Facial Surgery Megaguide
By Syna
By Syna
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Table of Contents:
Introduction
Disclaimers
Orthognathic/Jaw surgery spoiler.
Orbital/Eye procedures spoiler.
Cosmetic facial soft tissue spoiler.
Rhinoplasty
Facial implants.
References list spoiler.
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Introduction: This thread is directed to the newest members of the looksmaxxing community, as surgery is unarguably the best looksmaxxing for ascending and fixing severe facial failos, this guide aims to explore the most known surgical procedures and to explain how they are performed, the risk that may come with each surgery (infection risk, relapse risk, botch risk) and will also display the average recovery/healing time and the price average price both in the USA, EU and Turkey. The surgeries overall risk will be categorized with the next suffixes.
Low Risk
Medium Risk
High Risk
Disclaimer: The risk varies a lot from surgery to surgery and it's also highly dependent on:
the surgeon's skill, experience, the pre operation surgery plan and the advancement/movement planned to achieve with the surgery may affect the risk of botch or failure.
Risk category overall: Low
Le Fort 1: It's done by performing a horizontal cut above the teeth, separating the upper jaw from the rest of the face, it's very commonly used to fix malocclusions such as an underbite or open bite and it's a very common procedure in jaw surgery.
The advancement obtained is measured in mm, and the advancement needed like with the majority of this surgeries is case dependent, but the best results are usually from 3-8MM, larger advancement (8-10mm) can be a bit less stable and carry a more significant relapse risk.
Infection Risk: Low, according to this PubMed study, out of the 512 patients screened in this study, 41 patients (around 8%) were diagnosed with a surgical site infection.
study: https://pubmed.ncbi.nlm.nih.gov/32694715/.
Botch Risk: Low, a PubMed study about complications during orthognathic surgery found that the number of overall complication rates (minor + major): 6–15% however, the number of serious complications is significantly lower than total rate.
study: https://pmc.ncbi.nlm.nih.gov/articles/PMC5342970/?utm_source.
Relapse Risk: Low to moderate (depends highly on the type of fixing plates used), according to two PubMed studies, Measurable relapse can occur around: 10–25%, however this relapse is usually of around 1-2mm.
study: https://pubmed.ncbi.nlm.nih.gov/16286202/, https://pubmed.ncbi.nlm.nih.gov/28601432/.
Recovery time: around 9-12 months for full bone remodeling and fusion, although the worst swelling starts to fade around 2 weeks post op, and tends to fully go 6-8 months post op.
Price:
Worldwide: $8,000 – $25,000
USA: $18,000 – $35,000
Turkey: $4,000 – $12,000
Risk Category Overall: Medium Risk
General note: all major skeletal advancements like jaw surgery will cause soft tissue redistribution and repositioning, mm of advancement might affect how this is shown.
Le Fort 2: It's done by performing cuts in a pyramid shape around the nose and upper cheeks (completely separates the midface)
It's commonly used to fix severe midface retrusion and congenital deformities like hypoplasia.
The advancement obtained for LF2 is as the rest of the surgeries case dependent, but best and more stable results are 5-8mm, greater advancement can be possible but carries more risks of relapse.
NOTE: This is a rarely performed surgery so the information is a lot more limited.
Infection Risk: Moderate, a PubMed study found a reported range of around 5–12%, higher than other procedures to the complication and difficulty of this process.
Study: https://pmc.ncbi.nlm.nih.gov/articles/PMC5342970/?utm_source=
Botch Risk: High, this includes possible CSF leak, orbital injury, infraorbital nerve injury, severe hemorrhage and relapse requiring revision, a PubMed study series reports in total 10–25% overall complication rates (again, number of major complications are less common than the total rate)
Study: https://pubmed.ncbi.nlm.nih.gov/23154355/
Relapse Risk: Moderate, a PubMed study found that conventional advancement (osteotomy and fixed plates) relapse: 10–30% and that the larger the advancement = the higher relapse risk, distraction osteogenesis has been found to drastically reduces relapse.
Comparable data can be found in this study: https://pubmed.ncbi.nlm.nih.gov/21233755/
Recovery time: 9-12 months swelling usually completely fades by month 8
Price
Worldwide: $18,000 – $45,000+
USA: $30,000 – $60,000+
Turkey: $12,000 – $25,000
Risk Category Overall: High Risk
Le Fort 3: A major cranial disjunction that separates and advances the entire midface from the skull base, used to treat conditions such as cruzon syndrome, apert syndrome and severe craniofacial dysostosis.
The advancement obtained for LF3 is as the rest of the surgeries case dependent, but best and more stable results are between 6–12 mm+ , greater advancement can be possible but carries more risks of relapse, specially without osteogenesis distraction.
NOTE: there is a 0% chance that u are getting this surgery unless u have any of the conditions mentioned above, so it is safe to say almost none is getting this surgery in their life.
Infection Risk: Moderate, It ranges around 5–15% as the surgery takes a lot of time so the patient tends to be more exposed and even with a sterile operation room and equipment the can be moderate.
Study: https://pmc.ncbi.nlm.nih.gov/articles/PMC5342970/?utm_source=
Botch Risk: the botch risk is high as possible complications include, CSF leak, brain exposure, orbital complications, severe bleeding, hardware failure and need for revision surgery
study: https://pubmed.ncbi.nlm.nih.gov/29194272/
Relapse Risk: moderate-high, Without osteogenesis distraction the relapse risk sits around 15–40%, and with osteogenesis distraction it sits around ~5–20%
study: https://pubmed.ncbi.nlm.nih.gov/21233755/
Recovery time: 12 months + as the bone needs to heal and the cuts are located in a very dangerous zone.
Price
Worldwide: $18,000 – $45,000+
USA: $30,000 – $60,000+
Turkey: $15,000 – $30,000+
BSSO
Risk Category Overall: Low Risk
It´s lower jaw surgery, it is used to reposition the mandible, works in a similar way as Le Fort 1, this one is used to treat overbites, surgeons can move it backward (known as a setback) or advance the mandible depending each case, and also use it to correct asymmetry.
Best looking are results are usually between 7-8mm.
Infection Risk: Low, PubMed sites the infection risk for this surgery at around 1–8%
study: https://pmc.ncbi.nlm.nih.gov/articles/PMC5342970/?utm_source=
Botch Risk: Moderate, permanent nerve damage is a real possibility for BSSO, but major complications sit at a very low 1-3%.
study:https://pmc.ncbi.nlm.nih.gov/articles/PMC4523587/#:~:text=Ylikontiola et al.-,9,steps of the surgical procedure.
Relapse Risk: low, General consensus estimate a risk of around 5–15%, important to mention that advancements major than 7mm increase the risk of relapse.
study: https://pmc.ncbi.nlm.nih.gov/articles/PMC3805998/#:~:text=The decreased stripping of the,early function, and decrease relapse
Recovery time: Full bone recovery at around 6-12 months and swelling usually goes completely at around 3 months.
Price
Worldwide: $8,000 – $25,000
USA: $20,000 – $40,000
Turkey: $4,000 – $10,000
Bimax / Bimax + CCW rotation
Risk Category Overall: Moderate Risk
Bimax: Its the combination of both a Le Fort 1 Osteotomy and BSSO to advance both jaws forward and fix a poor projection.
It can be performed for aesthetic and functional reasons such as having a bad forward growth, or medical conditions such as sleep apnea/narcolepsy.
CCW: (counter clock wise rotation surgery) is the rotation of the lower jaw and reposition of the upper jaw relative to the occlusal plane, can be done for aesthetic purposes but it's not so common, results can be life changing, often depending on the skill of the surgeon and can fix severely down grown faces.
Bimax + CCW = can advance and also fix severely down grown faces and at the same time also poor forward growth, insane aesthetic results if not over advanced.
Best looking results respect MMA and the more advancement the more rigid fixation it's needed, and relapse risk might increase too.
Infection Risk: Low, according to PubMed around 41/512 patients = 8% got infected after orthognathic surgery.
study: https://pubmed.ncbi.nlm.nih.gov/27746257/
Botch Risk: Low, around less than 4.5% of patients cited in the study experienced any complication 30 days post op.
study: https://pubmed.ncbi.nlm.nih.gov/30497282/
Relapse Risk: moderate to high, a PubMed study found that around 45% of Bimax patients experience a <2mm relapse, at b point after around 3 years, the plates used to fix the osteotomies highly can impact this.
study: https://pubmed.ncbi.nlm.nih.gov/36804875/
study for CCW: https://pubmed.ncbi.nlm.nih.gov/31519983/
Recovery time: bone fusion is completed at around 9-12 months and 90% of swelling disappears by the 6 month.
Bimax
Worldwide: $15,000 – $50,000 USD
USA: $30,000 – $70,000 USD
Turkey: $8,000 – $15,000
Bimax + CCW
Worldwide: $20,000 – $60,000
USA: $35,000 – $80,000
Turkey: $10,000 – $18,000
Risk Category Overall: Low Risk
Chin wing osteotomy
A cut is performed in the chin and lower jaw border to reshape and reposition the chin and jawline, it is often secured with titanium plates and screws.
typical advancement ranges from 5–8 mm, greater advancement is possible but carries more relapse risk and need for stronger fixation.
Infection risk: low, There is no single separated study but there is an indexed that found around -0.5% to 1% of chin wing patients
Study: https://pubmed.ncbi.nlm.nih.gov/27746257/#:~:text=Surgical Site Infections Following Bimaxillary,Surgery: A Retrospective Cohort Study
Botch risk:, low, however, there are no large PubMed studies showing high rates of severe aesthetic deformity, only cases registered are 23.
Relapse risk: low, vertical bone resorption sits at around 20%, however, no, no significant relapse in horizontal projection was found.
Study: https://pubmed.ncbi.nlm.nih.gov/34260981/
Recovery time: full bone healing sits at around 6-12 months (can depend a lot on the patient and their healing speed) swelling vanishes at around 80-90% at around 6-8 weeks.
Chin Wing Osteotomy
Worldwide: $4,000 – $25,000+ USD
USA: $25,000 – $50,000+
Turkey: $3,000 – $8,000
Risk Category Overall: Low Risk
Double Sliding Genioplasty Regular Genioplasty
It involves the cutting of the chin/mental bone to reposition it and sliding genio focuses more on altering the chin shape with 2 precision cuts and also changing the projection, it can also vertically lengthen the chin.
Typical advancement ranges from 5–8 mm, but 8-10 can be stable too.
Infection risk: Reported infection rate sits low at around 1-5%, mandibular surgeries sit at around 7.4% but genio sits lower.
Study: https://pubmed.ncbi.nlm.nih.gov/34840574/
Botch risk: low, as the complications are usually easily fixable, being numbness and hematomas, overall rate sits at around 8%
Relapse risk: I did not find any study providing info for this one, but it seems to be super rare, a small drift is possible but real relapse is so weird that we don't have ranges or rates for it.
Recovery time: full bone fusion as usual takes around 9-12 months
Total swelling tends to disappear around 3-6 months post op.
Price:
Genioplasty (Regular + Double Sliding)
Worldwide: $5,000 – $12,000+
USA: $6,000 – $15,000
Turkey: $2,000 – $5,000
Risk Category Overall: High Risk
It consist of a major craniofacial procedure where both bone orbits are cut and repositioned medially to correct hypertelorism (wide-set eyes). Requires intracranial access.
NOTE: This is one of the highest risk surgeries out there and can possibly leave you blind if something done wrong.
Infection risk: Low, sitting at around a Infection rate of: 12.8%
Study: PMID: 31977694, https://pubmed.ncbi.nlm.nih.gov/31977694/.
Botch risk: moderate to high, CSF leak occurs in: 29.5% and a major intracranial complications are present in significant percentage, Vvsion-threatening complications reported but rare.
Study: PMID: 31977694, https://pubmed.ncbi.nlm.nih.gov/31977694/.
Relapse risk: HIGH, Insufficient correction requiring revision was reported up to 55% of OBO's
Study: PMID: 31977694 ,https://pubmed.ncbi.nlm.nih.gov/31977694/.
Recovery: Takes 9-12 months for full bone healing and swelling usually fades 90% at month 3-6.
OBO (Orbital Box Osteotomy)
Worldwide: $30,000 – $80,000
USA: $60,000 – $150,000+
Turkey: $18,000 – $45,000
Risk Category Overall: High Risk
Orbital osteotomies used to widen or reshape orbital cavities (craniofacial indications). correcting fucked up ESR's.
NOTE: just as Lefort 3 this is one of a kind of surgeries that unless you really need it a real surgeon will not give af about the autistic rambling of a forum user complaining about a 0.5 mm not ideal ESR.
Infection Risk: low, sitting at around 5–15%,
Study: PMID: 21233755, https://pubmed.ncbi.nlm.nih.gov/21233755/.
Botch Risk: moderate, sitting at around 15-30% as major complications can happen, like CSF leak, dural tears, Vision disturbance (<5%) and Intracranial complications.
Relapse Risk: low, sitting at around 5-15% as the skeletal relapse highly depends on fixation method.
Study: PMID: 21233755, https://pubmed.ncbi.nlm.nih.gov/21233755/.
Recovery: It usually takes around , 4–8 weeks initial and 9–12 months for complete bone healing.
BOE (Bilateral Orbital Box Expansion)
Worldwide: $25,000 – $70,000
USA: $50,000 – $120,000
Turkey: $15,000 – $35,000
Risk Category Overall: Low Risk
Used to correct very negatively tilted eyes by the process of shortening and repositioning of lateral canthal tendon to tighten the lower eyelid.
Infection Risk: Very low at a less than 2% rate.
Study: https://pubmed.ncbi.nlm.nih.gov/27462564/
Botch Risk: Low sitting at a 5–10% including, ectropion, overcorrection and asymmetry.
Study: https://pubmed.ncbi.nlm.nih.gov/23835599/
Relapse Risk/Revision Rate : Low, at around 3-9%
Study: https://pubmed.ncbi.nlm.nih.gov/23835599/
Recovery: The patient takes around 2–3 weeks to recover from bruising post op, the final results are shown around 2–3 months post op.
Canthoplasty
Worldwide: $1,500 – $5,000
USA: $3,000 – $8,000
Turkey: $1,000 – $3,000
Risk Category Overall: Low Risk
Though similar to a canthoplasty a canthopexy works by reinforcing the existing tendon without cutting through it, the goal is to prevent a "droopy" look or to support the lid during a standard blepharoplasty
Infection Risk: super low, almost none sitting at astonishing <1%
Study:
Botch Risk: very low again at a 2–5%, mostly minor malposition.
Study derived from blepharoplasty cohorts: https://pubmed.ncbi.nlm.nih.gov/21739006/
Relapse Risk/Revision Rate :very low again at a 2–5%
Study derived from blepharoplasty cohorts: https://pubmed.ncbi.nlm.nih.gov/21739006/
Recovery: Takes around 1-2 weeks for bruising to fade, and 1-2 months for final results.
Canthopexy
Worldwide: $1,000 – $4,000
USA: $2,500 – $6,000
Turkey: $1,500 – $4,000
Risk Category Overall: Low Risk
Removal or repositioning of eyelid skin/fat. Nordics and other races with a lot of eye fat can benefit from it the most.
Infection Risk: super low, almost none sitting at astonishing <0-1.6%
Study: https://pubmed.ncbi.nlm.nih.gov/29474509/
Botch Risk: very low again at a 9.5%, includes the next botches, chemosis, hematoma or lid malposition.
Study: https://pubmed.ncbi.nlm.nih.gov/29474509/
Relapse Risk/Revision Rate :very low again at a 3-9%
Study: https://pubmed.ncbi.nlm.nih.gov/29474509/
Recovery: Takes around 1-2 weeks for bruising to fade, and 1-2 months for final results.
Blepharoplasty (Upper & Lower)
Worldwide: $2,000 – $6,000
USA: $4,000 – $10,000
Turkey: $1,500 – $3,500
Risk Category Overall: Low-Moderate Risk
It's the surgical correction of an abnormal eyelid position where the eyelid sits too high (upper lid retraction) or too low (lower lid retraction), exposing/showing excess sclera. It is common in certain conditions such as graves disease. Some common causes include thyroid eye disease (Graves orbitopathy), Over-resection from blepharoplasty, Scarring, Midface descent and eye trauma.
Upper Eye Lid retraction repair usually involves the levator recession, müller muscle recession and a spacer graft (if needed ofc)
Lower Eye Lid retraction repair usually involves , lateral canthal tightening, spacer graft (hard palate graft, AlloDerm, ear cartilage, etc.) and a midface suspension.
Infection Risk: Again, super low, almost none sitting at astonishing <0-1.6%
Study: https://www.ncbi.nlm.nih.gov/books/NBK470320/
Botch Risk: low to moderate again at a 5-15%, it often involves overcorrection, undercorrection, persistent scleral show, asymmetry and Graft failure (lower lid), and it usually anesthetic and rarely vision threatening.
Study: https://europepmc.org/article/med/36003278
Relapse Risk/Recurrence Risk : low to moderate at again at around a 10-20% rate.
Study: https://pmc.ncbi.nlm.nih.gov/articles/PMC12863791/
Recovery: The timeline goes something like this, it takes for visible improvement to show around: 4–6 weeks and full tissue stabilization: 3–6 months and the scar maturation takes up around 12 months.
Eyelid Retraction Repair (Upper + Lower)
Worldwide: $3,000 – $10,000
USA: $6,000 – $18,000
Turkey: $2,000 – $6,000
cost may vary depending on the Spacer graft material and if kit was a bilateral vs unilateral and also if it was a combination with canthoplasty or midface lift
Risk Category Overall: Low Risk
Lip lift: It's the surgical shortening of the philtrum (distance between nose and upper lip) to enhance or increase upper incisor show, improve "vermilion eversion", enhance the "lip projection" and improve facial balance.
infection Risk: i found no direct info lip filler, but its spoused to bevery very low, at around (<1–3%) .
study:
Botch Risk: It is estimated around 5-10%, patient need to be careful when choosing augmentation.
Study:https://pubmed.ncbi.nlm.nih.gov/40406769/
Revision Rate: sits at around 5–10% cause minor scars might need revision and a fix.
Study:https://pubmed.ncbi.nlm.nih.gov/35253108/
Recovery rate: first 1-2 week sutures get removed, visible swelling goes around: 1–2 weeks, and scar maturation takes around: 6–12 months
Lip Lift
Worldwide: $1,500 – $5,000 USD
USA: $3,000 – $8,000 USD
Turkey: $1,500 – $3,000
Risk Category Overall: Low Risk
Lip filler: Used to enhance the size and thickness of lips by injecting hyaluronic acid or other types of dermal fillers, it's more commonly used by women.
Infection Risk: Super low, around <1-2%
study: https://pubmed.ncbi.nlm.nih.gov/30892625/
Botch Risk: 50% of the patients experienced some swelling or bruising, only 1.5% had severe adverse reactions
study: https://pubmed.ncbi.nlm.nih.gov/41186199/
Revision Rate: low risk, around 1.1–4% experience serious enough events that may require corrective treatment
study: https://pubmed.ncbi.nlm.nih.gov/40358958/
Recovery rate: Fully recovery is around 10-15 days after procedure its done.
Lip Filler
Worldwide: $300 – $800 USD
USA: $500 – $1,200 USD
Turkey: $1,500 – $5,000
Risk Category Overall: Low Risk
Fat grafting can be used in various areas of the face and body, its basically the redistribution of facial fat through a special mini surgery vacuum or injections, can be done for many purposes but one of its most common uses is to fix recessed infras amongst redistributing fat pads and other purposes similar.
Infection Risk: really low, at around (<1–3%) the infection risk is very low and rare with this type of aesthetic treatment.
Study:https://pubmed.ncbi.nlm.nih.gov/39158343/
Botch Risk: low at around 0–12%, it includes lumps, nodules, asymmetry, contour irregularities amongst other, but this were rarely present. Mostly being minor irregularities on the contour.
Study:https://pubmed.ncbi.nlm.nih.gov/39158343/
Revision Rate: relapse occurs as a biological process of aging, not a surgery mistake. Typically 20–50% may resorb without any signs, and mutltiple sessions are needed to achieve stable volume.
Study:https://pubmed.ncbi.nlm.nih.gov/39158343/
Recovery rate: swelling disappear after 2-3 weeks and a second retouch for more stable volume may be needed after 3-6 months
Fat Grafting
Worldwide: $2,000 – $8,000 USD
USA: $4,000 – $12,000 USD
Turkey: $2,500 – $6,000
Risk Category Overall: Low Risk
Buccal fat removal/bichectomy is the surgical removal (either partial or full) of the buccal fat pads located deep in the cheeks.
NOTE: The issue with this surgery is Buccal fat is key to age more gracefully and to avoid that dead hollow saggy skin look that comes from
not having enough fat stored.
Infection Risk: Very low, reported at 0.48% in recent data.
Study: https://pubmed.ncbi.nlm.nih.gov/39809616/
Botch Risk: Moderate, overall complication rate sits around 25%, which consists of mostly minor and transient occurrences. The most common issues experienced include edema/Swelling at 38%, trismus/ jaw stiffness at 30%, pain at 19%, asymmetry at 11.6%, temporary facial nerve weakness at 1% and hematoma at 0.5%.
Study: https://pubmed.ncbi.nlm.nih.gov/39809616/
Relapse/Revision Risk: Low. The issue is that removed fat does not grow back, but revision may be needed for asymmetry (5-15% in practice). Long-term risk of a dead/hollowed appearance which increases with natural aging.
Study: https://pubmed.ncbi.nlm.nih.gov/39809616/
Recovery time: The swelling and bruising post op peaks in the first 2 to 5 days and mostly fades within 1 to 3 weeks.
The final results are visible in 3 to 6 months.
Price:
Worldwide: $1,000 – $5,000 USD
USA: $2,500 – $7,500+ USD
Turkey: $900 – $2,500 USD
Risk Category Overall: Low Risk
OtoplastyOtoplasty (ear pinning/correction surgery) it reshapes the ear cartilage to correct prominent/protruding ears (AKA HAMZA), and other deformities, the most common techniques used are cartilage-sparing suture methods or limited cartilage scoring.
Infection Risk: Very low, around 0.63 to 2.6% across large meta-analyses from several medical sources.
Study: https://pmc.ncbi.nlm.nih.gov/articles/PMC11045554/
Botch Risk: Low, an overall complication rate of 14.4%
Study: https://pmc.ncbi.nlm.nih.gov/articles/PMC12818857/
Relapse/Revision Risk: Low, recurrence rate 2.8%, revision rate 2.1%.
Study: https://pmc.ncbi.nlm.nih.gov/articles/PMC12818857/
Recovery time: The bandages and head dressing are removed after 5 to 7 days, however, a light headband has to be worn (especially at night or when sleeping) for 2 to 4 weeks, and the final ear position can be seen at around 4 to 6 weeks after all cartilage tissue is healed.
Otoplasty 10 years myth, no, otto usually gives lifelong/permanent results for correcting flaring, this is just a myth and the change experienced if any is minimal, most results are permanent.
Otoplasty
Worldwide: $1,000 – $5,000
USA: $3,000 – $8,000
Turkey: $1,500 – $3,500
Rhinoplasty (The un-jewer)
Risk Category Overall: Low Risk
A Rhinoplasty (also known as a nose job) is a surgical procedure to reshape and modify the nose by altering and modifying the nasal bones, cartilage, and soft tissue. It can be perfomed either through columellar or all internal incisions it is very commonly used to fix aesthetic issues such as droopy nose, dorsal hump, deviated septum, tip definition, narrowing etc.
Infection Risk: Low, reported at 0.62% in a series of 3084 cases.
Study: https://pubmed.ncbi.nlm.nih.gov/33798400/
Botch Risk: Moderate, the overall reported complication rate was
around 7.9% (minor aesthetic issues, asymmetry, etc.).
Study: https://pubmed.ncbi.nlm.nih.gov/23277618/
Relapse/Revision Risk: low to moderate, revision rates 5–15% (one large series reported 9.8%).
Study: https://pubmed.ncbi.nlm.nih.gov/23277618/
Recovery time: the cast removal at 1 week, major swelling and bruising subsided in 2–4 weeks, 80–90% of final shape visible by 3–6 months, full bone/cartilage remodeling and final results at 9–12 months.
Rhinoplasty
Worldwide: $2,000 – $10,000
USA: $5,000 – $15,000+
Turkey: $2,500 – $6,000
Risk Category Overall: Low Risk
A Rhinoplasty (also known as a nose job) is a surgical procedure to reshape and modify the nose by altering and modifying the nasal bones, cartilage, and soft tissue. It can be perfomed either through columellar or all internal incisions it is very commonly used to fix aesthetic issues such as droopy nose, dorsal hump, deviated septum, tip definition, narrowing etc.
Infection Risk: Low, reported at 0.62% in a series of 3084 cases.
Study: https://pubmed.ncbi.nlm.nih.gov/33798400/
Botch Risk: Moderate, the overall reported complication rate was
around 7.9% (minor aesthetic issues, asymmetry, etc.).
Study: https://pubmed.ncbi.nlm.nih.gov/23277618/
Relapse/Revision Risk: low to moderate, revision rates 5–15% (one large series reported 9.8%).
Study: https://pubmed.ncbi.nlm.nih.gov/23277618/
Recovery time: the cast removal at 1 week, major swelling and bruising subsided in 2–4 weeks, 80–90% of final shape visible by 3–6 months, full bone/cartilage remodeling and final results at 9–12 months.
Rhinoplasty
Worldwide: $2,000 – $10,000
USA: $5,000 – $15,000+
Turkey: $2,500 – $6,000
Facial implants are perfect to add good contour and actual real like bone material than almost never shifts or migrates which is a more latent risk with misplaced fillers and fillers in general, ofc implants can be misplaced without proper surgical plan or a good surgeon, also the zone where the will be positioned affects this. We will go through the best material options for implants and explain the advantage of each one.
NOTE, custom implants will always mog stock implants as they are designed for your specific shape and needs.
This guide focuses more on the best materials, the criteria is bio compatibility, resistance, longevity and stability.
Risk Low to moderate ( depends on the facial zone).
Risk Category Overall: Low Risk
Infection Risk: Infection was reported in some cohorts as part of broader complications at around (~9.1%), but migth be study dependent as it is not common for PEEK implants.
Study: https://link.springer.com/article/10.1186/s40902-025-00482-9?utm_source=
Botch risk: at around a 18–22.2% complication rate (hematoma, asymmetry, diplopia, exposure)
Study: https://pubmed.ncbi.nlm.nih.gov/41134490/
Relapse/ revision risk: PEEK implants are almost never removed unless symptomatic (infection, exposure, contour issue). The one that did go registered at around 18–22%:
Study: https://pubmed.ncbi.nlm.nih.gov/41134490/
Recovery time: total recovery is expect around 6 weeks post op, but almost all major swelling and pain disappears around 2-3 weeks.
PEEK Implants
Worldwide: $15,000 – $45,000
USA: $25,000 – $60,000
Turkey: $8,000 – $20,000
Risk Category Overall: Low Risk
Infection risk: A 1% rate of rate infection overall, non implant related.
study: https://pmc.ncbi.nlm.nih.gov/articles/PMC11985522/?utm_source=
Botch risk: at around 4.4% including, nerve, hematoma, displacement, etc.
Study: https://pubmed.ncbi.nlm.nih.gov/40499276/
Relapse/ revision risk: less than 4.8%
Study: Price:https://www.safetyandquality.gov.au...etic_surgery_-_a_rapid_review.pdf?utm_source=
Recovery time: total recovery is expect around 6 weeks post op, but almost all major swelling and pain disappears around 2-3 weeks.
Medpor Implants
Worldwide: $7,000 – $15,000
USA: $4,500 – $7,500
Turkey: $4,000 – $10,000
Risk Category Overall: Low Risk
Infection Risk: low, The estimated rate was very low 2.78% overall for silicone facial implants (And it was not silicon related but rather op related).
study: https://pubmed.ncbi.nlm.nih.gov/40499276/
Botch Risk: around 5% is reported in facial augmentation studies (which most of the time is because of misplacement)
study: https://pubmed.ncbi.nlm.nih.gov/38327548/
Relapse Rate: Low, mostly mild problems, such as bone resorption/erosion (~5.1%), displacement (~1.6%) and asymmetry or dissatisfaction (~0.6%)
study= https://pmc.ncbi.nlm.nih.gov/articles/PMC9984266/?utm_source=
Recovery rate: total recovery is expect around 6 weeks post op, but almost all major swelling and pain disappears around 2-3 weeks.
Silicone Implants
Worldwide: $7,000 – $10,000
USA: $8,000 – $12,000
Turkey: $3,000 – $8,000
Risk Category Overall: Low Risk
They are probably the material that is the most convenient in terms of duration, customization and compatibility (You can create custom CAD/CAM titanium implants) also the fixations used is one of the most stable ones.
Infection Risk: Low, generally 1–8% in craniofacial/facial implant applications
Study: https://pmc.ncbi.nlm.nih.gov/articles/PMC11985522/
Botch risk: Low to moderate, overall complication rate is 10-23% (It includes asymmetry, exposure, hematoma, diplopia, or nerve issues depending on the implant location)
Study:https://pmc.ncbi.nlm.nih.gov/articles/PMC10847330/
Relapse/revision risk: Low, it's extremely stable due to osseointegration and rigid screw fixation
Study: https://onlinelibrary.wiley.com/doi/10.1002/hed.70068
Recovery time: The total recovery expected ranges around 6 weeks post-op, almost all major swelling and pain subsides in 2–3 weeks give or take.
Prices
Worldwide: $12,000 – $50,000+ USD
USA: $25,000 – $70,000+ USD
Turkey: $6,500 – $22,000+ USD
Reference list
Blepharoplasty complications and revision rates. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/29474509/
Bilateral orbital box expansion outcomes and relapse. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/21233755/
Bimaxillary surgery complications within 30 days. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/27746257/
Bimaxillary surgery relapse at 3-year follow-up. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/36804875/
Botulinum and aesthetic complication rates in lip filler procedures. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/41186199/
Canthoplasty outcomes and complications. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/23835599/
Canthoplasty surgical infection rate study. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/27462564/
Canthopexy complication rates derived from blepharoplasty cohorts. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/21739006/
Chin wing osteotomy vertical bone resorption outcomes. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/34260981/
Complications during orthognathic surgery (PMC5342970). (n.d.). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC5342970/
Eyelid retraction repair recurrence and graft failure. (n.d.). Europe PMC. https://europepmc.org/article/med/36003278
Fat grafting complication and resorption rates. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/39158343/
Genioplasty infection and complication rates. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/34840574/
Le Fort II complications and relapse study. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/23154355/
Le Fort III complications. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/29194272/
Lip filler complication rate study. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/30892625/
Lip lift revision rate study. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/35253108/
Lip lift surgical outcomes. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/40406769/
Mandibular setback and relapse analysis. (n.d.). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC3805998/
Medpor implant complication rates. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/40499276/
Ocular hypertelorism orbital box osteotomy outcomes (PMID: 31977694). (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/31977694/
Orthognathic surgery infection study (512 patients). (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/32694715/
PEEK implant complication rates. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/41134490/
Silicone facial implant bone resorption rates. (n.d.). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC9984266/
Systematic review of cosmetic surgery safety and quality. (n.d.). Australian Commission on Safety and Quality in Health Care. https://www.safetyandquality.gov.au/sites/default/files/2024-05/safety_and_quality_issues_in_cosmetic_surgery_-_a_rapid_review.pdf
Surgical site infections following bimaxillary orthognathic surgery. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/27746257/
Blepharoplasty complications and revision rates. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/29474509/
Bilateral orbital box expansion outcomes and relapse. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/21233755/
Bimaxillary surgery complications within 30 days. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/27746257/
Bimaxillary surgery relapse at 3-year follow-up. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/36804875/
Botulinum and aesthetic complication rates in lip filler procedures. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/41186199/
Canthoplasty outcomes and complications. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/23835599/
Canthoplasty surgical infection rate study. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/27462564/
Canthopexy complication rates derived from blepharoplasty cohorts. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/21739006/
Chin wing osteotomy vertical bone resorption outcomes. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/34260981/
Complications during orthognathic surgery (PMC5342970). (n.d.). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC5342970/
Eyelid retraction repair recurrence and graft failure. (n.d.). Europe PMC. https://europepmc.org/article/med/36003278
Fat grafting complication and resorption rates. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/39158343/
Genioplasty infection and complication rates. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/34840574/
Le Fort II complications and relapse study. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/23154355/
Le Fort III complications. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/29194272/
Lip filler complication rate study. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/30892625/
Lip lift revision rate study. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/35253108/
Lip lift surgical outcomes. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/40406769/
Mandibular setback and relapse analysis. (n.d.). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC3805998/
Medpor implant complication rates. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/40499276/
Ocular hypertelorism orbital box osteotomy outcomes (PMID: 31977694). (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/31977694/
Orthognathic surgery infection study (512 patients). (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/32694715/
PEEK implant complication rates. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/41134490/
Silicone facial implant bone resorption rates. (n.d.). PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC9984266/
Systematic review of cosmetic surgery safety and quality. (n.d.). Australian Commission on Safety and Quality in Health Care. https://www.safetyandquality.gov.au/sites/default/files/2024-05/safety_and_quality_issues_in_cosmetic_surgery_-_a_rapid_review.pdf
Surgical site infections following bimaxillary orthognathic surgery. (n.d.). PubMed. https://pubmed.ncbi.nlm.nih.gov/27746257/
, but i was born and raised a loner, it’s fine.
