Is it possible to get one cheekbone fixed? I was in an accident and one of my cheekbones grew in wrong.

Question

Quite a few years ago I broke my orbital bone and pretty much everything surrounding it so now I have a plate under my eye. My right cheekbone also grew in incorrectly, I have always had very pronounced cheekbones and the one that grew in wrong is affecting my whole facial structure. I look off, my right cheekbone is lower and at a downwards angle, the surrounding skin looks weird as well, do I have any options?

Jeffrey H. Spiegel, MD · Answer

Miketony,There are several options. We could do a custom implant, we could shape the bone, we could adjust the soft tissue, etc.  The key is to be seen by an expert facial surgeon who has multiple options - not just fillers - and who can determine the best course of action.

Jason Emer, MD · Answer

This is difficult to answer without pictures.  Facial symmetry can be created with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Frank P. Fechner, MD · Answer

There are many options available for treatment of one deficient cheek bone including implant, fat injections, injectable fillers. I would not recommend to move the fractured cheekbone into a new place. A personal consultation with a specialist knowledgeable about these treatments will help you to determine what is right for you.

Waleed Ezzat, MD, FACS · Answer

Depending on the degree of asymmetry of your cheeks, an implant placed over the displace bone may give you the symmetry you're looking for. I would seek out a board-certified specialist for a consultation as a full examination would better answer your question. Good Luck!Dr. E

Barry L. Eppley, MD, DMD · Answer

Reconstruction of a displaced cheekbone can be done by either repositioning the bone or placing an implant overlay in top of the bone. Which may be best depends on what your degree of facial asymmetry and well as an assessment of your facial bone anatomy by a 3D CT scan.

Kevin Cavanaugh, MD · Answer

Hi,
Thanks for sharing your story and I'm sorry to hear about your accident. I recommend you seek out the care of an experienced cosmetic dermatologist or plastic surgeon for a facial assessment and discussion of your options. Dermal fillers are an excellent option to correct facial asymmetries. There are a variety of dermal fillers that can be used with varying techniques and durations to correct your asymmetry. That being said, if your asymmetry is too profound to be completely corrected with non-invasive means, you may need to seek out the care of an experienced plastic surgeon for a more invasive approach. Hope this helps.
Kevin Cavanaugh, MD

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures, over the past 30 years, using dermal fillers, silastic facial implants, liposuction and facelifts as needed.  Non smiling photos of your face from the front and side would help in the evaluation.  The simplest way to augment and shape the previously fractured cheek would be using an off the shelf dermal filler.  I would try that first.  Following that. a custom silastic cheek implant could be considered for a permanent enhancement however, this is typically used with a thinner but similarly shaped silastic cheek implant placed on the opposite cheek.  In my experience and humble opinion, fat transfer (fat injections) offer far less of a reliable and predictable volume to shape facial features than an "off the shelf" dermal filler or silastic facial implant.  For that reason I do not use fat to shape the cheek, chin, lip or jaw line.Hope this helps.

Is it possible to get one cheekbone fixed? I was in an accident and one of my cheekbones grew in wrong.

Answers (7)

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