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Concierge plastic surgery · UK

Facial augmentation, planned properly and done once.

Chin, cheek, jawline and tear-trough implants, fat transfer and filler — placed by a BAAPS or BAPRAS consultant plastic surgeon, in a CQC-registered clinic, with 3D planning where it matters.

See indicative pricing
A radiographer guides a patient onto the bed of an advanced 3 Tesla MRI scanner in a London imaging suite

Why patients choose us

  • 01

    A BAAPS or BAPRAS surgeon, in theatre

    Not a laser bar and not a training room. A named plastic surgeon, a CQC-registered theatre, and the anaesthetic that suits you.

  • 02

    Filler-first options honestly discussed

    For some faces a hyaluronic acid filler or fat transfer is enough. We say so before you commit to a permanent implant.

  • 03

    Independent, and free

    We are paid by no clinic, so the recommendation is impartial and costs you nothing.

Indicative pricing

What private facial augmentation costs in the UK.

Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.

In short

A chin implant in our network: £4,000–£7,000, final result at three to six months.

Procedure Indicative range
Chin implant (silicone or PSI) £4,000–£7,000
Cheek / malar implants (pair) £6,000–£10,000
Custom mandibular angle implants (PSI) £10,000–£20,000
Tear-trough implants £4,000–£8,000
Fat transfer to face £4,500–£8,500
Hyaluronic acid filler (per session) £450–£1,500
Consultation with VECTRA imaging £250–£450

Prices vary by clinic, by the surgeon and by the implant material — a stock silicone chin implant is very different from a CT-planned custom PSI mandibular pair. We come back with a firm quote within one working day.

The problem

The right surgeon, the right modality, the right amount.

Facial augmentation is where the aesthetic industry oversells hardest — permanent implants suggested when filler would do, and vice versa. We fix all three before you commit.

  • Not sure filler is enough?

    A trial with hyaluronic acid can preview an implant. We say so before you agree to permanent surgery.

  • Worried about looking done?

    3D planning with VECTRA and a surgeon who errs slightly small — the commonest reason implants look obvious.

  • Want it done properly?

    A BAAPS or BAPRAS plastic surgeon, a CQC-registered clinic, and screw-fixation to bone for larger implants.

The journey

From enquiry to recovery — what happens, in order.

One clinician from first message to review — including the long swelling window.

  1. 01

    Before

    You tell us what is going on

    A short, confidential form. What you would like to change — chin, cheeks, jawline, tear-trough, temples — and why.

  2. 02

    Before

    We come back with a recommendation

    Within one working day: implant vs fat transfer vs filler, the right surgeon, the right anaesthetic, an indicative price.

  3. 03

    Before

    Consultation and 3D planning

    A face-to-face consultation, dental occlusion check where relevant, and 3D imaging (VECTRA) or CT-based templating for custom implants.

  4. 04

    On the day

    Arrival at the clinic

    Arrival, consent and a chat with the surgeon and anaesthetist. Markings, photographs and the final plan agreed with you.

  5. 05

    On the day

    The procedure itself

    Solid implants placed intra-orally or via a small external incision under GA; screw-fixed to bone where appropriate. Filler is done under LA.

  6. 06

    On the day

    Overnight or same-day home

    Filler and small implants — home the same day. Larger chin, cheek or mandibular implants — usually 24 to 48 hours in the clinic.

  7. 07

    After

    Recovery and review

    Bruising settles over one to two weeks, swelling over two to six weeks, final result at three to six months. A review is arranged.

Typical end-to-end: 3–6 weeks from enquiry to procedure. Final result: 3–6 months.

When it helps

When facial augmentation is the right step.

The situations we see most, plus the one red flag that means this is not the right time for surgery.

  • Retrogenia (weak chin)

    A recessed chin in profile — often the single change that most rebalances the lower face.

  • Midface volume loss

    Flattened cheeks from ageing or genetics — implants or fat transfer restore projection.

  • Undefined jawline

    A soft mandibular angle — custom implants sharpen the border between face and neck.

  • Tear-trough deformity

    A deep hollow under the eye — a small implant or filler can lift the shadow.

  • Temple hollowing

    Hollow temples from age or weight loss — usually fat transfer or filler rather than an implant.

  • Feminising or masculinising the face

    Considered facial contouring as part of gender-affirming or aesthetic goals — planned in detail.

  • Post-trauma or reconstructive

    Correcting facial asymmetry after injury, surgery or congenital difference — often custom PSI implants.

  • Red flag: unrealistic expectations

    Wanting a completely different face, chasing a filter, or in acute mental distress — surgery is not the right step today.

Modalities compared

Implant, fat, or filler — the honest trade-offs.

What each option on the table actually involves — permanence, downtime, reversibility, and which fits which face.

  • Silicone elastomer implants

    Smooth, soft solid silicone. The traditional workhorse for chin and cheek — sits in a pocket, easy to remove if needed.

  • Medpor (porous polyethylene)

    Tissue grows into the implant — very stable, but harder to remove. Often chosen for mandibular angles.

  • PEEK and custom PSI titanium

    Patient-specific implants milled from a CT scan. The premium option for mandibular, tear-trough or complex reconstruction.

  • Fat transfer to the face

    Your own fat, harvested from thighs or abdomen and grafted to the face. Natural, but 40–70% take — may need repeat.

  • Hyaluronic acid filler

    Reversible, quick and non-surgical. Best for small refinements or trialling a shape before implant surgery.

  • Biostimulator fillers

    Calcium hydroxylapatite (Radiesse) or poly-L-lactic acid (Sculptra) — semi-permanent, stimulate collagen over months.

  • Combination approach

    A chin implant plus filler in the tear-trough, or fat transfer on top of cheek implants — often the neatest final result.

  • Consultation only

    An honest discussion with a plastic surgeon, VECTRA imaging, and no obligation to book.

Our vetted UK network

A small panel of plastic surgeons, we picked them.

BAAPS and BAPRAS accredited consultant plastic surgeons in London, Manchester and the South East. Not listed publicly — introductions are made privately, once we understand your case.

Selection criteria

How we choose every surgeon in our network.

A modern UK operating theatre set up for facial implant surgery
Consultant-led plastic surgery
  • BAAPS or BAPRAS accredited consultant plastic surgeons

  • CQC-registered clinics with dedicated day-case or overnight facilities

  • 3D planning (VECTRA) and CT-based custom implant workflow where indicated

  • Filler-first and fat transfer alternatives discussed before permanent implants

Safety and recovery

What to expect afterwards — honestly.

Facial implant surgery is common and safe when done properly. The things worth planning are your modality, your downtime, and the small but real risks that no honest surgeon will hide from you.

  • A mature bony skeleton matters

    Facial implants are for adults with a settled facial skeleton — usually age 20 or above. Younger patients are turned away.

  • Bruising and swelling are the rule

    Bruising for one to two weeks, swelling for two to six weeks. The final shape only settles at three to six months.

  • Soft-food diet after intra-oral work

    Chin and mandibular implants placed through the mouth need a soft diet and careful oral hygiene for one to two weeks.

  • Infection is uncommon but serious

    Roughly 1–2% risk. If it happens the implant may need to be removed and replaced months later — a real conversation to have.

  • Sensory nerve injury

    Temporary numbness of the lower lip (chin implant, mental nerve) or cheek (infraorbital nerve) is common; permanent injury is rare.

  • Malposition, asymmetry and revision

    Around 5–10% of implants need revision or removal within ten years — for shift, over- or under-projection or a shape you no longer want.

  • No contact sport for six weeks

    A knock in the first six weeks can shift a fresh implant. Walking is fine from day one; running and gym wait two to three weeks.

  • Filler is reversible, permanent is not

    Hyaluronic acid can be dissolved with hyaluronidase. Silicone, PEEK and titanium implants are permanent — a surgical decision, not a lunch-break one.

  • Red flags

    Fever, spreading redness, sudden severe pain or a visible shift in the implant are not normal — call the clinic or A&E the same day.

Reading your operation note

Your operation note in four parts. Read the last one first.

Whichever modality was used, the note the surgeon sends you keeps to the same shape.

A UK consultant plastic surgeon reviewing a patient’s operation notes

A quiet reminder

Surgical language is precise and can read coldly — we translate it for you.

If you would like us to talk you through the note before your review, just ask.

  1. 01 Header

    Indication and modality chosen

    Why the procedure was done — aesthetic, reconstructive, gender-affirming — and whether an implant, fat transfer or filler was used.

  2. 02 Technique

    Approach and fixation

    Intra-oral or external, the implant material and size, and whether it was screw-fixed to bone or sat in a pocket.

  3. 03 Findings

    Symmetry, occlusion and nerves

    Notes on facial symmetry, dental occlusion, and mental / infraorbital nerve position — the things that predict a good result.

  4. 04 Impression

    Recovery, review timing, expectations

    Read this first: expected swelling and bruising, when to return to work and sport, and when the final shape can be judged.

Recognised by major UK insurers

BupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealix

Facial augmentation is almost always self-pay in the UK — insurers cover reconstruction after trauma or cancer but not aesthetic implants, fat transfer or filler. We confirm cover before booking.

Frequently asked

Everything we get asked about facial augmentation.

Quick answers on cost, recovery, permanence, and how implants, fat and filler really compare.

  • Implant, fat transfer or filler — how do I choose?

    An implant gives permanent, precise projection in a single procedure. Fat transfer uses your own tissue and feels natural but 40–70% takes and it may need repeating. Filler is reversible and quick but temporary. A good surgeon walks you through which fits your face and your appetite for downtime.

  • Is facial augmentation painful?

    During the procedure you feel nothing — either the area is fully numb, or you are asleep. Afterwards there is soreness, tightness and bruising for one to two weeks, controlled with simple painkillers. Filler has almost no downtime.

  • How much does a private facial implant cost in the UK?

    Roughly £4,000–£7,000 for a chin implant, £6,000–£10,000 for a pair of cheek implants, and £10,000–£20,000 for custom PSI mandibular implants. Fat transfer is £4,500–£8,500 and hyaluronic acid filler £450–£1,500 per session. We confirm a firm figure within one working day.

  • Will a facial implant look natural?

    When the size, shape and position are right, yes. The commonest cause of an obvious implant is one that is too big — a good surgeon errs slightly small, and pre-op 3D planning with VECTRA reduces surprises.

  • How long is the recovery after chin or cheek implants?

    Bruising and visible swelling take one to two weeks to settle. Deep swelling continues for two to six weeks. The final shape is judged at three to six months. Most people return to office work in 7–10 days.

  • Are facial implants permanent?

    Silicone, Medpor, PEEK and titanium implants are designed to be permanent. They can be removed or revised if you change your mind or if there is a problem — roughly 5–10% need revision or removal within ten years.

  • Will an implant affect my bite or teeth?

    A well-planned chin or cheek implant should not affect occlusion. Mandibular angle implants are more involved — a dental check and, where needed, an orthodontic opinion is part of the planning.

  • Can facial augmentation be combined with other surgery?

    Often, yes. Chin implants pair well with rhinoplasty or facelift; cheek implants with lower-lid surgery; fat transfer with almost anything. Combining reduces total downtime but lengthens the operation — decided case by case.

  • When should I see a doctor urgently after the procedure?

    Fever, spreading redness, sudden severe pain, heavy bleeding or a visible shift in the implant are all reasons to seek same-day medical help.

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