Planning Your Surgery
When you discuss your surgery with Dr. Nikolov, be certain that you clearly express your expectations. Dr. Nikolov will help you determine what it is possible to achieve. It may be helpful to provide Dr. Nikolov with photos of people who have facial features similar to those you would like to have.
Be sure you understand the details of the proposed surgery, including the cost and what to expect during your recovery.
If the surgery will entail an incision inside your mouth, it is important that you inform your physician if you smoke or if you have any dental or gum problems. Dr. Nikolov will advise you on these matters.
Preparing for your surgery
In preparing for your surgery, be sure to find out if you’ll be able to drive home afterward or will require transportation. You should also ask if you’ll need to refrain from eating or drinking the night before your surgery, and if you should stop taking any medications, including aspirin and similar drugs. You may be instructed to take oral antibiotics both before and after the procedure to help guard against infection.
Dr. Nikolov will provide information about these important matters during your pre-operative consultation.
Where your surgery will be performed
Your operation may take place in an office-based facility, a freestanding surgical center or a hospital outpatient facility. Sometimes, Dr. Nikolov may require that you stay overnight. Your doctor will make such a recommendation based on your overall medical condition and whether another cosmetic procedure was performed simultaneously with the facial implant surgery.
Types of anesthesia
In some cases, facial implant surgery may require only local anesthesia combined with a sedative. However, more frequently, a general anesthesia may be recommended.
Insertion of a chin implant may take anywhere from 30 minutes to an hour. During the procedure, the surgeon selects the proper size and shape implant to enhance your appearance and inserts it into a pocket over the front of the jawbone. The small incision to create the pocket and insert the implant is placed inside the mouth (along the lower lip) or in the skin just under the chin area.
Cheek implant surgery usually takes about 30 to 45 minutes. When cheek implants are being placed in conjunction with another cosmetic procedure, such as a facelift, forehead lift or eyelid surgery, the implants may be inserted through the incisions made for those procedures. Otherwise, an incision will be made either inside your upper lip or your lower eyelid. A pocket is then formed and an implant is inserted.
Insertion of a jaw implant usually takes about one to two hours. Internal incisions are made on either side of the lower lip to provide access for creating a pocket into which the lower-jaw implant can be inserted. Dissolving sutures are used to close the incisions.