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Cheek Implants or Fillers

August 20, 2015


Just like many other parts of human body, the cheeks also begin to sag as we grow old. This happens because the skin on our cheeks loses volume and elasticity over time. External factors like smoking and prolong exposure to sunlight can also contribute to saggy and sunken cheeks. If you are someone who is suffering from this, then there is good news for you. Today, with the help of cheek implants and cheek fillers, surgeons can bring back the “fullness” of your cheeks and restore your youthful appearance.


Below, you will find some advantages and disadvantages of cheek implants as well as learn how they are inserted.

Surgical: A disadvantage of cheek implants is that they require surgery. Incisions are either made on the natural folds of the lower eyelids or inside the mouth to minimize visible scars.

Procedure: Before the implants are placed, you will be put under with sedation anesthesia. Then, incisions are made and implant is inserted through the opening. In most cases, the surgery can be performed in less than an hour and the results can be seen right away.

Recovery: Like many other plastic surgeries, cheek implants also leave swelling on the face and numbness can be felt by the patient for few days afterwards. Normal recovery can take up to six weeks although the very final result is after 6-months.

Results: Because cheek implants are permanent, they can stay in place forever and do not require you to spend money to have them replaced. Dr. De Silva will chose an implant that best suits your individual needs this includes your expectations from surgery, your facial shape and size, your age and the natural shape of your underling cheek bones. Cheek implants produce better results than fillers if you want to have more prominent and sculpted cheekbones.


Now, let’s examine how cheek fillers work and what are some positive and negative qualities of them.

Non-Surgical: One of the biggest advantages of fillers over implants is that fillers do not require surgery. Instead of using incisions, the surgeon will only use syringes to inject fillers in the cheek. Moreover, since there is no surgery, this means there are very little complications in performing this procedure.

Procedure: Your surgeon will measure the contours of your face before injecting the fillers in order to make sure the desired results are achieved. The patient will not be sedated and will be fully awake throughout the 30-minute procedure.

Recovery: Because of the use of syringes, some small bruises can be seen after the procedure. However, they are almost unnoticeable. Total recovery time for fillers can be anywhere from three days to ten days.

Results: One major downside of injectable fillers is that the results are not permanent. Thus, they need to re-injected every six to twelve months in order to maintain the plumpness of the cheeks. In the long run, this can be expensive.

Generally, someone who has a lack of proper structure of the cheekbones would be an ideal patient for cheek implants as they are superior when it comes to improving cheekbones’ appearance. On the other hand, a person looking for very minor changes to the cheek area should consider getting cheek fillers.

Whether you need implants or fillers, it is recommended that you consult your doctor before making a decision. You are welcomed to schedule an appointment with Dr. Julian De Silva to go over your needs.

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The Perfect Jaw

August 5, 2015

The jawline is one of the most distinguishing characteristics of the face, and having a proportionate jawline can be one of the biggest contributors to overall facial harmony. Though the jawline can be often overlooked when considering cosmetic changes, slight modifications to the chin and jawline can have a great impact in correcting any facial imbalances.

As with other facial features, there are different characteristics of an ideal jawline for men and women. The ideal jaw for a man is strong, with more prominent angles and a pronounced chin. The latest trend has been stronger, squarer jawlines than those of the past, and some men even choose a chin augmentation to balance out their naturally strong noses in lieu of a rhinoplasty. For women, the ideal jaw has softer, more feminine characteristics, though of course each patient will have a different definition of “ideal,” depending on their personal facial characteristics.

A well-defined, proportional jawline and chin are characteristics of youth and attractiveness, and these factors can even improve your performance in the workplace. There are now many options, both surgical and non-surgical, to provide the desired facial changes. A great non-surgical option is a chin augmentation using fillers such as Radiesse and Voluma. A filler chin augmentation is not a permanent option, as the fillers will naturally be broken down and absorbed by the body within 6-12 months, but it is a great option for those who are not yet ready for surgery but would like to see what the changes would look like.

For patients desiring a permanent solution, there is the option of a surgical chin augmentation, using a medical grade silicone chin implant. Dr. De Silva tailors the implant to each individual, and offers great flexibility in both size and shape when determining what changes would best fit their face.  Men and women need different sculpting of the implant to give the best natural looking result, men a stronger more square jawline and for women a more ‘heart-shaped’ jaw line.

To achieve their desired results, some patients may even benefit from a jaw advancement surgery in conjunction with their chin augmentation. Though this surgery is more invasive, it can help correct a recessed chin or jawline and bring it into more prominence. With time everything has a tendency to sag as a result of laxity of soft tissue, gravity and general ageing, Dr. De Silva ensures that the chin implant stays in its ideal position long-term by securing the implant with two tiny titanium screws, these ensure that no movement can occur with time.

For those who already have a great underlying structure, but whose chin and jawlines have become less defined over the years due to the aging process, face and neck lifts can help improve skin laxity.  By addressing the sagging skin, the youthful contours are once more revealed, and can be a great way to look and feel younger and rejuvenated.

If you are interested in learning more about improving your facial balance by addressing the jawline, please contact Dr. Julian De Silva for a consultation. Dr. De Silva is experienced with chin augmentations and can help determine the best solution for you.

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