Procedure Cosmetic plastic surgery to the cheeks is also called malarplasty.
Cheek fullness can be improved with implants, fillers or fat transfer (=lipofilling / liposculpture / liposculpting / lipoplasty / lipomodelling).
If the bite is affected, a dental opinion should be sought prior to cosmetic correction.
Implant surgery involves cuts inside your upper lips opposite the first premolar teeth and insertion of implants on top of your cheek bone. The cut is closed using dissolving sutures.
I use hyaluronic acid-based fillers which are biocompatible and get absorbed within 6–18 months
Fat transfer involves fat aspiration from thigh or abdominal area and injection into the cheeks.
I don’t use drains routinely. The wounds are repaired with sutures under the skin which don’t require removal and dissolve within four months. Soft food and mouth wash are advisable for one week.
Scars 1cm inside the upper lip for implants
Operation time 1.5 hours
Anaesthesia General for implants, Local for fillers and fat transfer
Hospital Stay Day Surgery
Benefits Cosmetic, Psychological
Risks General: Bleeding, Infection, Scar problems, Skin discoloration, Wound separation, Slough, Pain, Nerve injury (Numbness, weakness), Bruising, Swelling, Overcorrection, Undercorrection, Asymmetry, Cosmetic imperfections, Seroma, Functional problems, Contour irregularities, Need for further surgery (including implant removal), Allergic reaction
Implants: bone erosion / displacement / extrusion / capsular contracture / palpable implant.
Fillers: Skin necrosis, Blindness
Fat transfer: Skin necrosis, Blindness, Problems at donor site (=where fat was taken from)
N.B. Most complications are unlikely and serious risks are rare
Risk factors Smoking / contraception / flights within 6 weeks of surgery, overweight, high blood pressure, bleeding tendency, diabetes
Optimising factors Diet rich in Vitamin C and protein, plenty of fluids, fresh air, scar massage, mouth wash (for implants)
Discomfort 1 – 2 weeks
Bruising 2 – 3 weeks
Recovery Light activities 1 week, Physical work / sports 6 weeks
Acceptable appearance 2 – 4 weeks for most patients (This is subjective)
Final result 6 – 18 months
Alternatives No Surgery, Make–up, dental or maxillofacial treatment if the bite is affected

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