Fat Transfer and Facial Implants

It is well known that VOLUME is one of the keys to preserving or enhancing youthful contours. This is why the class of injectables referred to as “fillers” has become so popular. As Dr. Capone commonly tells his facelift patients, “Pulling and lifting alone are no longer the ideal means for rejuvenation, but a balanced approach that utilizes surgery in conjunction with facial volume enhancement is.” Therefore, fat transfer and facial implants have become a crucial component of cosmetic surgery.

About Fat Transfer and Facial Implants

Autologus fat is your own fat, which is used during a fat transfer. Both autologus fat and silastic implants simply add volume where you need it most.  Fat can be harvested easily at the time of surgery, and placed into the midface, cheeks, nasolabial folds, marionette lines, lips, and philtral columns. Since the fat is your own during a fat transfer, your body tolerates it very nicely.  Fat transfers are the most versatile of all the volumizing procedures, in that Dr. Capone has the flexibility to inject various amounts in various locations.  Not all the fat, however, is thought to be permanent, and current estimates are that 20-30% of the fat can remain for life, but the remainder disappears over the first 2-3 years.  These numbers will likely change as advances in tissue handling and fat harvesting techniques are made.

Silastic implants are the most popular facial implants used today for permanent enhancement.  Cheekbone implants (malar and submalar), chin implants (mentoplasty), pre-jowl implants, and combination chin/pre-jowl implants are the most popular. They are easily placed, well tolerated, look great, feel natural, and have nearly nonexistent infection or rejection rates.  Unlike breast implants which are encapsulated liquid silicone or saline, there is no “capsular contracture” with solid silastic implants, and facial implants do not need to be replaced.

In addition to rejuvenation, facial implants are commonly used to adjust and refine one’s facial proportions. Flat cheek bones can be made more shapely, a weak chin can be made more substantial, and a narrow jawline can be made more square.  Such enhancements are very effective at producing a more attractive visage and are common recommendations for young adults interested in looking better. By far the most common facial implant performed in America today is the chin implant, or mentoplasty. Unlike the genioplasty procedure, which requires Dr. Capone to make direct modifications to the jaw bone, mentoplasty requires only a small skin incision and placement of the implant just in front of the chin bone. The subtle change that results is quite appealing, adding to the overall attractiveness of the face and neck, as well as the chin itself.

To learn more about a fat transfer or facial implants in Baltimore, contact us!

Founded and directed by Johns Hopkins faculty Dr. Randolph Capone, the Baltimore Center is a premier plastic surgery practice dedicated exclusively to providing state of the art care for individuals desiring body enhancement, rejuvenation, or repair. The Baltimore Center for Plastic Surgery was founded for one purpose: to combat the signs of aging and deformity.

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