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Can I get cheek augmentation with bone graft and have it look dramatically different? 21 female

S
ScarletWallenOct 9, 2023

I have an underdeveloped cheekbone on one side of my face due to hemifacial microsomia. I would like to get the cheek to at least the other cheeks fullness with a bone graft . Would I also be able to make the other cheek a little more sharp with a bone graft, or is that result not really able to happen with bone or even fat? I want more hard volume there (l I feel the side that's not deformed even is dull and causing sagging). Also, would a cheekbone augmentation prevent sagging in jowl area

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Randal Haworth, MD, FACS
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Dr. Randal Haworth, MD, FACS
Board Certified Plastic Surgeon
4.6 | 84 Reviews
Answered on Oct 10, 2023
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Dr. Jacob Tower, MD
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Dr. Jacob Tower, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
4.9 | 48 Reviews
Answered on Oct 16, 2023
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Nelson Lee Novick, MD

From the description and one photo provided, there appears rather significant facial volume deficit. This would account for the sunken cheeks and the prominence of the cheek "tail bones." And, since the upper cheek regions are a major support for the under-eyes, the absence of sufficient volume...

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Anna Chacon, MD, FAAD

When considering treatments for prominent eyes and receded orbitals, cheek augmentation can indeed be beneficial in providing additional support to the lower eyelid and improving overall facial harmony. The use of fillers in the tear troughs can help address under-eye hollows, but adding volume...

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Ali Ghafouri, MD

I think you will be happy to know there is a very simple option to help create the facial balance you desire. A little filler in the cheeks will add volume and more defined structure. Adding the volume on the cheek bone will have a sliming effect for the rest of your face and will make your face...

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Jason Emer, MD

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest...

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Nelson Lee Novick, MD

The dent that is seen in the photos may actually not be the problem. More likely the indentation seen there (that is emphasized by smiling) is really an artifact of the presence of the "puffy pillow" of the upper cheeks directly under the eyes. So when this "mountain" becomes pronounced with...

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Jason Emer, MD

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

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