Under the influence of age-related changes, birth defects or injuries, the skin in the cheeks or cheekbones begins to sag. This gives the face a not quite aesthetic appearance. To solve this problem, plastic surgery of the cheekbones is performed, aimed at correcting the changes.
Indications for correction
The main indications for cheekbone surgery are:
- poor outline;
- cheekbones too wide or prominent;
- violation of facial proportions;
- sunken or thick cheeks;
- injuries or defects;
- omission of the oval of the face;
- age-related contour changes.
Such plastic surgery is recommended for patients with realistic ideas about their own appearance, who understand what result should be expected. The best effect during the operation is observed in people with a narrow oval of the face, since in patients with a wide oval, even after the operation, it will remain wide.
Preoperative preparation
Before the correction of the cheekbones, the patient must necessarily consult a surgeon andanesthesiologist. Doctors will be able to evaluate the expected result, as computer simulations are carried out based on the examination and X-ray. In addition, the patient must:
- pass laboratory and instrumental examination;
- take your doctor's prescribed medications;
- quit smoking and alcohol abuse.
In addition, be sure to stop taking certain medications that increase the risk of bleeding.
Basic techniques
There are several different cheekbone plasty techniques that can both increase and decrease the amount of bone tissue. Let's consider them in more detail. Reduction can be achieved by sawing off the bone tissue or moving a certain part of the zygomatic bone. The increase is carried out by:
- introduction of special fillers;
- reposition or osteotomy of the zygomatic arch;
- implant insertion.
During the operation, access can be through the mouth or external. In the latter case, the incision is made near the ear or eye. Patients prefer through the oral approach, as no scars are visible after the operation. However, this method is very dangerous with the possibility of infection.
Contour Correction
Cheekbone contouring is a method of injecting the required area with special gels that have a dense consistency. They are injected into the deepest layers of the skin. Procedureperformed using innovative tools designed for volumetric modeling.
Plastic cheekbones with fillers implies that after the introduction of these funds under the skin, collagen fibers are produced, as well as elastin, which makes the skin smoother and more elastic. By carrying out such a procedure, it is possible to model the shape of the cheekbones, reduce the severity of the nasolacrimal groove, and pump up the cheekbones.
It is worth considering a few nuances. Cheekbone augmentation with hyaluronic acid is indicated for patients under the age of 30, and preparations based on calcium hydroxyapatite are used for cheekbone contouring in patients over 35 years of age. This is due to the fact that the gel has a higher degree of density in relation to other types of filler, which provides a long-lasting result and reduces the likelihood of facial asymmetry. Such funds ensure the preservation of the result for 1.5-2 years. Fillers with a low level of density are injected only into the upper layers of the dermis. Therefore, the result lasts for only 6-8 months.
Lipolifting
Lipolifting is a procedure for increasing the volume of the cheekbones through the use of injections consisting of material taken from the patient himself. As with contouring, this method does not leave scars, scars. In addition, there will be no difficult recovery period. Lipolifting is very easily tolerated by the body and often refers to concomitant procedures duringanti-aging plastic surgery.
Fat for injection is taken from certain parts of the body, which include the thighs, buttocks and abdomen. After taking the material, it is cleaned and injected into the required areas of the face. Thus, an increase in the volume of the cheekbones and cheeks is carried out, as well as the modeling of the oval of the face.
The cheekbone correction procedure takes approximately 1 hour, and the maximum effect becomes noticeable after 1-3 months, depending on the state of the immune system and the speed of tissue repair of the patient. The effect of lipolifting continues for 3 years.
It is worth noting that this method has certain disadvantages, since fat cells may not fully take root at the injection sites. Depending on the amount of engrafted material, the patient may need correction over time.
Surgical methods
Many people are interested in how cheekbone plastic surgery is done, and what methods are used for this. In addition to injection, there are also surgical methods that are indicated for patients with significant deformity or severe asymmetry, accompanied by sagging soft tissues and the presence of excess fat in the cheek area.
Compared to injection procedures, surgical techniques are more traumatic, have a long rehabilitation period and often require the patient to stay in the hospital. However, if all the recommendations of the doctor are followed, the effect persists for 10-15 years. Surgical techniquesare divided into several types, namely:
- endoscopic cheekbone surgery;
- mandibuloplasty;
- removing Bish's lumps.
Endoscopic method refers to low-traumatic operations and is aimed at lifting soft tissues, as well as correcting the zygomatic region, by using special plates. The doctor inserts these plates under the skin of a person through small incisions made in the temples. To achieve a better result, the operation is combined with the introduction of a special gel subcutaneously, which increases the volume of the cheekbones and corrects the oval of the face.
Mandibuloplasty involves the installation of special zygomatic implants that help change the volume and shape. Such an operation is performed with a weak bone or to eliminate asymmetry after an injury. The surgery is performed under general anesthesia. The doctor places the implant under the muscles through an incision on the inside of the cheek, fixes it with threads, and sutures the wound. The rehabilitation period lasts six months, and the result is preserved for life.
Removal of Bish's lumps is a low-traumatic operation to remove excess fat in the cheek area to correct the oval of the face. Surgery is performed using endoscopic equipment through a small incision in the mouth. The surgeon removes excess fat and stitches the wound.
Rehabilitation period
After surgery, recovery takes approximately 6 months. During the early postoperative period, the patient remains inhospital, and if he goes home, then someone must accompany him. In the first days, antibiotics and analgesics are prescribed to eliminate pain. If the pain is severe, ice may be applied to the face. During this period, only soft and liquid foods that do not require chewing are allowed to be consumed.
During the week there will be some discomfort while brushing your teeth. In addition, you also need to rinse your mouth with antiseptics. It is forbidden to smoke and consume alcoholic beverages.
Possible Complications
Complications are divided into general, that is, arising from any type of surgical intervention, and specific, characteristic only for this procedure. Common include postoperative bleeding, scarring, tissue infection, allergic reactions.
Specific complications include:
- defect or displacement of the zygomatic bone;
- facial sagging;
- sinusitis;
- damage to the facial nerve;
- impaired mouth movements.
In addition, among the complications, the absence of the required result of the operation should be highlighted.
Contraindications for correction
There are both indications and contraindications for this type of surgery. The main ones include such as:
- respiratory pathology;
- diseases of the heart, kidneys and liver;
- diabetes;
- malignanttumors;
- poor blood clotting;
- allergies;
- local infections and pustules;
- pregnancy;
- mental disorders.
It is worth remembering that each type of correction has its own specific contraindications, so everything is negotiated with the attending doctor individually.
Cost of correction
How much does cheekbone surgery cost, many patients who want to perform this type of correction are interested. The price of the procedure depends on its type. Correction of soft tissues and blepharoplasty costs about 10 thousand rubles, and the cost of lipolifting is 9 thousand rubles.
The surgical method is more expensive, for example, the price of the endoscopic method is 40-53 thousand rubles. (700-900 dollars), mandibuloplasty - 59-89 thousand rubles. (1000-1500 dollars), and the cost of removing Bish's lumps is about 30 thousand rubles (500 dollars).
