Articles of Plastic Surgery

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Cheek Implants

The projection, length, and width of the face is given by the facial bone structure. The facial bones are fixed together to give us an identification information of the person we are observing, where racial, family, and symmetry characteristics are shaped three-dimensionally.

The width of the face is given by the cheek and jaw bones, When a young patient comes to our office, because he or she feels there cheeks are “falling”, it is very possible that the cheek bones are not wide enough and they don’t have the necessary projection to sustain the cheek, which slides down as a curtain, making the patient appear older than his or her actual age.

If prior to the metric analysis   we diagnose  molar hypoplasy,  then, the use of implants is one of the  possible treatments, this procedure will replace the amount of volume which is lacking  to give the face the necessary width and the appropriate projection so it can suspend the muscles, fat and the cheek skin.

The surgery is performed by introducing a couple of prefabricated silicon implants, with the proper dimensions for each case. The implants are placed under the cheek muscles, so they can’t be delimitated from the exterior.

Some of the routes for the introduction are:

1. Transbucal, osseous approach, through the superior bucal crease at each side.

2. Transcunjuctival, osseous approach, through the inferior eyelid conjunctiva

3. Endoscopically, through the forehead hair line.

The surgery is performed in the operating room under sedation and local anesthesia, the patient goes home the same day, there is no removal of stitches.

After the surgery a week vacation is necessary.

When the patient is correctly diagnosed and chosen, the outcome is a better projection of the cheeks with the sensation of youth.

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