I have a moderate case of hemifacial microsomia. How can I laterally augment my left cheekbone as much as possible?

Generally  speaking for correction of hemifacial microsomia one should consider augmentation of both bone and soft tissue. A combination of cheek implant and soft tissue augmentation with local flap tissue or fat grafts would be my choice. We have used galeopericranial flap (tissue underneath the scalp) which is well vascularized, live tissue to cover implants and augment soft tissue deficiency for mild to moderate microsomia.You should seek a consultation with an experienced board certified plastic surgeon or craniofacial surgeon for clinical evaluation and discuss your options. Good luck.

there are many options for fixing facial asymmetry. I suggest seeing an expert for options with fillers, fat, sculptra or implants.  Best, Dr. Emer.

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Depending on your specific facial anatomy, fat grafting or facial implants can be helpful.   The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

As in all cases of hemifacial microsomia you have an underlying cheekbone deficiency. Given your asymmetry and the need for different shapes of augmentation between the two sides, you should have it treated by custom made cheek implants. These are made from a 3D CT scan and computer designed to achieve the optimal born symmetry between the two sides.

A full set of facial photographs and and in-person examination required for a complicated case such as this. If both cheeks are hypoplastic, then a differential sized cheek implants can be performed to augment both of them, however one cheek implant will be larger than the other. Alternatively, only one side could be augmented if needed. For more information about cheek implants and many before and after results, please see the link and the video below

 Hi, I have performed many facial shaping procedures over the pas 30 years.  Non smiling photos of your face would help in the evaluation.  These can be e-mailed if your prefer.  Cheek Augmentation wit cheek implants and or dermal fillers can shape the cheeks. Following the beauty principles outlined in my book on face and body beauty, women look the most feminine, youthful and attractive with heart shaped faces. Heart shaped faces have cheeks that are full and round in the front. Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.  Conversely, men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles. Hope this helps.