Recovery - Results


In our culture, prominent cheekbones are considered a sign of beauty. Cheek (malar) implants can correct what nature has not given, and the best candidates for these implants are individuals with long, narrow faces or short round faces with flat cheeks. Faces that are asymmetrical in the cheek area can also be corrected. Standard preoperative instructions would include avoidance of any agent, like aspirin, that reduces blood clotting. This procedure can be performed on an outpatient basis under local anesthesia with sedation. Incisions are made either inside the mouth, between the upper gum and cheek, or immediately under the lower eyelids. The mouth incisions are the most common practice, and the underlying tissues are thus manipulated to create a pocket over the cheekbone to receive a correctly sized implant. This implant, like the chin model, is fabricated from medically approved materials and is inserted into the pocket. The surgeon places very small sutures to close the incisions until they are removed in about a week. The external procedure involves placing a fine incision directly under the lower eyelid, within a natural crease to hide it. The implant is then placed through this incision which is sutured.

 


Following surgery, patients are prescribed antibiotics and allowed to go home after several hours of observation by the aftercare team. Numbness, swelling and bruising are normally present, and the latter two conditions can be controlled to some degree by keeping the head slightly elevated when reclining and by apply cold packs. Chewing and normal oral hygiene may cause some discomfort for about two weeks, and the cheeks and surrounding area will feel tight for a period of time.

The subtle change in the shape of the chin often means a striking shift in the aesthetics of the patient's face. Chin implantation is often performed in combination with neck liposuction for a more pleasing neck and chin profile.