While the shape of the cheeks is not a masculine or feminine feature, it is true that the lack of prominence in the cheeks may cause unbalance in the facial harmony, causing it to be considered unattractive. Prominent cheekbones are often related with feminine beauty. An augmentation, therefore, is often useful to achieve a more feminine face.
Gender of the cheekbones
Usually, women have more anterior projection and a more rounded cheekbone, which gives a heart shape to the face.
Feminization of the cheekbones
To perform a malar or cheek augmentation, pre-formed implants are normally used. Due to the high number of problems because of the use of silicone (encapsulation, migration, infection) our team only uses Medpor®implants made of porous polyethylene. It allows the growth of bone tissue inside thanks to its porous structure. This growth of internal tissues impedes the implant from moving out of place.
These implants are pre-formed in all shapes and sizes and can also be molded, depending on the needs of each patient. They are easily placed and fixed and significant asymmetries are not visible after surgery.
Cheek augmentation is generally performed under sedation or general anesthesia and it takes between one to two hours.
A small incision is made inside the mouth, above the gums of the upper teeth, therefore leaving no visible scars on the exterior.
The cheekbone is exposed and the implant is placed over it, being fixed with titanium micro screws to impede mobility. If necessary, the implants are remodeled to adapt to the needs of the patient. After the placement the incision is sutured with reabsorbable material.
Post-op and possible complications
Sutures: After the surgery you will have stitches inside the mouth that are reabsorbable, disappearing over time. You must use a mouthrinse 2-times per day to keep the area clean. The scars on the gums will be totally hidden in the mouth.
Swelling: You may have swelling after the surgery. Try to rest and sleep inclined with 1-2 pillows during the first week after the surgery. This will help swelling to disappear.
Pain: You may feel temporary discomfort, stiffness and numbness in the area, symptoms which will disappear gradually.
Infection: Because the implant is a foreign material and is placed through the mouth, antibiotics are used to prevent infection. If infection persists, despite the antibiotics, in rare cases the implants may have to be removed.