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 cheekbones are performed, aimed at correcting changes.
Indications for correction
The main indications for conducting plastic surgery of the cheekbones are considered such as:
- weakly expressed contour;
- cheekbones too wide or bulging;
- violation of the proportions of the face;
- sunken or thick cheeks;
- injuries or defects;
- drooping face contour;
- age-related changes in the contour.
Such plastic surgery is recommended for patients with realistic ideas about their own appearance, who understand what result is 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 correcting the cheekbones, the patient must undergo a consultation with a surgeon and anesthetist. Doctors will be able to evaluate the expected result, since on the basis of examination and X-ray computer simulation is carried out. In addition, the patient must:
- undergo laboratory and instrumental examination ;
- take medications prescribed by a doctor;
- quit smoking and alcohol abuse.
In addition, you must definitely refuse to take some medications that increase the risk of bleeding.
Basic techniques
There are several different methods of cheekbone plasty, with which you can both increase and decrease the amount of bone tissue. Let's consider them in more detail. Reduction can be achieved by cutting bone tissue or moving a certain part of the zygomatic bone. The increase is carried out by:
- the introduction of special fillers;
- reposition or osteotomy of the zygomatic arch;
- the introduction of implants.
During the operation, access can be transoral or external. In the latter case, an incision is made near the ear or eye. Patients prefer oral access, since after the operation no scars are visible. However, this method is very dangerous because of the possibility of infection.
Contour correction
Contour plasty of cheekbones is a method of injection forming the desired area with special gels that have a dense consistency. They are introduced into the deepest layers of the skin. The procedure is performed by applying innovative tools designed for volume modeling.
Plastic surgery of the cheekbones with fillers implies that after the introduction of these funds under the skin, collagen fibers and elastin are produced, which makes the skin more smooth and elastic. By carrying out a similar procedure, it is possible to simulate the shape of the cheekbones, reduce the severity of the nasolacrimal groove, and pump the cheekbones.
It is worth considering several nuances. Hyaluronic acid enlargement of the cheekbones is indicated for patients under the age of 30 years, and preparations based on calcium hydroxyapatite are used to perform contour plasty of the cheekbones in patients after 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 lasting result and reduces the likelihood of asymmetry of the face. Such funds ensure the preservation of the result for 1.5-2 years. Fillers with a low level of density are introduced only into the upper layers of the dermis. Therefore, the result remains for only 6-8 months.
Lipolifting
Lipolifting is a procedure for increasing the volume of the cheekbones by injection, consisting of material taken from the patient himself. As with contouring, this method does not leave scars or scars. In addition, there will be no difficult period of rehabilitation. Lipolifting is very easily tolerated by the body and often refers to concomitant procedures during anti-aging plastic surgery.
Fat for injection is taken from certain parts of the body, which include the hips, buttocks and stomach. 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 modeling of the oval of the face.
The procedure for cheekbone correction takes about 1 hour, and the maximum effect becomes noticeable after 1-3 months, depending on the state of the immune system and the speed of restoration of the patientโs tissues. The effect of lipolifting lasts for 3 years.
It is worth noting that this method has certain disadvantages, as fat cells may not fully take root at the injection sites. Depending on the amount of material that has taken root, a correction may be required over time.
Surgical methods
Many are interested in how to make cheekbone plastic, and what methods are used for this. In addition to injection, there are also surgical methods that are indicated for patients with significant deformation or severe asymmetry, accompanied by sagging soft tissues and the presence of excess fat in the cheeks.
Compared to injection procedures, surgical procedures are more traumatic, have a long rehabilitation period and often require the patient to stay in the hospital. However, subject to all the doctorโs recommendations, the effect lasts for 10-15 years. Surgical techniques are divided into several types, namely:
- endoscopic plastic surgery of the cheekbones;
- mandibuloplasty;
- removal of lumps of Bish.
The endoscopic method refers to less traumatic operations and is aimed at tightening soft tissues, as well as correction of the zygomatic region, by using special plates. The doctor inserts these plates under the skin of a person through small incisions made in the temple area. To achieve a better result, the operation is combined with the introduction of a subcutaneous special gel that increases the volume of the cheekbones and corrects the oval of the face.
Mandibuloplasty implies the installation of special zygomatic implants to help change the volume and shape. Such an operation is performed with a weakly expressed bone or to eliminate asymmetry after an injury. 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 puts a suture on the wound. The rehabilitation period lasts for six months, and the result remains for life.
Removing Bisha's lumps is a less traumatic operation to remove excess fat in the cheek area to correct facial contours. Surgical intervention is performed using endoscopic equipment through a small incision in the mouth. The surgeon removes excess fat and sutures the wound.
Rehabilitation period
After surgery, recovery takes about 6 months. During the early postoperative phase, the patient remains in the hospital, and if he goes home, then someone must accompany him. In the early days, antibacterial drugs and analgesics are prescribed to eliminate pain. With severe pain, ice can be applied to the face. During this period, it is allowed to consume only soft and liquid foods that do not require chewing.
During the week there will be some discomfort during brushing. In addition, it is additionally necessary to rinse the 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. General implies postoperative bleeding, scarring, tissue infection, allergic reactions.
Specific complications include:
- defect or displacement of the zygomatic bone;
- sagging face;
- sinusitis;
- facial nerve damage;
- violation of the movements of the mouth.
In addition, among the complications, it is necessary to highlight the absence of the required result of the operation.
Correction contraindications
There are both indications and contraindications for carrying out this type of surgical intervention. The main ones include:
- pathology of the respiratory system;
- heart, kidney, and liver diseases;
- diabetes;
- malignant tumors;
- poor blood coagulability;
- allergies
- local infections and abscesses;
- pregnancy;
- mental disorders.
It is worth remembering that for each type of correction there are certain specific contraindications, therefore everything is discussed individually with the treating doctor.
Correction cost
How much is plastic cheekbones, many patients are interested who want to perform this type of correction. 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 Bisha's lumps is about 30 thousand rubles (500 dollars).