Would a combined malar submalar implant or extended orbital rim-malar implant be best for my very concave middle face? (photos)
Doctor Answers 6
Beauty with mid cheek augmentation.
I agree that a quality augmentation of the mid cheek skeleton would be wonderful in enhancing your attractiveness and permanently. I perform this in virtually every young patient who wishes to have a more glamourous face as well as in most facial rejuvenations as well as in patients whose flat cheeks form the basis for early lower lid bags.
While not wanting to discourage you from this surgery, you should be careful what you wish for. The example you show certainly looks much better than before the surgery, even when you discount the benefit of proper photographic lighting, hair and make up.
However, you do not have to go to the opposite extreme. Her cheek fullness extends too low down her cheek, so it looks obviously surgical. Also it is partially aging as the cheek mound becomes lower with aging, and is becoming there already. If you relate the point of maximum cheek projection to the peak of brow projection they do not relate in her as they do in beautiful faces.
In other words the cheek projection in the oblique view needs to be high and the rest of the cheek contour fits in with this. It is not just what implants that are used, but the aesthetic eye of he surgeon in refining the shape of the implants when placed.
The implants you show are solid Medpor implants. Being solid, these do not fit into the contour of the underlying bone, so the result may well be overdone unless the surgeon shapes the implants once they are fixed in place. I and some other surgeons prefer using a different implant material made of coral granules, called hydroxyapatite, that the surgeon places onto the bone. The implant fits completely into the surface of your bone and the surgeon builds up the contour according to the plan formulated with your approval prior to surgery.
Shapely cheeks are beautiful but too much volume can easily happen and diminishes the result.
Malar-Submalar Augmentation for Apple Cheek Effect
Type of malar implant?
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it also matters what you want projection or width or both