DR. M.F. NOORMAN VAN DER DUSSEN
cranio maxillo facial and aesthetic surgeon
Zygoplasty - Cheek bone correction
The goal: To increase the Zy-zy distance in long faces. Females often have more forward projection in their cheekbones as well as fuller cheeks overall. Sometimes cheek implants are used to feminise cheeks. They come in different sizes and can be placed in different positions depending on the needs of the patient.
We keep 3 things in mind:
The latter meaning: not too low, and not too median - it has to be a lateral flow, to underline the Ogee curves.
To make this more female, we have the different procedures:
The advantages of Bio-Oss: it is placed in a sub-periosteal pocket, through an intra-oral approach. This is our preference, because moulding is easy and the smooth edges at the border of the implant regions (zygomatic area, lateral orbital rim, lateral infra orbital rim area).
The maximum point of augmentation must be more lateral than infra-orbital in the direction of the arch, in order to avoid the 'miss-piggy' look.
Technique 1: with bone cement
Zygomaugmentation with artificial bone in a subperiosteal pocket via a intraoral approach.
Technique 2: with implants
Proper positioning (latero- cranial) of an sygoma implant.
Technique 3: with fat transfer