Third Quarter 2009, Volume 23, Number 3

Chin and cheek implants can help restore youthfulness and enhance your profile


Latest trends show increase in minimal invasive procedures on men, women, and for work reasons

Chin and cheek implants can help restore youthfulness and enhance your profile

Ask the Surgeon / Health Tip / What’s New

Trust your face to a facial plastic surgeon


Is it necessary to buy the sunscreen with the highest SPF? How much more effective is a product with SPF 80 versus SPF 30?

No, it is not necessary to buy the sunscreen with the highest sun protection factor (SPF). You should always wear sunscreen with at least an SPF of 15. Apply 30 minutes before venturing outdoors and reapply every two hours; reapply immediately following swimming or after considerable sweating. SPF of 15 means that your skin is protected 15 times longer from the sun’s harmful ultraviolet B (UVB) rays than without sunscreen. Look for a product that protects against both UVB and ultraviolet A (UVA) rays. The difference in UVB protection between an SPF 100 and SPF 30 product is marginal. For example, SPF 30 deflects 97 percent of UVB rays, while SPF 50 blocks 98 percent and SPF 100 blocks 99 percent. According to the Skin Cancer Foundation, numbers above 50 offer negligible increases in protection. The Food and Drug Administration is proposing to cap the SPF at 50 with strict rating and labeling laws. Until this happens, you will probably see many products vying for the market share with big SPF numbers.


What is the best way to keep your skin radiant during the summer months? Keeping your skin clean, hydrated, and protected will ensure a natural glow. Be sure to use a mild soap; wash the dirt and excess oil from your skin preferably twice a day. Avoid a cleanser that has perfumes or dyes.

Your skin loses a lot of moisture throughout the day due to evaporation. To aid your skin against drying out, drink plenty of water and apply a moisturizer after washing your face. Look for a moisturizer that is water-based with no perfumes or dyes. Check the labels of your favorite lotions and foundations, do they contain sunscreen? Protect your skin from aging prematurely by routinely applying sunscreen with a sun protection factor (SPF) of at least 15. Refrain from smoking, which increases wrinkles.


Dysport® is derived from botulinum toxin A and has been approved for aesthetic use in the United States. It is similar to Botox®—both work to paralyze muscles that contract and cause wrinkles. Botox®, however, is suspended in sodium chloride; Dysport® is suspended in lactose. It takes 10 minutes to inject Dysport®, with results showing in one to two days and results lasting three to five months.

Talk to your doctor to see if Botox® or Dysport® might be right for you. Another new product on the market is Evolence®. This new dermal filler is used to smooth and soften wrinkles by adding volume back into your skin. Results are immediate and last at least six months. This filler is made of an advanced collagen compound; it does not require a skin pre-test. It is recommended for the improvement of moderate-to-deep facial wrinkles and folds, e.g., smile lines.

Cheek surgery
One of the strongest characteristics of youth is fullness of the cheeks, indicating an abundance of healthy soft tissues and fat that is present under the skin. Also a sign of vitality, the cheekbones are responsible for defining the face, highlighting the eyes, and adding overall balance to your features. Not everyone can retain contour and fullness with age. Not everyone has prominent cheekbones.

Cheek and chin implants come in
a variety of sizes and shapes
(see photo above).

When there is depletion of tissue and fat and minimal cheekbones, the skin sags, appears flattened or sunken, and may cause folds and wrinkles around the mouth. The mid-face or cheek implant can hold up the collapsed tissue and restore the youthful appearance of adequately padded skin at healthy levels of distention and elasticity. This improves the contour, creates balance, and bolsters selfesteem.

The incision is made inside your upper lip or inside your lower eyelid. A pocket is formed and the implant is inserted and secured. The procedure may take from 30 to 45 minutes. Your ability to move your mouth and lips may be restricted temporarily after the surgery. Stitches used to close the incisions usually dissolve within 10 days.

Lower jaw surgery
The angle of the jaw can be augmented with an implant. Incisions are made inside the mouth on either side of the lower lip. A pocket is created and the lower-jaw implant is inserted and secured. The procedure may take one to two hours. Dissolving sutures are used to close the incisions. There may be swelling following surgery. Your activities and ability to smile or talk will be limited for several days.

The new you
Give yourself plenty of time to recover. Facial implants can produce some remarkable changes. It may help you achieve more defined and angled facial features that are considered a sign of beauty. Most people will comment on how great you look, not realizing that you even had surgery. For more information on implants, make a consultation appointment with your facial plastic surgeon today.