It consist of Surgical increase the size (volume) and projection (size) of the Cheeks through the use of anatomical Malar implants or prosthesis, specially designed for that purpose.

There are three general shapes to cheek implants: malar, submalar and combined.

Malar implants, the most common shape, are placed directly on the cheekbones, the result is more projection to the cheekbones, providing a higher contour to the side of the face.

In contrast, submalar implants are not placed on the cheekbones, they are intended to augment the midface, especially if the person has a gaunt or sunken appearance to this area.

Combined implants are an extended implant (anatomic extension) used to intend to augmentation both, the midface and the cheekbones.

Cheek implants can be made of a variety of materials. The most common material is solid silicone.

In addition, two popular options are: high-density porous polyethylene marketed as Medpor, and ePTFE (expanded polytetrafluoroethylene), better known as Gore-Tex.

Both Medpor and Gore-Tex are inert substances, providing better integration with underlying tissue and bone than solid silicone.

However, in the case of Medpor, the integration and ingrowth with underlying tissues causes difficulty removing the implant if revisions are needed.

The Malar prosthesis has been developed for more than 20 years, obtaining a wide margin of clinic safety.

The main indication for operation is the lack of Cheek volume (Malar Hypotrophy).

How Cheek Augmentation procedure is practiced

The operation can be performed under general anesthesia or local anesthesia with intravenous sedation, usually the operation lasts about 2 hours and commonly it´s practiced on outcome basis

The Malar prosthesis is placed either through intra-oral approach, (an incision in the upper mouth near the top of the gum line is made) or lower eyelid approach (the more used approach is intra-oral), placing the prothesis in the malar region, on the cheekbone, increasing the volume and projection of that anatomical area.

Possible Complications

Among the complications that can occur in a very small number of patients, are the following:

  • Bleeding
  • Infection
  • Dehiscence of the surgical incisions
  • Prosthesis Dislocation (ectopic location)
  • Capsular Contracture
  • Muscle contracture
  • Prosthesis Extrusion
  • Prosthesis rejection

However, with proper care and control, evolution tends to be very satisfactory.

Recovery

The recovery is fast and painless, with satisfactory result. The patient should use oral antiseptics 3 times a day if the intra-oral approach was used.

The patients can make their normal lives after the first week, but must wait 8 weeks for exposure to the Sun, heat, go to beaches or physical exercises.

Without complications, the final result is excellent, permanent and very rewarding.

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