Dr. Harlow Hollis, FRCS (C)
Plastic and Cosmetic Surgery

Cheek Implants
Who is a candidate?
If you have a desire and need for more prominent cheek contour.
Small or significantly reduced cheek tissue and cheekbone contour as an inherited characteristic or as a result of aging.
Facial asymmetry.

Intended Results
Enhanced cheek contours.
Greater facial balance.
Improved symmetry.

Procedure Description
The procedure is done on an outpatient basis under attended local or general anesthesia.
A small incision is made under the upper lip, in the lower eyelid, or in the hairline, and a biologically inert, pre-shaped implant is placed next to the bone.
Several optional incision locations are used: a. under the upper lip above the gum line; b. beneath the eyelashes in the lower eyelid; or c. in the hairline or through a facelift incision.
A biologically correctly shaped implant is inserted over the natural cheekbone contour. It will be held in place by the normal tissues that surround it.

Recuperation and Healing
There are usually no dressings.
Initial swelling is usually moderate and gradually disappears over a month or two.
Discomfort is mild to moderate and is controlled with oral medications.
Sutures in the mouth dissolve and do not need to be removed.
Sutures under the eyelid are removed in 4 to 5 days.
Sutures or staples in the scalp are removed in approximately 10 days.

Other Options
Additional procedures that would enhance the result are other facial cosmetic procedures such as facelift, eyelid lift, brow lift, rhinoplasty, or chin augmentation.

Insurance Guidelines
This procedure is considered cosmetic and therefore is not covered by insurance. The patient is responsible for payment.

Note
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

Chin Enlargement
Who is a candidate?
If you have a small or receding chin.
A chin that looks too small in comparison with other facial features and possible makes the nose appear longer.
Desire for increased chin prominence.

Intended Results
An improved profile.
A more attractive jaw line that creates a better balance between the chin and other facial features.

Procedure Description
The procedure is done on an outpatient basis under sedation and local or general anesthesia.
An incision is made inside the lower lip or under the chin, and an implant is placed.
In an alternative method called sliding osteotomy, a portion of the chin bone is permanently moved forward.

Recuperation and Healing
The patient goes home with a small pressure dressing over the chin.
Initial discomfort is easily controlled with oral medication.
Swelling, tenderness, and possible local numbness gradually subside for a month or two.

Other Options
Additional procedures that would enhance the result are: liposuction of the neck, nose reshaping (Rhinoplasty), neck lift, or laser skin resurfacing.

Insurance Guidelines
This procedure is considered cosmetic and therefore is not covered by insurance. The patient is responsible for payment.

Note
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

Fat Grafting and Collagen
Who is a candidate?
If you have indentations in your skin, depressed scars, or deep wrinkles.
If there are grooves, folds, or areas of soft tissue depression. This may also include enhancement of your lips.

Intended Results
Minimize facial and other skin wrinkles and depressions.

Procedure Description
COLLAGEN: This treatment is usually better for small depressions. Collagen is injected on an outpatient basis starting about 4 weeks after initial testing for allergies. Small amounts of collagen are injected into the deep skin layers under the depression or defect.
FAT TRANSFER: The patient’s own fat is collected (suctioned) from a distant donor area and re-injected into the defect area.
Collagen injections are an outpatient procedure.
Fat transfer may require sedation plus local anesthesia if larger amounts of fat are to be collected. Small amounts of fat can be collected and transferred under local anesthesia.

Recuperation and Healing
The treated areas usually look normal within a matter of hours after collagen injection and within a few days after fat transfer.

Other Options
Additional procedures that could enhance the result of collagen injections or fat transfers are other facial cosmetic procedures such as face lift, eyelid lift, Rhinoplasty, etc.

Insurance Guidelines
This procedure is considered cosmetic and therefore is not covered by insurance. The patient is responsible for payment.

Note
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

Softform Facial Implants
Who is a candidate?
If you have a desire and need for fuller lips.
If you have a desire and need to reduce superficial folds or depressions.

Intended Results
Enlarged lips.
Reduced larger facial folds or depressions.

Procedure Description
The procedure is done on an outpatient basis under attended local or general anesthesia.
The Softform facial implants are placed through very small incisions at the time of consultation.
Placement of the incision sites will be discussed at the time of consultation.

Recuperation and Healing
There are usually no dressings.
Initial swelling is usually moderate and gradually disappears over a month or two.
Discomfort is mild to moderate and is controlled with oral medications.
Sutures are usually removed in 4 to 6 days.

Other Options
Additional procedures that would enhance the result are other facial cosmetic procedures such as face lift, eyelid lift, brow lift, rhinoplasty, or chin augmentation.

Insurance Guidelines
This procedure is considered cosmetic and therefore is not covered by insurance. The patient is responsible for payment.

Note
The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

 
Dr. Harlow Hollis


Canadian Society for Aesthetic Surgery
The Canadian Society for Aesthetic (Cosmetic) Plastic Surgery was
established in 1972 with a membership of certified (FRCS(C)) Plastic
Surgeons specializing in cosmetic surgery...

 Dr. Harlow Hollis MD FRCS (C)
100 1830 Oak Bay Avenue
Victoria, BC  V8R 6R2
Tel: (250) 592-7368
Fax: (250) 592-8998
email: hollismd@shawcable.com

Copyright © 2002  Dr. Harlow Hollis Inc. All rights reserved. This is a Canadian website and is intended for Canadian residents.