The intervention improves the prominence of the cheekbones by planting small silicone implants directly above the cheekbone or using filling permanent substance injection, or the use of lipofilling methods.
It is sometimes possible in some cases to reposition through surgery the fat where there has been a loss of volume.
Great results according to your expectations are strongly affected not only by your surgeon’s experience but it also depends on his strong aesthetic sense and accuracy.
Anesthesia is given in the case of an application of a prosthesis it is local and intervention is ambulatory. If you decide to opt for an orthopaedic solution the intervention is necessarily carried out under general anesthesia.
Good oral hygiene is necessary to avert the danger of infection in the case of using a technique access oral surgery.
For all other techniques, the principles are common to all surgeries.
There are several techniques to perform this surgery. One provides an incision inside the mouth, with the advantage that they have no visible scar at the end of the intervention.
Another technique is to pass the prosthesis through an incision along the edge of the lower eyelids.
Finally, there is the possibility to operate through an incision made in front of your ear. This ensures greater stability to the prosthesis but also an increased risk of nerve damage.
Discuss with your surgeon which technique fits better for you.
The intervention is usually performed under local anesthesia from the doctors clinic of the plastic surgeon. Please note that anesthetics, painkillers, or sedatives can affect your ability to react. Let us, therefore, accompany you home after the intervention and remain to be under observation for the first 24 hours.
Regarding the use of injection filler materials, technology is very simple although it is not free from risks of infection of biomaterial implanted. In the case of your fat as a filler material there is a partial re-absorption of it but not easily preventable.
With regards to the repositioning of “ pommette” see Chapter meso-facelift.
Usually, there is the formation of a haematoma after that lasts for about a week.
The most common complication that could occur is infection.
In the case of the introduction of a prosthesis through oral access, it is highly important to keep the area with the highest hygiene possible through the use of a gargle of chlorhexidine and avoid trauma or excessive stretches of the lower lip.
In any case, whatever the technique used by the surgeon, it is recommended antibiotic therapy after the surgery