Cheek augmentation

Description

Full cheeks look very attractive. Weak cheeks make your face look gaunt and old. Cheek augmentation can restore the fullness to your cheeks if it has been lost with aging, or can create the appearance of strong cheek bones if you never had them. Cheek augmentation pronounces the cheekbones in a persons face.

Techniques

Implants

There are 2 approaches to implants:
The intraoral approach makes an incision in the upper mouth near the top of the gum line and places an implant to rest on top of their cheekbones. This augmentation carries a higher risk of infection than the external incision because the mouth contains more bacteria.
The external approach makes an incision near the eye, but most patients do not prefer this augmentation method since it can create a visible scar.

The materials cheek implants are made of:
Solid silicone is the most common. High-density porous polyethylene (Medpor) and Expanded polytetrafluoroethylene (Gore-Texe) are inert substances, providing better integration with the underlying tissue and bone than solid silicone.

The shapes cheek implants come in are:
Malar implants, the most common shape, are placed directly on the cheekbones. The result is more projection to the cheekbones, providing a "higher" contour to the side of the face.
Submalar implants are intended to augment the midface, especially if the person has a gaunt or "sunken" appearance to this area.
Combined implants or are an extended implant intended to augment both the midface and the cheekbones.

Injections (fillers)

Injections to the cheekbones provide a less invasive and less expensive approach to cheek augmentation. A hyaluronic acid, such as Restylane or Juvederm, can be injected to the cheek area. Autologous fat is considered a "more permanent" option, but all are resorbed eventually completely.

Zygomatic "sandwich" osteotomy

Rarely, the cheekbone (zygoma) is separated by bone cuts near the orbital rim and maxilla. The bone is then moved outward and a solid material, such as hydroxylapatite, is wedged in place to hold the new position of the zygoma.

The surgical procedure for cheek augmentation takes about 1 hour.

Complications

The implant can shift and or not set right and causes asymmetry of the face. This shift can happen due to swelling, trauma or scarring.
With Medpor, the implants integration and ingrowth with the underlying tissue causes difficulty removing the implant if revision is needed.
Infection, postoperative bleeding, formation of a blood clot and severe swelling. Keeping your head elevated helps the swelling resolve sooner.
Although a temporary loss of sensation is common, an extended loss of sensation can occur.
With the external approach, scars will be present under the eyelash margin. Scars in this location are usually not obvious.

Recovery

10 days. If your cheek augmentation was performed through the mouth, you will be restricted to a soft diet for a few days until the gums have healed. You will rinse your mouth after eating to keep the sutures clean, and these will dissolve on their own after several weeks. There is a period of "tightness" associated with the increased volume from the cheek implant, which is worse right after surgery due to the bodys normal swelling response. Most patients do not consider aesthetic cheek surgery to be a painful surgery.

Cost

Cheek augmentation surgery costs from US$ 1300 - US$ 2500?

Cheek augmentation: The transgender guidebook: Keys to a successful transition by Anne L Boedecker PhDCheek augmentation: Cosmetic facial surgery, 1e by Joe Niamtu III DMD FAACSCheek augmentation: Beverly Hills beauty secrets: A prominent dermatologist and plastic surgeons insider guide to facial rejuvenation by Douglas Hamilton and Babak Azizzadeh


This page has been updated on the 2017-12-18.