Facial implants are available in a wide range of sizes and styles for the chin, jaw, nose and cheek.

The procedure follows a similar pattern for all facial areas. We make a small incision near where the implant will be placed, either in a crease or inside the mouth at the gum/lip junction. Then a pocket is made, the implant inserted, and the incision is closed.

The semi-permanent fillers, like poly L-Lactic acid or polycaprolactone (PCL) microspheres suspended in water-based carboxymethylcellulose (CMC) gel–carrier are ideal to activate collagen, while stabilised injectable hyaluronic acid is indicated for the treatment of tissue remodelling and skin laxity.

The last years more popularity gain the fat/stem cells: we take fat from the neck, the inner thighs or the abdomen, we liquify it through emulsification then we inject it around the face: the upper/lower lips, the upper/lower eyelids, around the mouth, the cheeks or the eyebrows. The face will be improved as well as the quality of the skin because of the adipose derived stem cells (ADSC).

The process generally takes 1-2 hours, with topical anesthesia/sedation or general anaesthesia. Sometimes facial implants, semi permanent fillers or fat/stem cells are inserted at the same time as a facelift, nose or eyelid procedure is performed.

Liapakis IE, Tzouganakis AC, Paschalis EI, Englander M, Christopoulos A, Gloustianou G, Kontoes P. Parry-Romberg syndrome treatment with fat transfer and a new bleaching formula.