Cheekbone plastic surgery: which method to choose. Who is suitable for cheekbone augmentation with implants?

Types of correction

• Cheekbone augmentation involves the implantation of silicone implants. When increasing the zygomatic arch in people with a wide upper part and a wide chin, the result may not meet expectations - the cheekbones will only make the face heavier. But for patients with a narrow forehead and narrow jaw, malarplasty allows them to achieve more pronounced cheekbones. Rehabilitation takes place quite quickly - about two months.
• Reduction malarplasty is often performed for congenital or acquired defects after injury. The operation is technically difficult. Resurfacing of the bone tissue is expected. The recovery process with this type takes up to six months.

#5 benefits of injecting fillers into the cheekbones

According to patient reviews, the procedure has enough advantages.

1. The rejuvenating effect and rounding of the cheekbones and cheeks become noticeable immediately after injections with fillers. The final result appears after a month - this facial area looks natural, the facial expression remains as alive as before. The duration of the result is up to 18 months. And this is confirmed by the photos before and after the manipulation.
2. There are no age restrictions - you can apply for the procedure starting from 18 years old. However, experts advise those who have barely reached adulthood not to rush, since cheekbone fillers more effectively solve the problem of women/men over 35 years of age.
3. Hypollergenicity of the drugs used, their ability to completely break down over time.
4. Short (2-7 days) rehabilitation - redness and swelling usually disappear in the first postoperative days. But this largely depends on the professionalism of the cosmetologist performing the manipulations.
5. Minimal risk of side effects.

A relatively inexpensive injection procedure (18,000-20,000 rubles) is especially attractive for those for whom one session is enough to solve the problem. But how many injections are required is decided by the doctor in consultation with a specific patient.

Contraindications

Refusal to perform an operation is possible if there are restrictions such as:

• Age up to 25 years, since before this period the formation of the facial skeleton occurs.
• Dental inflammatory diseases.
• Dermatological diseases of the facial skin.
• Severe pathologies of the heart, blood vessels, kidneys.
• Diabetes.
• Neoplasms of various types.
• Endocrine disorders.
• Infections and viruses.
• Purulent inflammation.
• Individual intolerance to the components of the anesthetic substance.

Recovery

The bandage is removed after two days, and the incisions usually take less than a week to heal. To speed up the process, rinses are used (if the dentures were inserted through the mouth).

The patient may experience discomfort for some time (up to 10 days). Painkillers are prescribed to suppress them. Bruising and swelling also form on the face, which usually disappear during the same period.

After 7-10 days, the patient will be able to return to normal life. It may take a little longer for skin sensitivity to recover—up to three months.

For a month, you should refrain from using cosmetics, physical activity, visiting a bathhouse and solarium, swimming in a pool or open water.

Types of implants

Endoprostheses used to enlarge the zygomatic region vary in shape and size. Today, all products have the same filler – silicone.

There are implants:

• Oval. Most popular for correction of the anterior zygomatic area. The face becomes wider.
• Anatomical. Will be appropriate for sunken cheeks.
• In the shape of an ellipse.

The choice of product is up to the doctor. To form ideal proportions of facial features, the surgeon needs to choose the right implants. Otherwise, an unnatural protrusion of endoprostheses under the soft cheek area (the so-called Bichat's lumps) is possible.

Operation

Correction of the profile of the zygomatic protrusion with implants is performed through internal or external access. In the first case, an incision is made on the mucous membrane from the side of the oral cavity, its length is up to 1 cm. This access is more aesthetic because there are no external scars left. But it carries a greater risk of infectious complications. Before the operation, you will definitely need to visit the dentist and sanitize the oral cavity. With external access or when combined, for example, with a check-lift, an incision is made in the temple area along the hairline or in a natural fold of the skin, so the scar is almost invisible. Its advantage is also that, together with malarplasty, a lift can be done at the same time. After access is established, a “pocket” is made into which the implant is placed on the cheekbone. It is secured with two sutures and surrounding soft tissue.

Preparation

At the preliminary consultation, the doctor assesses the upcoming treatment area, measures it, and selects implants. Some clinics offer 3D modeling after choosing the type of plastic surgery.

The preparatory period includes, in addition to standard tests, an examination by a dentist.

Before the appointed date, the patient begins to prepare the body for surgery: he stops taking any medications or hormonal drugs. Smoking and drinking alcohol is prohibited.

Reviews

There are not only positive, but also negative reviews about cheekbone augmentation using fillers. Let's get to know them better.

ROSA, 35 YEARS OLD:

“My face was always thin before going to the clinic for cheekbone plastic surgery with fillers.
With age, the lack of aesthetics worsened due to sunken cheeks, sagging skin under the eyes, and the formation of furrows. Therefore, I decided to eliminate the eternally tired look with the help of fillers. And the miracle happened!

The painless procedure transformed my face into a young and beautiful one. Thanks to the doctor who did a 5+ job!”

VERONIKA, 42 YEARS OLD:

“The skin on the face has lost its elasticity, senile changes have appeared.
I realized that I was losing my attractive appearance. But I’m terribly afraid of plastic surgery, so I went to one of the clinics in the city where I live for filler injections. The result was shocking!

Now I have beautiful, prominent cheekbones, rounded cheeks without recesses. The epidermis on the face has also smoothed out - there are no folds or wrinkles on it.”

NADEZHDA, 45 YEARS OLD:

“Alas, my experience with cheekbone fillers turned out to be negative.
The procedure is painful, the pain is especially sensitive when the cosmetologist proceeds to injections into the second cheekbone. By this time, the anesthesia has worn off. After 2 weeks, the cheekbone area protrudes unnaturally, which is why the face appears distorted. I’m not even talking about slight swelling and bruising.

The rehabilitation process took a long time, and I could not return to work on time - I had to take leave at my own expense. Moreover, restorative procedures are now necessary.

Yes, my friend went with me to get fillers for my cheekbones. So her result is not noticeable at all - she was given low-viscosity fillers.”

Technique

The operation is performed under general anesthesia with tracheal intubation. Before starting, the surgeon selects the type of tissue access. Typically, the approach comes from the oral cavity, which involves a 1 cm incision in the alveolar region of the jaw. The advantage of this method is hidden scars, but there are also disadvantages - the risk of infections acquired through the oral route increases.

The external method is used if malarplasty is combined with a facelift. In this case, the scalpel is held behind the ear, heading towards the temporal area.

Cheekbone augmentation is performed as follows:

• Through the selected access, a plane is formed for placing the implant.
• The endoprosthesis is installed in the periosteum pocket. Here it is important to avoid contact with the oral mucosa and teeth.
• The material is fixed in the new position.
• Two stitches are applied.

Approximate duration: 1.5 hours.

Cheekbone reduction is carried out according to the following plan: after marking and making an incision, the doctor grinds the bone tissue with special equipment. This increases the likelihood of damage to the facial nerve.

The newest technique in plastic surgery is three-dimensional reduction. It involves resection of the protruding part of the cheekbone and moving it to a recessed position within the periosteum. With this method, the oval of the face changes.

After completion of the procedure, the patient is treated with antiseptics to reduce pain after recovery from anesthesia.

What are zygomatic implants

This concept is still quite new in Russia and unknown to many, so we’ll talk about what zygomatic implants are.

So, zygomatic implants in dentistry were originally developed by Nobel, which is a leader in the dental implantation industry and in the development of advanced technologies. And they were called by the beautiful word Zygoma. In general, the name is quite understandable: this is how the word “zygomatic” sounds in Latin.

How are they different from classic models? They are several times longer. For comparison, the classics are up to 2-3 cm, while the zygomatic models reach 6 cm in length. As for Nobel, their maximum model length is 5.2 cm. This allows them to be fixed directly in the cheekbone. The cheekbone, as you know, is located on the upper jaw and, by the way, it is completely resistant to any inflammatory processes, much less atrophy, unlike the jaw bone tissue (it decreases in size in the absence of tooth roots, because blood vessels, in fact, they stop working and saturating cells with nutrients).

Implants were originally developed for people who found themselves in difficult life situations, received extensive jaw injuries, and suffered from cancer. That is, for those cases when it was impossible to fix them specifically in the jaw bone. Therefore, one can imagine what large-scale research was carried out before the designs were presented to the public and introduced into widespread practical medicine. Moreover, Nobel will not put into operation anything that does not one hundred percent meet the criteria of the highest quality and reliability. Just look at the ]all-on-4[/anchor] and all-on-3 protocols, the improvement of which took decades.

The photo shows Nobel Zygoma Implants

So these same zygomatic or even transzygomatic models set the direction in the development of zygomatic implantation using the Zygoma system. Moreover, they are ideal for implantation protocols with immediate loading of a prosthesis, which allows you to restore your smile literally in a matter of days: 2-3 days after implantation, and you have “new” beautiful teeth that can be used for their intended purpose, that is, chewing food .

Nobel Zygoma implants have created an extraordinary sensation in Europe. There, by the way, they have been successfully used for more than 20 years. We have the same amount, but more on a research basis and on a much smaller scale. After this, other manufacturing companies introduced lines of zygomatic models - among them Biomed, Noris, Southern Implants and others. Some of them are also successful in their segment, and most are “copies” of famous and proven models from Nobel.

You will be interested to know that in Russia, certified specialists who have the right to use Zygoma implants in their medical practice can be counted on one hand. For now, unfortunately, we have to upset those who live in regional cities - almost all doctors work in Moscow. But would you agree that this is a great reason to stay in the capital?

Now read in detail about why it is best to give preference to these unusual implants if you need to restore teeth in the upper jaw with high quality and for a long time. Naturally, if all other methods do not suit you.

Rehabilitation

The person is placed in a hospital for a day, after which he is sent home.

The stitches are removed on the ninth day. During this period, sharp pain, swelling, blueness, and decreased sensitivity are felt. To alleviate the pain, painkillers are prescribed to prevent the development of infection - antibiotics.

The first 5-7 days are the hardest. During this period you should not eat solid food. Food must be in liquid form.

During the month it is obligatory to:

• Rinse your mouth with a special rinse for disinfection after each meal.
• Do not brush your teeth.
• Don't touch your face.
• Do not apply decorative cosmetics.
• Apply a cold compress several times a day to relieve swelling.

After approximately two weeks, you can return to your normal lifestyle. The general recovery course takes 5-6 months. It can be extended if bone resurfacing has been performed.

If all the teeth in the upper jaw are missing

Today, Zygoma zygomatic implants from Nobel have already become a household name, although other manufacturers are actively promoting similar models to the market. But still, it is “Zygoma”, due to its quality and time-tested action, that remains the most popular among implant surgeons.

One could even say so, despite the fact that implants from Nobel have a higher price compared to others, they hold the palm and win. They are an integral part of such immediate loading implantation complexes as the all-on-4, all-on-6 or basal protocol.

For basal implantation complexes, one-piece implants from Biomed are used, which can also be zygomatic. They have a smooth coating and thereby prevent the accumulation of bacteria on the surface of the implants themselves and the bone in contact with them. Sometimes this is the only opportunity to return to a full life for patients who, in addition to tissue atrophy, are faced with dangerous periodontal tissue diseases - periodontitis and periodontal disease.

Restoration of the upper jaw with periodontitis

Depending on the condition of the patient’s bone structures, in the absence of all teeth, only up to 12 implants are installed in the upper jaw, and some of them may be zygomatic. For example, within the framework of protocols on four or six implants, only 2, 4 or even all 6 pieces can be zygomatic - it all depends on the degree of pathology. Those. The narrower the bone, the smaller it is, the closer the maxillary sinus is, the greater the number of zygomatic implants the doctor can use.

Complications

The percentage of side effects with malarplasty is quite low, but, nevertheless, it exists. The following risks are possible:

• Numbness and pain when touched. Explained by damage to the trigeminal or facial nerve. It goes away on its own within a few weeks. Unpleasant sensations are relieved with analgesics.
• The appearance of pus and inflammation. Indicates infection during surgery due to non-compliance with sanitation measures. The use of antiseptic drugs and a course of antibiotics is required.
• Hematomas and seromas. They develop as a result of lack of wound drainage. It is necessary to stop the bleeding and install a fluid removal system for a couple of days.

With cheekbone augmentation and implantation, the following may occur:

• Rejection. Happens in 0.9% of cases. The reason is the individual characteristics of the body - sensitivity to certain materials from which the endoprosthesis is made. If this occurs, replacement is required.
• Bias. Occurs only due to ignoring recovery rules. Eliminated by secondary plastic surgery.

Among the specific complications after the procedure, experts emphasize:

• Ptosis of the middle part.
• Chronic sinusitis as a result of trauma to the nasal sinuses.
• Oral injuries.

Side effects such as dizziness, nausea, and swelling are common reactions to surgery. After 3-5 days, the symptoms go away on their own.

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Result

Unlike lipofilling or contour plastic surgery, malarplasty is durable. The operation is performed once and the effect lasts throughout life. No re-correction is required.

Other advantages include:

• Partial smoothing of nasolabial folds.
• Smoothing out wrinkles.
• Some elimination of zygomatic hernias.

Cheekbones are not only a sign of beauty, but also of youth

Oral and maxillofacial surgeons and orthodontists (specialists in correct bite) have long been studying the secrets of healthy facial beauty. Recent research in this area has revealed very interesting facts.

Even those of us who can't

boast expressive cheekbones, they play a very important role
.
The cheek bone is the support that keeps the facial tissues taut .

Studies have proven that over the years the face loses volume. And this happens not only due to subcutaneous fat. All bone structures become thinner. The cheek bones especially lose volume. Without their “internal support,” the muscles and skin begin to “slip,” forming unpleasant nasolacrimal grooves under the eyes, nasolabial folds and jowls on the lower jaw.

Therefore, to stay young, you just need to keep your cheekbones “at their best.”

Price

Prices for malarplasty vary from 65 to 145 thousand rubles. In Moscow clinics the prices are as follows:

Author: Mamedov Elchin Velievich Plastic surgeon, associate professor of medical sciences He is considered one of the founders of endoscopic facial rejuvenation in the Russian Federation. He has performed many operations on endoscopic facelift, otolasty, rhinoplasty, platysmoplasty, liposuction and abdominoplasty.

High cheekbones are an undeniable sign of a beautiful face.

Experts in ideal facial proportions unanimously claim that 75% of a woman’s idea of ​​a woman’s beauty is formed by an ideally beautiful cheek. Eyebrows and eyes share 10%, lips – 7%. The nose, neck and chin each “weigh” about 2 percent of beauty!

That is why all the most famous beauties begin their stellar careers with the beauty of their cheekbones.

Megan Fox

Angelina Jolie

Professionals claim that Madonna has enlarged her cheekbones with implants.

“I want cheekbones like Angelina Jolie” is a wish with which people come to my clinic every day. I’ll tell you a secret, this is the only “how” that I wholeheartedly support. High harmonious cheekbones are an obvious sign of youth, good heredity and have remained unchanged for centuries.

symbol of beauty.

Yes, for centuries. Fashion for eyes and lips is changing. The fashion for cheekbones is unchanged

.

Do you remember that Ivan the Terrible chose his third wife at a beauty contest? In 2003, laboratories reliably reconstructed the image of this woman. A very beautiful Slavic woman with high, graceful cheekbones appeared before us. It is obvious that even Grozny, spoiled by female attention, could not resist.

And further. They don’t write about this in glossy magazines, but many stars, in addition to good heredity, also have cheekbone implants.”

Andrey Iskornev, plastic surgeon, President of the Platinental network of clinics.

The essence of the technique

Cheek plastic surgery is a process of changing the cheekbone area and cheeks in order to give this part a more aesthetic appearance. Correction is performed in several ways: through surgery (malarplasty), injections (contour plastic with fillers), and liposculpture.

Alternative Methods

Other techniques are also used to correct cheekbones.

Contour plastic surgery - use of fillers

During the procedure, gel-like fillers are injected into the areas where volume needs to be added. Most often, fillers based on hyaluronic acid and calcium hydroxyapatite are used for this.

The procedure does not last long - from 15 minutes to an hour. The duration depends on the location of the problem area, as well as whether anesthesia was used during the session or not. Advantages of cheekbone contouring:

• speed of the procedure;
• short and easy rehabilitation period;
• Over time, fillers dissolve;
• it is possible to neutralize hyaluronic acid in case of side effects.

The disadvantages of the method include the fact that the result lasts from 6 months to 3 years, then cheekbone plastic surgery with fillers is carried out again to maintain the effect.

Hardware therapy

It involves the effect of special radiation on the skin of the face:

• laser - the beam penetrates the subcutaneous tissues, injures them and stimulates the production of collagen, as a result of which the skin is rejuvenated, the contours of the cheekbones become more defined;
• radio frequency (RF-lifting) - during the procedure, the subcutaneous tissues are heated, as a result of which the collagen fibers contract and the facial muscles are tightened.

Cryolifting is also used - exposure of the dermis to extra-low temperatures (-20 degrees Celsius). This technique stimulates collagen production, strengthens blood vessels, relieves swelling, and removes toxins.

To achieve results, hardware cosmetology must be carried out in a course of at least 3 procedures. It is worth noting that such techniques can only rejuvenate and tighten the skin; dramatic changes in appearance do not occur after them.

Mesothreads

Thanks to this correction of the cheekbones, the facial frame is formed by introducing special cosmetic threads. Mesothreads are inserted using long needles with a blunt tip - a cannula. The effect lasts up to 2 years.

Plasmolifting

During the procedure, the patient's processed plasma is injected under the skin. The technique has a rejuvenating effect, improves metabolic processes, smoothes wrinkles, and promotes cell regeneration.

Gymnastics (face building)

An effective technique for strengthening facial muscles, shaping the contour, and preventing aging. To achieve results, you need to do special regular exercises for a long time.