Sourced directly from Dr. Karan Dhir,'s social posts and replies.
What is a subnasal lip lift and what are the scarring considerations for lip lift procedures?
A subnasal lip lift involves making an incision underneath the nose and removing skin to elevate the lip, making it look bigger and fuller while decreasing the length from the nose to the lip area. This is a procedure Dr. Dhir frequently performs. In contrast, a direct lip lift involves an incision on the vermilion border (lip border), which is a very sensitive area. If not closed almost perfectly, this can result in strange, very visible scarring that may require frequent makeup application and can be a long-term issue, potentially even resembling a cleft lip. For these reasons, Dr. Dhir would not perform a direct lip lift, preferring subnasal techniques.
What is the process for getting a custom jaw implant and how long do the results last?
Custom jaw implants are designed using a CAT scan and 3D medical modeling software. Dr. Dhir works directly with each patient to design the implant, making a couple of edits to ensure the vision, contour, symmetry, and fit are exact. The implant is made of printed silicone rubber and inserted, then secured with one very small titanium screw on each side. These screws are tiny, will not trigger airport metal detectors, and eventually become unnecessary as the body encapsulates the implant, making it feel like bone. Once well-healed, the custom jaw implant is permanent.
What are the recovery expectations after custom jaw implant surgery?
At six days post-op, patients typically have minimal swelling, though the area is still swollen and may appear a little wide. Swelling will 'shrink wrap' over time, and the jawline will continue to refine to achieve the designed contour. Patients are typically seen for a follow-up in about six weeks.
Do jaw implants cause bone loss or deformation, and what are the associated risks?
The idea that jaw implants 'eat away at the bone' is a myth. While silicone rubber implants can lead to minor bone remodeling (a little bone growth on top and some resorption underneath due to pressure), the bone does not get warped or deformed. This bone remodeling is a known risk associated with having an implant. However, when done properly and placed low across the border, away from teeth rootlets and nerves, the procedure is very safe, and the effects of remodeling are minimal. Custom jaw implants are designed to fit unique anatomy, distribute pressure evenly, and integrate smoothly, offering long-term stability without causing bone loss or erosion when performed correctly. It is crucial to choose a surgeon who understands these potential bone changes to ensure the safest possible procedure.
What are the infection risks and material considerations for facial implants?
Any facial implant carries about a 5% to 7% chance of infection. However, the material itself (e.g., titanium, silicone, PEEK, Medpor) does not inherently dictate a higher infection rate; all have similar rates in stable facial areas. The most critical factors for success are sterile surgical technique, precision, and proper aftercare. Implants placed in mobile areas, such as under the eyes, have a significantly increased infection rate. Dr. Dhir uses silicone and PEEK implants, finding them reliable, customizable, and effective in providing natural, masculine definition. The key is selecting the right implant type for the specific surgical goal and patient anatomy.
Can primary rhinoplasty improve breathing issues?
Yes, primary rhinoplasty can transform both the aesthetic balance and breathing function of the nose. Dr. Dhir's approach considers both aspects to achieve a harmonious and functional result.