Is it possible to get facial implants and a face lift in one procedure?

Question

I have significant asymmetry in my face due to birth trauma from the umbilical chord. Moreover, I have a lot of loose skin on my face. Was wondering if I could get bespoke facial implants (mandible and cheek) and have a face lift and buccal fat removal in the same procedure

Semih Yildiz, MD, FEPOBRAS · Answer

Yes, it can be possible to combine custom cheek/mandibular implants with a facelift in one operation, but it is a complex plan and not always the best choice. Facial asymmetry from birth trauma usually involves both bone and soft tissue, so you would need a detailed in-person exam, standardized photos, and often 3D CT-based planning before custom implants are designed. The implants can improve skeletal support and balance, while the facelift treats skin and soft-tissue laxity; they solve different problems.

Whether to do everything at once or in stages depends on your anatomy, health, operative time, swelling risk, and how much correction is needed. Buccal fat removal should be considered very carefully because it can worsen hollowing or make the face look older, especially when combined with a facelift. A surgeon experienced in custom facial implants and facelift surgery can advise whether one combined procedure is reasonable or whether implants first, followed by soft-tissue refinement later, would give a more predictable result.

Donald Groves, MD · Answer

Hello and thank you for your question. I also answered your other similar question from 9/18/23. Generally, your risk for complications increases after your surgery length exceeds 4.5-5 hours. For the specific procedures you have listed, it is possible to do all these procedures together during one surgery. It makes sense to perform the facelift and facial implants in the same surgery, given that the wide exposure provided by the facelift would provide access for the implant placement. The buccal fat pad removal could be performed quickly during the same operation as well. Hope this helps! 
Best, 
Dr. Donald Groves 
Plastic Surgeon

Andrew L. Greensmith, MBChB, FRACS · Answer

This is indeed possible and not commonly done as most surgeons prefer nano or microfat grafting over facial implants and it is less risky at the same time as a face/neck surgery

Ronald J. Edelson, MD · Answer

Facial asymmetry is quite common. In many cases doing things like facial
Implants does more harm than good. So I’m
Not a fan of using them

Russel S. Palmer, MD · Answer

You can. A facelift can be an excellent time to place facial implants, and also it is easy to remove buccal fat during when doing a facelift.

Connie Hiers, MD, FACS · Answer

Again, you did not post photos, so I cannot be specific. You need to be evaluated to see what can be done and how many procedures it might take.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.  Of course you need an examination and opinion by an experienced board-certified plastic surgeon who utilizes facial implants in their practice.

That said it is not uncommon to utilize facial implants during facelift surgery, most commonly chin implants.  Plastic surgeons who are comfortable using facial implants most likely can advise you properly for your particular case.

Be aware however that the more procedures that you undergo in one setting the more risk of complications occurs.

Is it possible to get facial implants and a face lift in one procedure?

Answers (7)

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