Cheek augmentation is a cosmetic surgical procedure that is intended to emphasize the cheeks on a person's face. To augment the cheeks, a plastic surgeon may place a solid implant over the cheekbone. Injections with the patients' own fat or a soft tissue filler, like Restylane, are also popular. Rarely, various cuts to the zygomatic bone (cheekbone) may be performed. Cheek augmentation is commonly combined with other procedures, such as a face lift or chin augmentation.[1]
Japanese actor Joe Shishido (1961 photo) had cheek augmentation surgery in 1957.
Cheek implants can be made of a variety of materials. The most common material is solid silicone. In addition, two popular options are high-density porous polyethylene, marketed as Medpor, and ePTFE (expanded polytetrafluoroethylene), better known as Gore-Tex. Both Medpor and ePTFE are inert substances, providing better integration with the underlying tissue and bone than solid silicone. However, in the case of Medpor, the implants' integration and ingrowth with the underlying tissue causes difficulty removing the implant if revisions are needed.[1][2]
ShapesEdit
There are three general shapes to cheek implants: malar, submalar, or combined. 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. In contrast, submalar implants are not placed on the cheekbones. They are intended to augment the midface, especially if the person has a gaunt or "sunken" appearance to this area. Combined implants or malar/submalar combination, are an extended implant intended to augment both the midface and the cheekbones.[3]
IncisionsEdit
A surgeon will usually make an incision in the upper mouth near the top of the gum line and slide the implants into place. Another method is to make an external incision near the eye, but most patients do not choose this method since it can create a visible scar. However, the intraoral (inside the mouth) approach carries a higher risk of infection since the mouth contains more bacteria. Cheek implant surgery is usually performed under sedation or general anesthesia and take about one to two hours. Recovery from this surgery usually takes about ten days.[4]
RisksEdit
As with any surgery there is a risk of infection, postoperative bleeding, formation of a blood clot, and severe swelling. Asymmetry is a risk with all forms of cheek augmentation. This can occur due to uneven resorption, implant displacement, or shifting. This shift can happen due to swelling, trauma or scarring. Although a temporary loss of sensation is common, an extended loss of sensation can occur with any surgery, especially cosmetic plastic surgery.[3]
Fillers or injectionsEdit
Television personality Chloe Ferry is reported to have received cheek fillers in addition to other cosmetic procedures.
Injections to the cheekbones to 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 eventually completely resorbed.[5]
Zygomatic osteotomyEdit
A zygomatic "sandwich" osteotomy is far less common. The procedure is often indicated during reconstructive surgery for birth defects or traumatic injury. During this procedure, the zygoma, or cheekbone, 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.[6]
ReferencesEdit
^ abAugmentation options June 28, 2009, at the Wayback MachineAll About Cheek Augmentation: A Patient Education and Support Network. Last accessed 6 July 2009.
^High-density porous polyethylene implantseMedicine.com from WebMed. Medscape Last accessed 7 July 2009.
^ abMalar and Submalar Implants: OvervieweMedicine.com from WebMed. Medscape. Last accessed 7 July 2009.
^Hinderer, UT; Hinderer, Ulrich T. (1975). "Malar implants for improvement of the facial appearance". Plast Reconstr Surg. 56 (2): 157–165. doi:10.1097/00006534-197508000-00007. PMID 1096196. S2CID 30104001.
^Injectable Fillers University of Michigan Dept. of Surgery website. Last accessed 7 July 2009.
^Milrolo, Michael et al. Peterson's Principles of Oral and Maxillofacial Surgery. 1200-1201. Google Books preview
August 25, 2023
cheek, augmentation, cosmetic, surgical, procedure, that, intended, emphasize, cheeks, person, face, augment, cheeks, plastic, surgeon, place, solid, implant, over, cheekbone, injections, with, patients, soft, tissue, filler, like, restylane, also, popular, ra. Cheek augmentation is a cosmetic surgical procedure that is intended to emphasize the cheeks on a person s face To augment the cheeks a plastic surgeon may place a solid implant over the cheekbone Injections with the patients own fat or a soft tissue filler like Restylane are also popular Rarely various cuts to the zygomatic bone cheekbone may be performed Cheek augmentation is commonly combined with other procedures such as a face lift or chin augmentation 1 Japanese actor Joe Shishido 1961 photo had cheek augmentation surgery in 1957 Contents 1 Implants 1 1 Materials 1 2 Shapes 1 3 Incisions 1 4 Risks 2 Fillers or injections 3 Zygomatic osteotomy 4 ReferencesImplants EditMaterials Edit Cheek implants can be made of a variety of materials The most common material is solid silicone In addition two popular options are high density porous polyethylene marketed as Medpor and ePTFE expanded polytetrafluoroethylene better known as Gore Tex Both Medpor and ePTFE are inert substances providing better integration with the underlying tissue and bone than solid silicone However in the case of Medpor the implants integration and ingrowth with the underlying tissue causes difficulty removing the implant if revisions are needed 1 2 Shapes Edit There are three general shapes to cheek implants malar submalar or combined 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 In contrast submalar implants are not placed on the cheekbones They are intended to augment the midface especially if the person has a gaunt or sunken appearance to this area Combined implants or malar submalar combination are an extended implant intended to augment both the midface and the cheekbones 3 Incisions Edit A surgeon will usually make an incision in the upper mouth near the top of the gum line and slide the implants into place Another method is to make an external incision near the eye but most patients do not choose this method since it can create a visible scar However the intraoral inside the mouth approach carries a higher risk of infection since the mouth contains more bacteria Cheek implant surgery is usually performed under sedation or general anesthesia and take about one to two hours Recovery from this surgery usually takes about ten days 4 Risks Edit As with any surgery there is a risk of infection postoperative bleeding formation of a blood clot and severe swelling Asymmetry is a risk with all forms of cheek augmentation This can occur due to uneven resorption implant displacement or shifting This shift can happen due to swelling trauma or scarring Although a temporary loss of sensation is common an extended loss of sensation can occur with any surgery especially cosmetic plastic surgery 3 Fillers or injections Edit Television personality Chloe Ferry is reported to have received cheek fillers in addition to other cosmetic procedures Injections to the cheekbones to 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 eventually completely resorbed 5 Zygomatic osteotomy EditA zygomatic sandwich osteotomy is far less common The procedure is often indicated during reconstructive surgery for birth defects or traumatic injury During this procedure the zygoma or cheekbone 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 6 References Edit a b Augmentation options Archived June 28 2009 at the Wayback MachineAll About Cheek Augmentation A Patient Education and Support Network Last accessed 6 July 2009 High density porous polyethylene implantseMedicine com from WebMed Medscape Last accessed 7 July 2009 a b Malar and Submalar Implants OvervieweMedicine com from WebMed Medscape Last accessed 7 July 2009 Hinderer UT Hinderer Ulrich T 1975 Malar implants for improvement of the facial appearance Plast Reconstr Surg 56 2 157 165 doi 10 1097 00006534 197508000 00007 PMID 1096196 S2CID 30104001 Injectable Fillers University of Michigan Dept of Surgery website Last accessed 7 July 2009 Milrolo Michael et al Peterson s Principles of Oral and Maxillofacial Surgery 1200 1201 Google Books preview Retrieved from https en wikipedia org w index php title Cheek augmentation amp oldid 1153213034, wikipedia, wiki, book, books, library,
