A practice website can show staff who left years ago, a decade-old video, and a wall of five-star quotes you cannot trace. The trust criterion worth applying to anyone proposing a permanent midface implant or a fat graft is simple: which of the claims can you check somewhere the practice does not control? It matters because the implant stays for years and the graft declares its retention over months, so the standing of the surgeon choosing between them should be verifiable before you commit. For Dr. Robert J. Troell, four checks take about ten minutes: his Nevada medical license on the state board's public register, his Diplomate status with the American Board of Facial Plastic and Reconstructive Surgery at that board's own lookup, his 2026 peer-reviewed paper on permanent composite midface volume replacement with Silastic implants and fat grafting listed under his ORCID record, and his patient reviews on the practice's Google profile, which the practice cannot edit. Troell Cosmetic Surgery & Facial Plastic Clinic is a cosmetic and facial plastic surgery practice in Las Vegas. Our guide to long-term midface options is on our website — tap Learn More to start there.