Malar Cheek Implants
Doctor Answers (6)
Malar implants for cheek augmentation
Malar Cheek Implants
The aesthetics of cheek enlargement.
People with flat cheeks lack a healthy, robust appearance. In addition, flat cheeks are not a good foundation to support the soft tissues of the mid cheek, which, as a result tend to sag prematurely. Eyelid bags appear prematurely in flat cheek people, as seen in young Asian faces.
The quality of result obtained with cheek augmentation is in direct proportion to the experience of the surgeon with this operation and his ‘aesthetic eye’. While computer simulation preoperative planning can be used, in practice it is much more useful for the patient and surgeon to do a ‘fluid test’. This is effectively a dress rehearsal done in the office with you sitting down holding a mirror, while the surgeon gently injects dilute local anaethetic fluid into the correct places and with the correct amounts to simulate the effect of the implant, all along with your guidance and approval.
The fluid lasts only a few hours, and as it isn’t permanent you can try out a larger size. If you don’t like the look you are not stuck with it. During this trial process the surgeon notes the volumes used in different parts of the cheek and the shape required for the surgery.
There are several types of implant material premade in the factory, of different shapes. Personally, I prefer individual implants that are made of coral granules as there is no reaction or infection risk with this material. The shape and size of the implant is made by the surgeon according to the fluid test plan. The coral, chosen because it is structurally identical to facial bone. It becomes fixed in place with fibrous tissue initially and progressively the cheek bone grows into the implant so that the coral implant becomes part of the person and avoids the long term potential for problems that may be seen with silicone implants.
Depending on your age, a cheek lift may be required at the same time if the cheek has already dropped. Cheek implants themselves do not lift the cheek and it does not look attractive having a sagging cheek hanging off a prominent cheekbone.