Features of cheekbone contouring - malarplasty: what it is, how the operation is done and much more

At different times, the ideals of female beauty have undergone changes, sometimes radically. This is especially true for the face. According to scientists, its attractiveness is determined by numbers. It depends 10% on the appearance of the eyes and eyebrows, and another 7% on the shape and size of the lips. But the general impression of a woman’s face is the line of her cheeks. Expressive cheekbones increase your irresistibility by almost 80%. They can be received as a gift from nature, which does not happen as often as we would like. An alternative way to get high and beautiful cheekbones is to trust a plastic surgeon. Cheekbone plastic surgery will help give your face youth, sophistication and an aristocratic look . They say that Madonna owes her stunning popularity to her.

If previously modest women with small mouths were in fashion, today all girls dream of plump lips like Angelina Jolie. Trends in the shape and size of the nose cannot be called constant either. The world's sex symbols are either fragile blondes of the Scandinavian type, or busty brunettes with olive skin. One thing remains unchanged - prominent, sharp cheekbones in representatives of the fair and stronger sex.

How are the aesthetic proportions of the face determined?

If a patient is undergoing cheekbone contouring, the cosmetologist takes measurements of the patient’s face and correlates them with the “golden mask”. The "Golden Mask" was designed in accordance with the rules of Leonardo da Vinci's "golden ratio", which is still taken as a model for ideal proportions. The procedure involves bringing the patient's facial proportions as close as possible to the ideal as a result of the procedure and does not change individual features.

High cheekbones are an undeniable sign of a beautiful face.

Experts in ideal facial proportions unanimously claim that 75% of a woman’s idea of ​​a woman’s beauty is formed by an ideally beautiful cheek. Eyebrows and eyes share 10%, lips – 7%. The nose, neck and chin each “weigh” about 2 percent of beauty!

That is why all the most famous beauties begin their stellar careers with the beauty of their cheekbones.

Megan Fox

Angelina Jolie

Professionals claim that Madonna has enlarged her cheekbones with implants.

“I want cheekbones like Angelina Jolie” is a wish with which people come to my clinic every day. I’ll tell you a secret, this is the only “how” that I wholeheartedly support. High harmonious cheekbones are an obvious sign of youth, good heredity and have remained unchanged for centuries.

symbol of beauty.

Yes, for centuries. Fashion for eyes and lips is changing. The fashion for cheekbones is unchanged

.

Do you remember that Ivan the Terrible chose his third wife at a beauty contest? In 2003, laboratories reliably reconstructed the image of this woman. A very beautiful Slavic woman with high, graceful cheekbones appeared before us. It is obvious that even Grozny, spoiled by female attention, could not resist.

And further. They don’t write about this in glossy magazines, but many stars, in addition to good heredity, also have cheekbone implants.”

Andrey Iskornev, plastic surgeon, President of the Platinental network of clinics.

What are the indications for cheekbone contouring?

Contouring of the cheekbones is performed in patients with severe ptosis of the cheeks, with a “floating” or irregular oval of the face, a pronounced nasolacrimal groove, sunken cheeks or poorly defined cheekbones. The reason for the listed indications is a decrease in the volume of the zygomatic bone and, as a result, sagging of the zygomatic-cheek muscles. These changes are not always age-related; they can be of a purely aesthetic nature. Since the proportions of the bone tissue of the skull are the basis for how a person’s face looks, this procedure is aimed at restoring and correcting bone tissue.

Stage four: enlarging lips

Make your lips plump so your face won't appear too wide. First, use plumper glosses: due to their slight burning sensation, they cause blood flow and plump up your lips. Then apply glossy lipstick in a natural shade: light pink, peach or beige. It is better to avoid dark and matte lipsticks - they make your lips appear smaller than they actually are.

How is cheekbone contouring performed and how long does the procedure last?

Correction of cheekbones with fillers begins with measuring the anatomical variability in the width of the patient's face to understand how many procedures will be required for a positive result. The width of the patient's eye is multiplied by five, and this figure is the reference figure for determining the correct anatomical width of the face. Next, the patient’s face is disinfected, and proper disinfection is considered to be wiping the skin with an alcohol solution, and not with alcohol-free antiseptics. Zygomatic contouring is considered an invasive procedure because the gel is applied supraperiostally (that is, above the periosteum). The doctor makes marks on the patient’s face with a sterile felt-tip pen. Next, the patient is given anesthesia with drugs that spasm the blood vessels and reduce the discomfort from injections.

Since the procedure is considered therapeutic, the safest places for gel injections are selected, in accordance with scientifically based markings, those where there are no vessels, veins, or arteries.

Next, 2 ml of dense gel is applied to the entire zygomatic area on each side, after which the doctor applies antibacterial ointment.

Temporal lifting

Temporal lifting is another modern method of endoscopic lifting of the midface. When performing such plastic surgery, incisions are made in the temporal part of the head, laterally (inside the mouth) and along the lower eyelid. Until recently, the main disadvantage of temporal lifting was the inability to adequately correct ptosis of the cheek tissue. The result was not entirely natural due to the point fixation and incomplete coincidence of the vector of tissue movement (from below diagonally, towards the temple, and not exactly against the direction of age-related ptosis, which always moves tissue from top to bottom). The temporal lifting technique was reborn with the development of endotins. Their use made it possible to achieve the main effect - to obtain a harmonious and natural result when lifting the cheeks.

Compared to a check-lift, this operation is more invasive. Its duration is about 2 hours. The recovery period is also longer – 3-4 weeks. For several months after surgery, endotins, which fix the tissue, can be felt under the skin. Then the tightened tissues take root in their new position, and the endotins are completely absorbed.

Does cheekbone correction require a rehabilitation period?

Immediately after the procedure, swelling will increase in the patient for three days, so cheekbone contouring will not provide a visual effect during this period, although changes are visible immediately. This feature of the procedure is due to the fact that hyaluronic acid attracts a lot of liquid, which is its function. Pain may appear because the previously “idle” muscle begins to tighten and create a feeling of “overtraining”. This pain goes away after one or two days and is easily tolerated with painkillers.

Contour plastic surgery of the cheekbones requires virtually no rehabilitation period, since slight swelling will be noticeable only to the patient himself. Changes in our individual facial features are not noticeable to those around us. On the contrary, the procedure gives the effect of a refreshed face, and others will perceive the patient as rested or thinner. This result is achieved due to more pronounced cheekbones and lifting of the jowls, which gives the desired youthful oval of the face.

Complications


Complications of the early postoperative period arise both as a result of surgery and the use of anesthesia. More often they go away on their own within 5-7 days.

  • Swelling, bruising - decongestant ointments (Lioton, Heparin ointment) as well as compresses with Dimexide are prescribed.
  • For pain , analgesics (Pentalgin) or non-steroidal anti-inflammatory drugs (Ibuprofen) are prescribed.
  • Numbness can last up to a month; facial exercise therapy and magnetic therapy are prescribed.
  • Nausea, dizziness: for nausea, Cerqual, Hofitol, Motilium are prescribed; for dizziness, blood pressure is measured and, if necessary, vascular medications are prescribed.

Complications of the late postoperative period do not appear immediately during the first 4-5 months:

  • Infections;
  • Implant rejection;
  • Pigmentation;
  • Facial asymmetry;
  • Necrosis;
  • Paralysis;
  • Sagging skin.

The implant takes root within 2-4 months. The patient must be under the supervision of a physician.

More often , complications arise due to non-compliance with recommendations before and after the surgical period , due to incomplete history taking, or because the patient withheld information about taking medications or a predisposition to pigmentation. Sometimes implant rejection occurs due to the individual characteristics of the body, but low quality of the implant cannot be ruled out.

What are the advantages and what effect does cheekbone correction with fillers give?

Contour plastic surgery of the cheekbones can replace or delay plastic surgery. According to the results of clinical studies in the long term (that is, when the patient is observed for many years), injections of hyaluronic acid into the cheekbones delay aging. The aging process is delayed by restoring the supporting function of the dermis and restoring muscle tension.

Correction of cheekbones with fillers allows the patient to look many years younger, sometimes even 30, it removes all possible wrinkles and skin imperfections, restores youthful elasticity and density of the skin. The oval of the face again acquires the triangle with the base up, or the shape of a heart, characteristic of a young face.

Cheek reduction technique

There are several types of reduction.

Removing Bisha's lumps

The accumulation of fat masses in the cheek area is called Bisha's lumps, forming exclusively this part of the face. These formations, hidden under the skin, make the lower oval area of ​​the face more voluminous.

It is worth remembering that eliminating Bish’s lumps is a surgical intervention that will one way or another affect the human body as a whole. Before you decide on this procedure, you need to consider all the pros and cons. This must be a serious and deliberate step. The operation is mainly prescribed for aesthetic reasons. The resulting procedure should create the effect of softening the contours of the face.

Those who have undergone Bisha's lump removal procedure but are still unhappy with the width of their face are advised to schedule a full-on surgical procedure.
The specialist will make an incision on the inside of the cheek and grind down the bone. After complete healing, the patient will notice a significant reduction in facial volume.

Cosmetologist, dermatologist, trichologist

Kalinina Olga Alexandrovna

4 years of experience

During the preparatory period, the future person is modeled using special computer programs. And after agreeing on all the nuances with the client, you can begin the operation.

There are two main methods that cosmetologists use in their practice.

Fatty masses can be removed by making an incision on the inside of the cheek. This method is safe and least traumatic. The location of Bisha's lumps is predominantly concentrated close to the inside of the cheek:

  • is made on the mucous membrane ;
  • is extracted by dissection of the muscle tissue ;
  • After applying a simple suture, after a short time it will resolve on its own.

Frontoplasty

Frontoplasty is a type of plastic surgery that allows you to correct the shape of the forehead.

Removal can also be carried out through an incision on the outside of the cheek, but only in combination with the first method. This method is very traumatic, and the tissue healing period is longer. In addition, it is necessary to take into account that the nerve endings or salivary glands located close to the lumps may be affected.

Since the anatomy of the face remains unchanged with this technique, such an intervention cannot be called plastic surgery.

Liposuction

There are two types of cheek liposuction. They are divided into:

  • Vacuum liposuction. A minor operation in which fat is sucked out using a vacuum extractor. Thanks to this procedure, you can get rid of a certain amount of adipose tissue.
  • Azure liposuction. This method is considered more advanced. Using a laser beam, adipose tissue is destroyed - a preliminary stage. Then the dermis heats up, forming over time new collagen fibers that perform a supporting function.

How long does cheekbone contouring guarantee a long-lasting result?

The drug itself can remain at the injection sites for an average of one to one and a half years. But even after biodegradation (resorption, decomposition) of the hyaluronic acid preparation, cheekbone contouring allows the patient to look much better precisely by restoring the supporting function of the dermis. Hyaluronic acid restores all fibers and fibrous structures, the interstitial substance of the dermis. The interstitial substance is a structureless liquid in which the fibrous and cellular elements of the skin are immersed. It consists, among other things, of hyaluronic acid and is responsible for the formation of collagen. At the same time, correction of cheekbones with fillers helps slow down bone resorption.

Is a repeat procedure necessary, and after what period of time?

Cheekbone contouring requires a medical examination two weeks after the procedure, during which the doctor will determine further therapy. Repeated procedures may be required with a minimum break of two weeks, if indicated. A highly professional specialist will rely on scientific and mathematical measurements and will not achieve the unattainable result desired by the patient. And, of course, he will never do cheekbone contouring “by eye.”

What to do if unfortunate consequences occur?


You need to determine for yourself what your dissatisfaction is.
If it is caused by a violation of the surgical technique and the presence of complications after it, then it is necessary to demand continued treatment from the operating surgeon, even if this requires an independent examination. If it is impossible to establish mutual understanding, you must contact a public organization for the protection of patients' rights. Repeated maloplasty is indicated for:

  • preserved facial asymmetry;
  • no change in cheekbones;
  • sagging skin;
  • migration of the implant, instability of its position;
  • the need for additional correction.

Can cheekbone contouring cause rejection?

Contour plastic surgery of the cheekbones involves the use of hyaluronic acid preparations of different densities, depending on the injection site. Hyaluronic acid is a recombinant, biosynthesized drug similar to that found in the human body. Antibodies are not produced to hyaluronic acid; therefore, allergic reactions do not occur and rejection is not observed. Hyaluronic acid is registered as a medical product and, in fact, is a medicinal product. The condition of the skin improves due to the restoration of metabolic processes characteristic of young skin, and skin turgor increases.

Recovery

The bandage is removed after two days, and the incisions usually take less than a week to heal. To speed up the process, rinses are used (if the dentures were inserted through the mouth).

The patient may experience discomfort for some time (up to 10 days). Painkillers are prescribed to suppress them. Bruising and swelling also form on the face, which usually disappear during the same period.

After 7-10 days, the patient will be able to return to normal life. It may take a little longer for skin sensitivity to recover—up to three months.

For a month, you should refrain from using cosmetics, physical activity, visiting a bathhouse and solarium, swimming in a pool or open water.

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