• Malar Augmentation

General

Along with fat transport, cheek implants are another popular method to provide a youthful appearance and a harmonious face balance. Silicone implants, ideal for someone who would like to add a lot of volume as opposed to a slight increase, create a lifting effect and add fullness to the midface.

Cheek implants, or malar augmentation, add contour to cheeks that lack definition. Patients with a weak cheekbone structure or who have lost cheek contour due to the effects of age can benefit from the aesthetic improvement that malar augmentation can provide.

Malar augmentation is an operation suitable both for young and old patients. For an even better outcome, it is commonly combined with a facelift or rhinoplasty.

Operation Techniques

The procedure is accomplished through an incision in the mouth, just above the gum line. A pocket is created above the bony surface of the cheek to insert the implant. This way, the incision will remain invisible.

An incision slightly under the eye is also possible. Even though the incision remains visible, it makes use of the same incision used in lower eyelid surgery.

Surgical augmentation of the cheeks can be achieved through a procedure using implants. There are several types of implants available, and the choice depends on your individual anatomy.

The main type of implant used is named Medpor (porous polyethene), but Gor-Tex and silicone can also be used.

Gor-Tex is a popular permanent material that provides an enhanced surface characteristic which more optimally interfaces with the body and it can be completely removed at any time. It is most useful where there are deeper folds under the skin.

Silicone, on the other hand, is probably the most popular material for implants. It is easy to shape into the desired form, firm to touch but also elastic. Silicone implants can deform inside your body, but they, too, can be removed easily. The material is harmless to the patient’s tissue.

Pre-Operation

To prepare yourself for an upcoming malar augmentation, you should avoid anti-inflammatory drugs or blood thinners such as aspirin. Refrain from smoking and do not take any pharmaceutical drugs causing anticoagulation at least two weeks prior the operation.

Some diet supplement containing high vitamin E or monosodium glutamate, garlic, onion or soybean may cause more bleeding during the operation. If you take any diet supplement or are not sure, please speak to your surgeon. You may need to stop taking diet supplements three to five days before the operation.

Please keep your medical history ready and hand it over to your surgeon on the day of the surgery. Even though most malar augmentation patients make a quick recovery, expect to take sick leave between five and seven days.

You may bring a friend into the operation room for your convenience. Sunglasses can help protecting your eyes from the bright lights in the operation room. Before you come to your appointment, wash your face and do not apply any make-up. Wear no contact lenses and – if you suffer from chronic hypertension – make sure your blood pressure is below 40/90 mmHg before the operation.

The Procedure

Malar augmentation is performed under local anaesthesia for optimal comfort. This means you will be awake during the operation but have no sensation in the areas operated.

The operation is usually performed through an incision in the mouth, placed just above the gum line. A pocket is created above the surface of the cheek to insert the implant.  The implant is positioned and stabilised using a screw that provides stability to the implant during the healing process. The pin is left in place permanently. The amount of augmentation and the size of the implant is decided ahead of time during consultation with your doctor. This will help to provide a natural balance and proportion to your face.

The operation usually takes between one and two hours.

Post Operation

If the incision were performed under your eye, your stitches would have to be removed five days after the operation. For in-mouth-incisions, no sutures are needed. Keep your incisions clean by using a warm, wet towel.

Keep your head lifted while you sleep by using an additional pillow. Use cold packs, covered with clean towels, around under eyes during the first two days to decrease swelling.

Strictly follow the prescriptions your doctor has given you. If you have any allergies such as rash, itchiness or nausea, stop taking them and immediately consult your doctor.

To support the healing process, please avoid the following for the time noted in the brackets:

  • Spicy food (7 days)
  • Exercise (7 days)
  • Do not excessively use your eyes (reading, watching TV, etc.)
  • Rubbing eyes (3 weeks)
  • Wash your face (3 days)
  • Wear glasses (1 week)
  • Apply make-up (1-2 weeks)