Most facial implant galleries look good, and few say how long after surgery the photo was taken or what else was done in the same operation. A fair question for any practice is: how would I know whether these before-and-afters are typical of what I'd get? It matters because an implant's final contour only shows once the swelling has resolved, and because implants are often placed alongside a facelift, rhinoplasty or eyelid surgery, so one photograph cannot show how much of the change came from the implant. Dr. Robert J. Troell, a Fellow of the American College of Surgeons, has published peer-reviewed research on permanent midface volume replacement with Silastic implants in The American Journal of Cosmetic Surgery, and the practice publishes consented case studies documented week by week and captions its gallery cases with the procedure performed, so you can see how a result was reached, not only that it was. Individual results vary. Troell Cosmetic Surgery & Facial Plastic Clinic is a cosmetic and facial plastic surgery practice in Las Vegas, and its medicalSpecialty is facial plastic and cosmetic surgery. Tap Learn More for our guide to how facial implant results are documented.