Chin implant, cheek implant, or tear trough implants are all solid implant that are placed either on top of the facial bone or in the soft tissue.  The most common implant are the solid silicone implants that are placed on top of the bone. Facial implants are very aesthetically pleasing if its done by the right doctor.  Dr. Mirrafati prides himself of shaping the implant by carving it to fit the area of the face that needs augmentation.  The implants comes in a standard shape and sizes.  In order to make fit perfectly it must be carved and shaped for each patience.

This is why this procedure is a very artistic surgery and must be done in the hand of a master craftsman like Dr. Mirrafati.  Like any other implant it does have certain draw back.  The most common is seroma formation.  Seroma is basically a pocket of fluid build up around the implant which require several needle aspirations of the pocket and in some cases advances into implant infection and ultimately implant removal.  We must also mention that in about 5-8% of patiences will end up with retractable pain which requires implant removal.  Another important problem is bone resorption which happens to all implant placements over several years.

Alternative to implant placement is fat transfer to the face. The most common place for transfer is the cheek and the tear trough area. It brings out the facial three dimensional shape and hence more rejuvenated and younger looking face. Dr. Mirrafati’s statement is “younger looking face is a more fuller face and not a pulled face”.

Dr. Mirrafati’s techniques of at harvesting or fat retrieval is the key success to this procedure. Dr. Mirrafati believes that in order to have success in this procedure you must know how to retrieve the fat cells without damaging the integrity of the fat cells. This is why we have high success rate and very high patient satisfaction. If the fat cell integrity is compromised the percentage of the fat survival is tremendously reduced. Dr. Mirrafati believes that in order to have success in this procedure you must know how to retrieve the fat cells without damaging the integrity of the fat cell.  This is why we have high success rate and very high patient satisfaction. If the fat cell integrity is compromised the percentages of the fat survival is tremendously reduced. Dr. Mirrafati with over thousands successful fat transfer procedures to different parts of the body and face takes pride in not only his harvesting techniques but as equally important, his transfer techniques. Transferring fat in small aliquot in different layers so it can pick up a blood supply and become permanent part of the body, is the key to success.  This takes many years of experience and an artistic hand to accomplish the even layering of fat so it does not become lumpy. When you come in for a complimentary consultation, Dr. Mirrafati will further explain his techniques.