DR. M.F. NOORMAN VAN DER DUSSEN
cranio maxillo facial and aesthetic surgeon
 
 

Cheek augmentation

 
 
Feminization
  • Introduction
  • Forehead recontouring
  • Hairline recontouring
  • Temple recontouring
  • Brow lift
  • Nose correction
  • Cheek augmentation
  • Buccal fat pad removal
  • Lip lifting
  • Lip augmentation
  • Chin and jaw recontouring
  • Adamís apple reduction
  • 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.

    Considerations

    We keep 3 things in mind:

    • never exaggerate
    • never too much volume
    • never in the wrong places

    The latter meaning: not too low, and not too median - it has to be a lateral flow, to underline the Ogee curves.

    Techniques

    To make this more female, we have the different procedures:

    • A bone substitute material (Bio-Oss or hydroxyapatite) can be inserted.
    • Implants can be used. The material I prefer above silicone is Medpor.
    • Another possibility is fat transfer. Where fat is removed from another part of the body and injected into the cheeks to make them fuller.
    • A sub-periosteal facelift is possible in case of saggy tissue.
    • There is also a possibility to widen the arch and body of the zygoma (cheekbone) with an osteotomy, and putting a wedge (piece of bone) in between the gap.

    Preference

    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.

     

    Before

    Procedure

    After

     

    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