Silicone implants for facial augmentation in Jordan
دعامات السيليكون لتسمين الوجه
Facial implants are solid, pre-shaped devices, many of them made of firm medical-grade silicone, that are placed surgically over bone in areas such as the chin, cheekbone or jawline to compensate for deficient bony structure. They are a permanent structural addition fixed onto bone, and they differ fundamentally from injectable fillers, which are placed in soft tissue and are gradually absorbed. The operation is usually done under general anaesthesia, or local anaesthesia with sedation, most often through a concealed incision inside the mouth or beneath the chin. A precise pocket is created on the bone surface, an implant of the selected size is inserted, and it is secured so it cannot shift. It can be combined with other facial procedures when part of a wider plan. The result lasts as long as the implant stays in place, and it can be removed or exchanged later if necessary. Suitability is decided by clinical examination and by assessing the bony framework and the dental bite, not by the patient's wish for a stronger profile. When a short chin is caused by a retruded lower jaw or a genuine malocclusion, the correct treatment is orthodontics or corrective jaw surgery; placing an implant then improves an outline while leaving the functional problem untouched. Gum disease, untreated dental infection or heavy smoking raise the risk of implant infection and delay the decision. The limits must be stated plainly. An implant adds bony projection and volume; it does not tighten loose skin, does not treat a double chin or a sagging neck, does not narrow a wide face, and does not replace jaw surgery when the bite is abnormal. Because it is a foreign body, infection, displacement, bone resorption beneath it, or the need for removal remain possible even if uncommon, and temporary altered sensation in the area is expected. Before deciding, verify that the facility is licensed and that the surgeon is certified in plastic surgery or oral and maxillofacial surgery through the official Jordanian authorities, and ask which implant is planned, in what size, and why. Placing a permanent device in the face is a surgical decision that does not belong in an unlicensed clinic or in unqualified hands.
Procedure steps
- 1
Structural assessment and planning
The surgeon examines the bony framework, the dental bite, facial symmetry and soft-tissue thickness, requesting imaging when needed. This is where a true skeletal deficiency is separated from skin laxity or excess fat, and where corrective jaw surgery is discussed if the underlying problem is the bite.
- 2
Health preparation and risk control
Dental and gum problems are treated first, because an intraoral incision lies in a contaminated environment; smoking cessation is strongly encouraged and chronic conditions such as diabetes are optimised. Medicines and supplements are reviewed, and the type of anaesthesia and the incision site are agreed.
- 3
Access and creation of the pocket
After anaesthesia and antiseptic preparation, a hidden incision is made inside the mouth or under the chin, and the tissues are opened down to the bone while avoiding nearby sensory nerves. A pocket is created to match the implant exactly: too large a pocket allows movement, too tight a pocket distorts the shape.
- 4
Implant placement and fixation
The chosen implant is centred on the bone and the two sides are compared by measurement and inspection; a different size may be substituted if the contour is not right. It is then fixed with a suture or a small screw to prevent displacement, and the overlying tissue is checked to make sure it is not under tension.
- 5
Closure and long-term follow-up
The incision is closed in layers and a dressing or supportive tape is applied, with a strict oral hygiene regimen when the approach was intraoral. Early reviews are arranged to detect any developing infection, and later reviews confirm that the implant remains stable and that sensation and contour are satisfactory.
Before the procedure
Tell your surgeon about every medicine and supplement you take, especially blood thinners and anti-inflammatory drugs, and stop a long-term medicine only on medical advice. Disclose diabetes, autoimmune disease, immunosuppressive treatment, clotting disorders, drug allergies, and any previous facial surgery or old filler injected in the same area. Have your teeth checked and treat gum inflammation, an abscess or decay before surgery, because an incision inside the mouth passes through a contaminated field. Stop smoking before and after the operation, as it raises the risk of infection and wound breakdown. Follow the fasting instructions given by the anaesthetist and arrange someone to take you home. Prepare the prescribed mouth rinse, soft cool food for several days, and pillows for sleeping with your head raised, and avoid scheduling an important social event within three to four weeks.
After the procedure
Expect swelling, bruising, tightness and temporary numbness of the lower lip, chin or cheek, with swelling easing over two to four weeks and the contour settling after two to three months. Sleep on your back with your head raised, avoid sleeping face-down, and do not press or massage the area, because an implant can shift before the tissues have consolidated around it. If the incision is intraoral, use the prescribed rinse, eat soft food, avoid hard foods and vigorous brushing near the wound until permitted, and stop smoking and strenuous exercise for several weeks. **Seek care immediately for fever, purulent discharge, a foul smell, spreading redness, or pain that increases after it had started to settle, because infection around an implant may require its removal.** **Also seek emergency care for continuing bleeding, rapid swelling, or difficulty swallowing or breathing.** Report any sense that the implant has moved, obvious asymmetry, or numbness that persists for months.
Expected duration
Usually one to two hours depending on the site and how many implants are placed, with same-day discharge in most cases. Return to work is often after five to ten days, most swelling settles within two to four weeks, and the final contour stabilises after two to three months.
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