Cheekbone surgery - malar implants
What is cheekbone surgery?
The placement of malar and temporal implants corrects asymmetries and congenital defects of the bone structure (eg insufficiently defined structure) in the cheeks. It allows to have cheekbones better defined, more prominent and brings a better balance of the proportions of the whole face while maintaining a natural appearance in line with the morphology of the patient's face and with its personality. This technique can also be used to give the face a more youthful appearance because high, prominent cheekbones are one of the facial attributes most often associated with beauty. With a view to rejuvenation, the intervention will be associated with a cervico-facial lift.
Surgical indication of the cheekbones
LThe procedure is performed on people aged at least 16-18 years (end of growth). It is indicated for:
Correct asymmetries and congenital defects of cheek bone structures.
Make the face look younger.
Masculinize a face deemed too feminine or type a face that one would like to be "more Slavic".< /p>
Preoperative instructions for the cheekbones
No medication containing aspirin, anti-inflammatories or anticoagulants should be taken in the 15 days preceding the operation to reduce the risk of bleeding. Your doctor will provide you with comprehensive advice in your private space, once your consultation form has been completed.
Stop oral contraception 1 month before surgery, to reduce the risk of artificial inflammation and thrombosis -embolic.
It is imperative to fast (not drink or eat anything) 6 hours before the operation.
If you wear contact lenses, braces, or hearing aids, you must remove them before anesthesia.
Type of anesthesia
The procedure is most often performed under neuroleptanalgesia or general anesthesia.
The procedure takes approximately 1 hour.
During the procedure, the surgeon makes an internal pocket just in front of the bone structures to be corrected or a little below and introduces the implants specifically adapted to the desired correction then fixes them in a stable and durable way.
To place the malar implants, the surgeon will make an endobuccal incision -inside the the mouth, between the upper gums and the cheeks - then he will perform the entire operation via these intra-oral pockets.
To place the temporal implants, the incision will be made at the level of the scalp and will be camouflaged in scalp. It will allow the surgeon to introduce and permanently fix the implants.
In general and on a case-by-case basis, the surgeon will assess the type of incision to be made:
Palpebral (through an incision located in the lower eyelid, just on the ciliary edge, like the one I used for eyelid surgeries).
Transconjunctival (by the inner part of the lower eyelids).
Pre-auricular (near the ear, through an incision in the scalp). This incision is also performed for facelift and can therefore be used if both surgeries are performed at the same time.
Aftercare and post-operative care
To promote healthy healing of the operated areas, certain precautions must be observed:
Food should be lukewarm or even cold and rather soft. Foods and drinks that are too hot, too spicy or too acidic should be avoided.
Good oral hygiene is also essential (brushing teeth with antiseptic mouthwashes in addition).
It is essential to stop smoking and alcohol until the wound has healed.
Wearing a compression bandage will be prescribed for a fortnight.
Antiseptic mouthwashes and the use of a local antiseptic to be sprayed on a compress will be prescribed after surgery on malar implants.
Analgesics and anti-inflammatory drugs will also be prescribed to you in order to avoid postoperative pain and to reduce swelling (edema).
In principle, there is no postoperative pain but discomfort, especially when chewing during first 10 postoperative days.
The edema is at its maximum level on the 3-4th postoperative day. The regular application of cold compresses or "small bags with ice cubes" on the operated areas will allow you to reduce the importance and the duration of the edema and bruises.
Indeed, a slight edema and sometimes a few bruises -blue- can occur during the first ten days following intervention. They gradually disappear after 8 to 15 days and can be concealed by corrective medical make-up (available in pharmacies) or professional make-up from 7 days after the operation.
In the month following the operation, it is imperative that you avoid violent trauma (eg sport) at the level of the implant because this would risk displacing it and would therefore require surgical repositioning.
Postoperative follow-up will be carried out regularly by your doctor.
The cheekbones are better defined, prominent and more in harmony with the other parts of the face.