Traditionally, strong cheekbones and facial angulation have been considered signs of beauty. Unfortunately, nature does not bless everyone with these ideal attributes. Cheek implants add to the definition of the face and help improve facial harmony using two procedures – malar augmentation and submalar augmentation. Patients who opt for malar augmentation have inherited flat cheekbones, and there is no contour to their face – or they want to eliminate the “cherub-cheeked” look.
Submalar implants can provide a more youthful appearance to the face or enhance the results of a facelift. They “fill” or add volume to the mid face which tends to “sink in” with aging. Patients who have submalar implants want to enhance the natural facial contours that have become hollow and contribute to a weak, tired or haggard mid-face area. These patients – men and women alike – have no substantial fatty deposits in their facial area and are looking to fill out their face. This surgery can offer a more natural-looking “high cheekbone” or fuller mid face effect. Patients who have suffered facial trauma or have a congenital defect are also candidates for cheek augmentation surgery.
Many people are born with a receding chin – which causes their face and profile to look out of proportion.
It’s not unusual during a rhinoplasty consultation to recommend correction of a receding chin. This occurs because the facial plastic surgeon does not consider the nose as an isolated feature; rather he/she sees it as a part of the entire face. In evaluating the aesthetic facial proportions, Dr. Perkins thinks in terms of the best possible profile obtainable for each individual patient. Therefore, in conjunction with rhinoplasty, it is sometimes necessary to augment the chin (build it up and bring it forward) utilizing an implant, in order to balance the entire profile. By augmenting the chin, a more pleasing facial harmony can be achieved, assuring a “natural” nasal appearance (i.e., not over reducing the nose so that it remains looking natural – avoiding the un-operated look – and continues to function well).
Of course, there are also individuals who have a receding chin, but have no need to fix their nose.
In general, when looking at your profile in the mirror, the chin should approximate an image of a vertical line dropped from the edge of the lower lip. Often times, patients desiring rhinoplasty are unaware that their chin is too small or out of balance with the rest of their face. In cases where the chin is severely receded, braces and/or orthodontia can be additional options.
Dr. Perkins utilizes cutting-edge computerized video imaging so that potential patients can visualize what a cheek implant or a new, stronger chin looks like before deciding whether either of these surgeries provides the look they desire.