A common component of facial rejuvenation is the restoration of lost volume and soft tissue support. There is a marked loss of volume and loss of tissue support in the malar region of the midface in an ageing patient. The goal of augmentation of the malar region (cheekbone) is to restore the volume and aesthetic balance to the midface. Besides, cheekbone augmentation can be used to correct congenitally atrophic midface (binders syndrome).
Cheekbone augmentation can be accomplished using 2 different techniques.
This procedure can be performed under sedation and local anesthetic. The implants are usually silastic. The incision is intraoral. A pocket is created over the malar bone as per pre-operative markings. The pockets are created to exact size. The implants can be custom trimmed to suit the patient’s aesthetic requirements. The implants are placed in the pocket. Fixation is rarely necessary. The incisions are carefully closed. Implants provide a permanent solution for cheek augmentation. The healing time is 7- 10 days. Since the incisions are inside the oral cavity, maintenance of oral hygiene is of utmost importance.
Fat grafting is done via 1mm Cannulae. The fat is sourced from patient’s subcutaneous region in the abdomen, flanks or inner thighs. The fat is processed to remove serum, blood & fibrous tissue. Then it is converted to micro fat. This is then injected carefully in the malar area in different planes. 60 – 70% of the injected fat is expected to survive. The procedure can be repeated to achieve the final result. The advantage of this method of augmentation is –
No artificial implants are used.
No incisions are given.
The disadvantage is- the procedure may need to be repeated to get the desired result.
Both the methods of augmentation are usually combined with other rejuvenation procedures such as facelift, chin augmentation, blepharoplasty, and chemical peels, etc.