared patient brings to the consultation, so the conversation starts at the right level.
How are facial implants placed, step by step?
A facial implant is a shaped piece of medical-grade material, most often solid silicone or porous polyethylene, placed on the facial skeleton to add projection where the bone is small or set back. The technical word is alloplastic, meaning made from a manufactured material rather than taken from the person’s own body.
Whatever the site, the surgical sequence follows the same arc. The surgeon marks the planned position on the skin while the patient is sitting upright, because gravity and expression change once someone lies flat. Anesthesia may be local with sedation or general, depending on the number of implants and the patient’s health; that choice belongs to the surgeon and anesthesia team. A short incision is made where a scar will be least visible, usually inside the mouth or in the crease under the chin.
Next comes the part that matters most. The surgeon lifts the soft tissue off the bone to create a pocket, an enclosed space just large enough for the implant. Working directly against bone gives a firm, stable surface and keeps the implant from shifting or being felt through the skin.
The implant is then trimmed if needed, checked against the pre-operative markings, and slid into position. Some surgeons place a sizer first to confirm the fit. Fixation follows, meaning the implant is anchored with one or two small screws, a dissolvable suture, or held by the tightness of the pocket alone. The incision is closed in layers, and a light dressing or compression tape may be applied.
Operating time is commonly under two hours for a single site, according to general cosmetic surgery guidance from the Mayo Clinic, though this varies with complexity and is never a promise. Most people go home the same day.
What is the implant pocket, and why does it matter more than the implant?
Ask an experienced surgeon what goes wrong with facial implants and the answer is rarely the implant itself. It is the pocket. A pocket is the space the surgeon dissects between the bone and the overlying tissue to hold the implant. Its size, depth and position decide whether the result looks like natural bone or like a foreign object.

Two anatomical layers matter here. The periosteum is a thin, tough membrane wrapped around every bone. Placing the implant beneath it, called subperiosteal placement, puts the implant directly on bone where it is least likely to move and where the body’s healing response is most predictable. Placing it above the periosteum, in a supraperiosteal plane, is quicker and involves less bone exposure, but the implant relies more on soft tissue for stability. Both approaches are used; the choice depends on the site and the surgeon’s training.
Pocket size is a balancing act. Too large, and the implant can rotate or drift downward over the first weeks before scar tissue matures around it. Too small, and the edges may lift or the overlying skin may look tight and shiny. The general aim is a pocket the same dimensions as the implant, so the implant is held snugly on every side.
The pocket also determines what the surgeon must avoid. In the chin, the mental nerve emerges from the jawbone below the premolar teeth and supplies feeling to the lower lip and chin. In the cheek, the infraorbital nerve exits below the eye and supplies the upper lip, side of the nose and lower eyelid. The surgeon plans the pocket to stay clear of these exits, which is why temporary numbness, though common, usually reflects stretching rather than cutting of a nerve.
Chin implant incision: under the chin or inside the mouth?
Chin augmentation offers two incision routes, and patients often have a stronger preference than they expect once they understand the trade-offs.
The submental approach places the incision in the natural crease under the chin, typically a short line of roughly two to three centimeters. Its advantages are a clean, sterile field away from oral bacteria, a direct view of the lower edge of the jawbone, and easy access for screw fixation. The scar sits in a shadow that few people ever see. Surgeons who also plan to treat the neck at the same time often favor this route because one incision serves both.
The intraoral approach, meaning through the mouth, uses an incision inside the lower lip where it meets the gum. There is no external scar at all. The trade-offs are that the surgeon approaches the bone from above and must work around the mental nerves on each side, the field is exposed to saliva and mouth bacteria, and the muscles that lift the chin, the mentalis muscles, have to be divided and later repaired carefully. If they are not reattached well, the chin pad can droop slightly, a change sometimes called chin ptosis.
From the inside, the pocket is created along the bony ridge of the chin and extends sideways toward the jawline, staying below the nerve exits. Extended anatomical chin implants, which taper along the jaw, need a longer pocket than simple button-shaped ones.
After either route, the lower lip and chin often feel wooden for days to weeks. The NHS notes that numbness after cosmetic facial surgery is usually temporary, though it can occasionally persist. Oral incisions dissolve on their own; skin incisions may need suture removal at about a week, timing set by the surgeon.
Cheek implants: where the incision goes and how the malar pocket is made
The cheekbone is the zygoma, and the prominence people call the cheekbone is the malar eminence. Cheek implants sit on this region, sometimes extending downward and inward toward the area beneath the eye, called the submalar zone, where age or genetics can leave a hollow.

Nearly all cheek implants are placed intraorally. The incision is made high in the mouth, above the upper molars and canines, in the gum tissue where the cheek meets the teeth. The surgeon then lifts the tissue upward along the front of the cheekbone, beneath the periosteum, to create a pocket on the bone. Because the incision is inside the mouth, there is no visible scar.
Two alternative routes exist and are used less often. A lower eyelid incision, similar to the one used in eyelid surgery, lets the surgeon approach the cheekbone from above and is sometimes chosen when eyelid surgery is happening anyway. An approach through a facelift incision in front of the ear is occasionally used when a facelift is planned in the same operation.
Two hazards shape the malar pocket. The infraorbital nerve exits the bone roughly a centimeter below the lower eyelid rim and must be kept out of the dissection. Slightly higher and further out, the pocket should not extend so far that the implant sits over the thin bone near the eye socket. Symmetry is the other challenge: the two cheekbones are rarely identical, so surgeons compare the two pockets repeatedly and may trim one implant to match.
Cheek implants are especially prone to shifting if the pocket is loose, because there is no ledge of bone to rest against as there is at the chin. That is why many surgeons fix cheek implants with a screw or a suture to the periosteum rather than relying on fit alone.
How are facial implants placed for the jaw angle?
Jaw angle implants add width or vertical height to the back corner of the lower jaw, the mandibular angle, where the bone turns upward toward the ear. They are less common than chin or cheek implants and technically more demanding, largely because of what lives nearby.
The incision is intraoral, made in the gum tissue behind and below the last molars, sometimes extended along the outer side of the lower gum. Through this opening, the surgeon lifts the masseter, the thick chewing muscle that covers the jaw angle, off the bone along with its periosteum. The pocket runs backward and downward to the very corner of the jaw, and may wrap slightly under the lower border if the implant is designed to add height.
Staying against bone is critical here. The facial nerve, which moves the muscles of expression, runs through the tissue outside the masseter, and the surgeon protects it by keeping the dissection deep to the muscle, directly on bone. The inferior alveolar nerve runs inside the jawbone in this region, so any screws are placed short and where the bone is thick.
Fixation is standard for jaw angle implants. The masseter is a powerful muscle, and every bite or clench pushes against the implant. A screw or two, or a suture through a small hole in the implant, resists that force while scar tissue forms.
Recovery is distinctive. Because the chewing muscle has been lifted, opening the mouth wide is often stiff and uncomfortable for a week or two, and a soft diet is typically advised while the incisions inside the mouth heal. MedlinePlus general guidance on surgical wounds emphasizes keeping oral incisions clean with rinses as directed by the surgical team.
Fixation: screws, sutures or friction alone?
Fixation means whatever stops the implant from moving before the body has anchored it with scar tissue. There are three broad strategies, and reasonable surgeons disagree about which is best for which site.
Screw fixation uses one or two tiny titanium screws passed through the implant into the bone. Titanium is chosen because it bonds well with bone and rarely provokes a reaction. Screws give the most reliable immediate stability, hold the implant in exactly the intended spot, and are almost universal for jaw angle implants and porous polyethylene implants of any site. They add a few minutes to surgery and require a surgeon to judge bone thickness carefully.
Suture fixation stitches the implant to the periosteum or to nearby soft tissue, sometimes through a small hole in the implant edge. Some surgeons use a suture that passes out through the skin and is tied over a bolster for the first few days, then removed. It is quicker than screws and adds nothing permanent, but it is less rigid.
Pocket fixation relies on a precisely sized subperiosteal pocket alone. Silicone chin implants placed through a submental incision often use this method, because the bone ledge along the lower jaw border cradles the implant.
What happens afterward is the same for all three. Over several weeks, the body builds a thin capsule of scar tissue around a smooth silicone implant, holding it in place. With porous materials, tissue actually grows a short distance into the tiny channels of the implant, which is why those implants integrate firmly but are harder to remove later. No method guarantees an implant never shifts, and no surgeon should promise that it will not.
What are facial implants made of, and does material change placement?
Material affects how the pocket is made, how the implant is fixed, and how it behaves years later. The three most common options are compared below. None is objectively best; each carries trade-offs the surgeon weighs against the site and the patient’s anatomy.
| Material | Feel and handling | How it is usually fixed | Later removal |
|---|---|---|---|
| Solid silicone | Soft, flexible, easy to trim; slides into a snug pocket | Pocket fit alone, suture, or screw | Usually straightforward, as the body forms a capsule around it rather than into it |
| Porous polyethylene | Firm, textured; needs a slightly larger pocket and careful positioning | Almost always screws | More difficult, because tissue grows into the pores |
| Custom-milled (often PEEK or polyethylene) | Designed from a CT scan to fit the patient’s own bone contours | Screws, with position planned digitally | Similar to the parent material |
A CT scan is a detailed X-ray that produces a three-dimensional model of the bone. Custom implants milled from such a scan are increasingly used for asymmetry, trauma reconstruction or when a stock shape has failed. Their main placement advantage is that the implant can only sit one way on the bone, which reduces the risk of rotation.
Bone-based alternatives exist too. A sliding genioplasty cuts the chin bone and moves it forward, held with a small plate, adding projection without any implant. Fat grafting, moving a person’s own fat to the face, softens hollows but adds volume rather than bony definition. The Mayo Clinic’s overview of cosmetic surgery stresses that every option carries risks and that a surgeon should explain why one approach suits a particular face; that conversation, not a materials chart, decides the plan.
Who is usually a candidate, and who is usually asked to wait?
Surgeons think about candidacy in two layers: is the problem one an implant actually solves, and is the person in a position to heal well and judge the result clearly?
On the first question, implants suit people whose concern is skeletal. A chin that sits behind the lower lip on profile, cheekbones that are flat rather than simply deflated by age, or a jaw that lacks definition at the angle are structural issues, and adding structure addresses them directly. Implants are less suited to problems of loose skin or fat loss, where lifting or grafting may be more appropriate. The teeth matter as well: a receding chin sometimes reflects a jaw that is too far back for the bite, which is an orthodontic and jaw-surgery question rather than a cosmetic one.
On the second question, most surgeons ask people to wait if facial growth is not finished, which generally means the late teens at the earliest, and often later for the jaw. Smoking and vaping impair wound healing and raise infection risk, and NHS cosmetic surgery guidance advises stopping well before any elective operation. Uncontrolled diabetes, active dental infection or gum disease near a planned intraoral incision, blood-thinning medicines that cannot safely be paused, and any active skin infection on the face are all common reasons to postpone. The decision about pausing or continuing any prescribed medicine rests entirely with the prescribing clinician.
Expectation and timing matter too. Someone going through a major life upheaval, or who hopes a new chin will change how others treat them, is often asked to take more time. The NHS explicitly recommends reflecting carefully and never feeling rushed into cosmetic surgery. A good consultation also screens for body dysmorphic disorder, a condition in which perceived flaws feel far larger than others see, because surgery rarely relieves that distress.
Jaw implant surgery recovery and what the first weeks usually look like
Recovery timelines below are typical ranges drawn from general cosmetic surgery guidance, not promises, and the surgical team’s instructions always take precedence.
The first two or three days are the hardest. Swelling peaks around day two or three and can be dramatic, especially with cheek and jaw implants where the tissue was lifted over a broad area. Bruising may track down into the neck. Pain is usually described as pressure or tightness rather than sharp pain, managed with medicines the surgeon prescribes according to their own plan. Sleeping with the head elevated and using cold compresses as directed are standard advice. Compression tape over the chin is common for a few days to keep the implant from shifting while the pocket seals.
With intraoral incisions, eating is the daily challenge. A soft or liquid diet is generally advised until the gum incisions seal, and gentle rinsing after meals keeps food away from the wound. Wide mouth opening, hard chewing and vigorous brushing near the incision are avoided.
By the end of the first week, most people can return to desk work and light activity, though they still look swollen. Numbness in the lip, chin or cheek is common at this stage and usually fades over weeks to months as stretched nerves recover, as MedlinePlus explains in its overview of numbness after tissue injury.
Weeks two to six bring gradual settling. Strenuous exercise and contact sports are typically restricted for several weeks because a blow to a fresh implant can dislodge it before the capsule matures. Final contour takes longer than people expect: residual firmness and mild swelling can persist for three months or more, according to the Mayo Clinic’s cosmetic surgery overview, and the jaw angle in particular can feel stiff during that period.
What are the downsides of getting a cheek implant, and of facial implants generally?
Honest cheek implant downsides deserve as much space as the benefits, because cheek implants carry a slightly different risk profile from the chin.
Malposition and asymmetry top the list. Because the cheekbone has no ledge, an implant in a loose pocket can rotate or slide within the first weeks, and even a few millimeters of difference between sides is visible in a photograph. Revision surgery is the usual remedy, and it means a second operation.
Infection is the complication surgeons fear most. The incision sits inside the mouth, and bacteria that reach the implant can form a film that antibiotics struggle to clear. CDC guidance on surgical site infection notes that infections can appear days to weeks after surgery. When a facial implant becomes infected, removal is often needed, with reinsertion considered only after the tissue has fully healed.
Nerve changes are next. The infraorbital nerve passes right through the surgical field, so numbness of the upper lip, side of the nose or lower eyelid is expected early and usually recedes, but a small proportion of people report lasting altered sensation. Injury to branches of the facial nerve, which move the face, is rare with subperiosteal dissection but is a recognized risk.
Visibility and feel are subtler downsides. In a person with thin skin, the edge of an implant can sometimes be seen or felt, particularly on smiling. Over years, silicone implants can gradually settle into the bone beneath them, a phenomenon called bony resorption, which is well described at the chin and usually of little consequence but occasionally changes the contour.
Finally, there is regret without any complication at all. Cheek implants change the face in a way fillers do not, and adjusting to a new face is a real psychological task. The NHS advises discussing this openly before surgery.
How long do facial implants last?
The short answer: the materials do not wear out, so a facial implant is considered permanent unless it is removed. The longer answer is that permanence of the object is not the same as permanence of the result.
Solid silicone, porous polyethylene and PEEK are chemically stable and do not degrade, dissolve or need routine replacement in the way some other medical devices do. There is no scheduled exchange. Once the capsule of scar tissue has matured, typically over a few months, the implant is anchored and the body treats it as inert.
Three things do change with time. First, the face around the implant ages. Skin thins, fat pads descend, and an implant placed in a person’s twenties may look different against the softer tissue of their fifties, sometimes more prominent, sometimes less defined. Second, the bone itself can remodel. Pressure from a chin implant can produce a shallow depression in the bone beneath it; this is a documented, usually harmless, finding that the surgeon monitors if symptoms arise. Third, late complications can occur years later, most notably infection after dental work or facial trauma, or slow migration if the fixation was never fully secure.
Removal remains an option at any age. Smooth silicone implants come out through the original incision with relative ease. Porous implants that tissue has grown into are more involved to remove and may leave a contour change that needs a further procedure.
Because implants are lifelong, surgeons often stress the value of conservative sizing: a slightly smaller implant that still looks natural at seventy is usually a better long-term choice than a dramatic one that looks striking at thirty. That judgment belongs in a face-to-face discussion, not a brochure.
Implants versus fillers versus bone surgery: how the options compare
People asking about implants have usually already encountered two alternatives, and knowing how the three differ in mechanism helps frame the consultation.
Injectable fillers, most commonly made of hyaluronic acid, a sugar-based gel the body also produces naturally, add volume within the soft tissue. They can mimic cheekbone projection or chin length without surgery, take minutes to place, and are gradually broken down by the body over months to a year or more depending on the product and site. Their strengths are reversibility and no incisions. Their limits are that they add softness rather than hard edge, they cannot deliver the sharp definition of bone, and results need repeating. The NHS classes fillers as non-surgical cosmetic procedures with their own risks, including lumps, infection and, rarely, blockage of a blood vessel.
Bone surgery moves or reshapes the patient’s own skeleton. A sliding genioplasty advances the chin bone and fixes it with a small plate; jaw surgery can reposition the entire lower jaw when the bite is also affected. These procedures avoid a foreign object entirely, can correct vertical height as well as projection, and are the standard route when the underlying problem involves the teeth or airway. They involve bone healing, greater swelling, and longer recovery than an implant.
Implants sit between the two. They deliver definition that fillers cannot, with less bony disruption than genioplasty, and they are removable in a way bone surgery is not. Their specific price is a foreign material living on the face for life, with its small but permanent infection risk.
Surgeons sometimes combine approaches, for example an implant for the chin and filler to soften the transition into the jawline. Which route fits a particular face depends on anatomy, goals and health, and is a decision for the treating team.
What people often get wrong about facial implants
Several misconceptions surface in almost every consultation. Correcting them early saves disappointment later.
The first is that implants are placed under the skin. They are not. Facial implants sit on bone, beneath muscle and periosteum, which is precisely why they can look like natural skeletal structure. An implant placed too shallow is the classic cause of a visible edge.
The second is that before-and-after photographs show what will happen. They show what happened to one individual with one anatomy, photographed under chosen lighting and angles. They are useful for understanding a surgeon’s aesthetic sense, not for predicting an outcome. No credible source guarantees a result, and the NHS advises being wary of any provider who does.
The third is that bigger is safer because it can always be reduced. Oversized implants stretch the pocket, press harder on bone and are more likely to look artificial as the face ages. Reducing an implant means a second surgery.
The fourth is that porous implants are always superior because tissue grows into them. Integration improves stability but makes removal harder, and it does not eliminate infection risk. Smooth silicone has a long track record of its own. Each material has a place.
The fifth is that numbness after surgery means a nerve was cut. In most cases it reflects stretching or swelling around a nerve that is intact, and sensation returns gradually. Persistent numbness beyond several months warrants review, but early numbness alone is not evidence of harm.
The sixth is that an implant can be placed with a filler-like needle. Threaded or injected solid implants are not a mainstream technique; a surgical incision and pocket are required.
And the last: that an implant fixes a weak bite or a recessed jaw. It changes the surface contour only. If the teeth do not meet properly, that is a question for orthodontic and jaw surgeons first.
Questions to ask your care team
A consultation is a two-way examination. The surgeon is assessing anatomy and expectations; the patient should be assessing whether this plan and this team fit. The questions below tend to produce the most useful answers.
- Which incision do you plan to use for my implant, and why that route for my face?
- Will the implant sit beneath the periosteum, and how will you protect the nerves near the pocket?
- How will the implant be fixed: screws, sutures or pocket fit? What has guided that choice?
- Which material do you recommend for me, and what would removal involve if it were ever needed?
- Would a bone procedure such as genioplasty, or a non-surgical option, address my concern as well or better?
- What sizes did you consider, and why this one rather than one step smaller?
- How will you check symmetry during the operation for paired implants?
- What is your plan if the implant becomes infected or shifts in the first weeks?
- What kind of anesthesia will be used, and who will be giving it?
- What should I expect at one week, one month and three months, and when will you see me for follow-up?
- Which of my current medicines or supplements need to be reviewed before surgery, and who will make that decision with me?
- How many of these specific procedures do you perform, and what complications have you personally managed?
- Do you hold current certification in plastic, facial plastic or maxillofacial surgery, and is the facility accredited for the anesthesia planned?
The NHS encourages people to check a practitioner’s qualifications and to expect a cooling-off period between consultation and surgery. Writing the answers down, and bringing someone who can listen without emotional investment in the outcome, often reveals whether the plan was explained or merely sold. A surgeon comfortable with these questions is a good sign in itself.
When to call your doctor
Most recovery is uneventful, but a small number of problems need prompt attention, and the surgical team would always rather hear from a patient early than late. Keep the after-hours number provided at discharge accessible.
Call the surgeon the same day for any of the following: swelling that is clearly worse on one side or increasing rapidly rather than plateauing, since this may indicate bleeding into the pocket; increasing pain after the first few days rather than steady improvement; redness, warmth or spreading tenderness over the implant; pus, cloudy fluid or a foul taste from an intraoral incision; the incision opening or the edge of the implant becoming visible through skin or gum; a fever, which CDC surgical site infection guidance lists among the signs of wound infection; or a visible change in implant position, such as rotation or a step that was not there when the dressing came off.
Seek emergency care immediately, without waiting for a callback, for difficulty breathing or swallowing, rapidly expanding swelling of the neck or floor of the mouth, uncontrolled bleeding, chest pain, or sudden weakness of one side of the face that was moving normally before.
Some symptoms are expected and can be raised at the routine follow-up rather than as an emergency: numbness of the lip, chin or cheek that is stable or slowly improving, mild stiffness opening the mouth after jaw angle surgery, tightness of the skin over a chin implant, and general puffiness in the first two to three weeks. If numbness has not begun to improve by around three months, or any expected symptom is getting worse rather than better, ask for a review.
All decisions about wound care, medicines and whether an implant needs adjustment or removal rest with the treating team, who know what was done and what the tissues looked like at surgery.
Frequently asked questions
How are facial implants placed without leaving a visible scar?
Most facial implants are placed through incisions inside the mouth, in the gum tissue where the lip or cheek meets the teeth, so no scar shows on the face. The surgeon lifts the tissue off the bone to create a pocket, slides the implant in and closes with dissolving stitches. The chin can alternatively be approached through a short incision in the natural crease beneath it, which heals as a fine line in shadow.
What are the downsides of getting a cheek implant?
The main downsides of a cheek implant are the risk of shifting or asymmetry, infection through the intraoral incision that may require removal, temporary or occasionally lasting numbness of the upper lip and cheek, and the possibility of a visible edge in thin skin. Cheek implants also change the face permanently, so adjusting emotionally is a real consideration. Revision surgery is the usual remedy for malposition.
Where is a chin implant incision usually made?
A chin implant incision is made either in the crease under the chin or inside the mouth behind the lower lip. The under-chin route gives a cleaner surgical field and easy screw fixation with a scar few people see. The intraoral route avoids any external scar but requires dividing and repairing the chin muscles and working around the nerves that supply lip sensation. Surgeons choose based on anatomy and any combined procedures.
How long do facial implants last?
Facial implants made from silicone, porous polyethylene or PEEK do not wear out and are considered permanent unless removed; there is no scheduled replacement. The appearance can still change over decades because the surrounding face ages and the bone under a chin implant may remodel slightly. Late infection after dental work or trauma is uncommon but possible at any time, which is why lifelong awareness matters.
What does jaw implant surgery recovery typically involve?
Jaw implant recovery usually involves peak swelling around day two or three, a soft diet while the intraoral incisions heal, and stiffness opening the mouth for one to two weeks because the chewing muscle was lifted off the bone. Most people return to desk work within about a week, avoid strenuous activity for several weeks, and see the final contour emerge over roughly three months. Individual timelines vary and are set by the surgeon.
What holds a facial implant in place?
A facial implant is held initially by small titanium screws, a dissolvable suture to the surrounding membrane, or the snug fit of a precisely sized pocket on the bone. Over the following weeks the body forms a capsule of scar tissue around a smooth implant, or grows into the surface of a porous one, anchoring it permanently. Jaw angle and porous implants are almost always screwed because chewing forces are strong.
Is the numbness after a chin or cheek implant permanent?
Numbness after chin or cheek implant surgery is usually temporary and results from stretching or swelling around intact nerves that pass close to the pocket. Sensation in the lip, chin or cheek commonly returns over weeks to months. A small proportion of people report lasting altered sensation. If numbness has not started to improve by about three months, the surgical team should review it.
Can facial implants be removed later?
Yes, facial implants can be removed, usually through the original incision. Smooth silicone implants come out relatively easily because the body wraps them in a capsule rather than growing into them. Porous polyethylene implants are more involved to remove because tissue grows into their surface. After removal the soft tissue may not fully return to its earlier shape, so a further contouring procedure is sometimes discussed.
What do cheek implants look like before and after, and can I expect the same result?
Before-and-after photographs of cheek implants show one individual’s anatomy under chosen lighting and angles, and they cannot predict another person’s result. They are useful for judging a surgeon’s aesthetic preferences and for showing how implants add bony definition rather than soft fullness. No reputable source guarantees an outcome, and health services advise caution toward any provider who promises one.
Are facial implants better than fillers for defining the chin or cheeks?
Neither is universally better. Implants provide permanent, hard-edged definition that mimics bone and require surgery with a lifelong small infection risk. Hyaluronic acid fillers add softer volume without incisions, are gradually absorbed over months to more than a year, and can be reversed, but cannot create sharp skeletal contour. The right choice depends on whether the concern is structural or volume-related, and rests with the treating clinician.
References
- NHS: Cosmetic procedures
- MedlinePlus: Plastic and Cosmetic Surgery
- MedlinePlus Medical Encyclopedia: Numbness and tingling
- CDC: About Surgical Site Infections
This article is for general information only and is not a substitute for professional medical advice. Please consult a qualified doctor about your individual situation.
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