general description
Contour plastic surgery is most often performed for cosmetic purposes to improve appearance; it is also prescribed for congenital or acquired abnormalities in facial proportions.
The appearance of defects is due to age, genetic characteristics and injuries.
The most pronounced signs are: asymmetry of the contour, depressions in the cheek area, formation of jowls (severe sagging of tissues) and nasolabial folds, lack of definition of the cheekbones.
Previously, silicone and paraffin were used to solve such problems. However, it turned out that these substances are harmful to the skin because they can migrate and cause tissue inflammation. Their introduction is fraught with irreversible consequences, and surgical intervention is required to remove them.
The use of hyaluronic acid fillers is absolutely safe. The filler stimulates the production of natural collagen, which is responsible for the firmness and elasticity of the dermis.
Efficiency
Injection plastic surgery is prescribed for men and women at any age up to 60 years. The procedure guarantees the following changes:
- improves the general condition of the epidermis, moisturizes and tightens the skin;
- smoothes out fine wrinkles and facial folds;
- gives clarity to the contour of the face;
- makes scars less noticeable;
- corrects the nasolacrimal groove;
- discolors pigmentation;
- restores symmetry;
- lifts cheekbones and shapes cheeks;
- prevents the natural processes of withering of the epidermis.
Important: This method will not get rid of ptosis and pronounced jowls, as well as fat deposits under the skin.
Over time, fillers dissolve, so their injection is repeated at regular intervals.
The duration and quality of the effect depend on the composition:
- hyaluronic acid lasts from six months to a year;
- calcium hydroxyapatite works for several years;
- collagen – from 6 to 8 months;
- polylactic acid – up to two years;
- permanent fillers – from 10 years and longer.
Advantages
Why do many people turn to this therapy? What are its advantages over others? The answer is simple:
- you can afford the procedure regardless of age;
- no traces of intervention, as after surgery;
- carried out quickly;
- does not require much time to recover;
- the effect lasts for more than one and a half years;
- an excellent lifting effect is noticeable;
- there are practically no negative consequences and complications;
- the result can be assessed immediately after the session;
- the contours of the face can be given any shape;
- replenishment of the number of cells in soft tissues is stimulated.
Indications and contraindications
Rejuvenation through the introduction of fillers to improve skin condition is recommended for:
- age-related changes (appearance of wrinkles, excessive thinness of the face);
- birth defects;
- lack of volume in the area of the cheekbones and cheeks;
- the need to restore the contour in the temporal zone;
- pronounced nasolacrimal groove;
- dull, lifeless skin color;
- the appearance of nasolabial folds;
- the presence of pigment spots;
- drooping cheekbones;
- facial asymmetry.
Correction is not carried out in the following cases:
- pregnancy and lactation;
- exacerbation of chronic diseases;
- oncology, diabetes;
- tendency to allergic reactions;
- skin damage on the face;
- dermatological and infectious diseases;
- poor blood clotting;
- a large number of moles, papillomas;
- predisposition to the formation of keloid scars;
- the presence of silicone and other non-biodegradable fillers.
Indications for use
The main indication for the use of fillers in the cheekbone area is dissatisfaction with one’s own appearance. Swelling of the lower third of the oval, age-related skin changes, trauma and facial asymmetry are the main problems solved with injections. They have no age restrictions, are often included in complex anti-aging programs, and are successfully combined with various cosmetic procedures.
Indications:
- undefined cheekbone shape;
- sunken cheeks;
- nasolacrimal groove;
- violation of the symmetry of the oval.
Note! In addition to restoring the proportionality of the face, injections help improve elasticity and skin density. The number of wrinkles is reduced, the relief is smoothed, effective prevention of the natural processes of skin aging.
Advantages and disadvantages
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Indications for cheekbone correction with fillers
The main indication for the procedure is dissatisfaction with one's appearance, a natural desire to make one's body more harmonious and attractive. Other indications for correction include:
- unpronounced, flat or asymmetrical cheekbones;
- sunken cheek area without a pronounced fat layer;
- jowls - sagging areas of the cheeks with reduced tone and thinned subcutaneous fat;
- swelling of the oval of the face associated with age-related changes;
- congenital anomalies of facial development;
- prolapse of the zygomatic areas.
The likelihood of developing allergic reactions is minimal. If desired, you can combine several aesthetic procedures in one visit to a cosmetologist.
Review of the best drugs
Juvederm Voluma (Allergan Inc)
- Manufacturer: USA.
- Release form: 2 syringes, 1 ml each.
- Price: 13,500 rub.
Contains a concentration of hyaluronic acid - 20 mg/ml. It has a gel consistency with increased density, viscous and viscous structure, which ensures uniform distribution and lifting of the cheekbones.
Moisturizes and nourishes the skin, normalizes metabolic processes. Contains lidocaine, which relieves pain. Valid for up to one and a half years.
Radiesse (Merz-Aesthetics)
- Manufacturer: Germany.
- Release form: 0.8 ml, 3 ml in a syringe.
- Price: 8,000/18,500 rub.
The basis of the drug is calcium hydroxyapatite. Recommended for enhancing the synthesis of collagen and elastin, increasing the volume of soft tissues. Does not spread, does not migrate to neighboring areas. It is characterized by a lasting effect up to one year or longer.
Buyanov Sergey Yurievich (Expert Doctor):
The effect of hydroxyapatite in some cases continues until the end of the patient’s life. It all depends on the qualifications of the cosmetologist.
Restylane Perlane (Q-Med)
- Manufacturer: Sweden.
- Release form: bottle 0.5/1 ml.
- Price: 10,500/13,000 rub.
Gel containing biosentified hyaluronic acid at a concentration of 20 mg/ml. It has a dense structure, forms the correct oval of the face.
Depending on individual characteristics, the effect lasts up to two years.
Surgiderm 30 XP (Corneal)
- Manufacturer: France.
- Release form: 2 syringes of 0.8 ml.
- Price: 8,500 rub.
The drug contains reticular 3D-matrix high content hyaluronic acid 24 mg/ml. Deeply moisturizes, activates collagen synthesis, removes age spots, smoothes wrinkles. It is safe and can be used at any age without addiction or consequences.
The result has been observed for several years.
SCULPTRA (Sanofi Aventis/Sinclair Pharma)
- Manufacturer: France.
- Release form: 2 bottles of 5 ml.
- Price: 12,500 rub.
The filler, which is based on a polylactic acid ester (polylactide implant), is removed from the body after 3 years.
Provides lasting results and long-lasting effects while maintaining facial expressions. The gel creates a lifting effect and sculpts the cheekbones.
AestheFill (Regen Biotech)
- Manufacturer: Korea.
- Release form: 200 ml bottle.
- Price: 13,500 rub.
The composition is represented by polylactic and glycolic acids. A prolonged collagen stimulator replenishes volume in the temples and cheeks, corrects facial contours and improves skin quality.
It works exclusively in the injection area and does not migrate between tissues, therefore it ensures that the result is preserved for up to 2 years.
Argiform (NC Bioform)
- Manufacturer: Russia.
- Release form: 2.5 ml syringe.
- Price: 3,500 rub.
Contains 3-dimensional polyacrylamide and water with silver ions. Used for soft tissue endoprosthetics, correction of facial shape and correction of folds. Not used to eliminate superficial wrinkles. On average, it lasts from 12 to 18 months.
Princess Volume (Croma)
- Manufacturer: Austria.
- Release form: 1/2 ml in a syringe.
- Price: 8,000/11,500 rub.
The dense but viscous product consists of hyaluronate of non-biological origin. Monophasic gel finds empty spaces between tissue structures and fills them evenly, thereby changing the composition of the deep layer of skin, which ensures its rejuvenation. Validity period is one year or longer.
Buyanov Sergey Yurievich (Expert Doctor):
Hyaluronic acid attracts and retains fluid, thereby enhancing metabolic processes, accelerating cell division and collagen synthesis.
Yvoire Contour (LG Chem)
- Manufacturer: South Korea.
- Release form: 2 ml in a syringe.
- Price: 6,000 rub.
It has increased elasticity and resistance to deformation, so it achieves the greatest effect in facial areas.
The product is designed to replenish lost volume in the face, increasing cheekbones, cheeks and chin. Does not contain lidocaine, which minimizes the risk of developing an allergy to the drug. Valid for up to one and a half years.
Features of cheekbone contouring with fillers with hyaluronic acid
As already noted, hyaluronic acid is injected into the cheekbones using special needles and fillers in those places that need to be corrected. The fillers themselves are ready-made preparations in the form of small tubes similar to syringes. The doctor just has to put a thin sterile needle on the filler - and the procedure can be carried out safely.
Plastic surgery method
Correction of cheekbones with hyaluronic acid causes visual lifting of the skin in certain places, due to which the face acquires special clarity and beauty. The substance is evenly distributed within the skin, filling voids where needed and maintaining excellent facial shape for a long time.
Renewing lost volume in the chin and cheekbones
Before administering the drug, the doctor thoroughly cleans and disinfects the patient’s face. Since the injections are carried out with thin needles, this eliminates the appearance of swelling and inflammatory processes in advance. High-density fillers perfectly sculpt the face, and no special preparation of the patient is required.
Immediately before the manipulation, it is recommended to avoid the use of any cosmetics so that they do not subsequently cause irritation on the skin. It is best to plan cheekbone augmentation with hyaluronic acid in advance, eight or ten days in advance, in order to avoid taking blood thinning medications (for example, aspirin or drugs containing it).
After cleansing the skin and treating it with an antiseptic solution, the doctor performs local anesthesia, and then carefully introduces fillers through several injections. Finally, the patient receives acupressure to ensure that the substance is evenly distributed under the skin.
Video of cheekbone modeling (enlargement) with hyaluronic filler:
Carrying out plastic surgery
Preparation
Contour plastic surgery with fillers does not require special examinations or tests. The specialist examines the medical history and assesses the general condition.
If there is a tendency to an allergic reaction, testing of the drug for compatibility of components is prescribed.
A week before the procedure, you need to stop taking medications that affect blood counts.
To avoid severe swelling, you should give up alcohol and stick to a diet.
How it goes
The manipulation lasts about half an hour and consists of a sequence of actions:
- The skin is cleansed of decorative cosmetics, dust and impurities.
- Antiseptic treatment is carried out.
- Mark the point where the drug needs to be administered.
- Injections with filler are administered at a rate of 0.02 ml into each puncture site.
- Disinfection of cheeks, cheekbones.
Where is it made and cost?
Malarplasty and contour plastic surgery of the cheekbones are done in special clinics with permission to carry out such interventions. It is better to consult a doctor with experience, who is well versed in the nuances of the procedure, knows the structure of the face, the location of nerves and blood vessels. The cost of surgical plastic surgery of the cheekbones depends on the complexity of the intervention. The starting price is about 65,000 rubles. Bish's lumps can be removed at a cost of about 35,000 rubles. The price for a dimpleectomy is approximately the same.
Healing period
After the procedure, your face may be red and swollen. This is explained by the influx of intercellular fluid to injured tissues. Cheekbones appear larger than they really are.
The outcome can be adequately assessed only after a couple of days, when the swelling subsides.
The first day, hematomas, burning and mild pain are also considered normal. These symptoms do not require treatment and go away on their own within a week.
To properly distribute the filler and reduce the recovery period, you need to ensure that a number of conditions are met:
- do not use decorative cosmetics;
- do not visit the bathhouse, sauna, solarium;
- do not massage, do not sunbathe;
- do not play sports;
- give up sports training;
- do not drink alcohol;
- do not undergo cosmetic procedures;
- sleep on your back, avoiding positions on your side and stomach.
You need to follow the listed rules for the first week after contouring. This will avoid filler displacement and protect against other negative consequences.
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.
Precautionary measures
A correctly performed procedure will not cause harm to health and will give a visible effect. In some cases, the result does not appear due to:
- deep administration of the drug;
- poor quality filler;
- individual characteristics of the patient.
If the effect is unsatisfactory or complications are observed, neutralization is possible. It is carried out taking into account the composition of the filler, its main component.
Hyaluron is removed by hyaluronidase, lidase, which are delivered by injection or physiotherapeutic methods. Electrophoresis, phonophoresis, myostimulation, darsonval, microcurrents, and massage are suitable.
There is no neutralizer for collagen, lactic acid, calcium hydroxyapatite. Hardware techniques can accelerate their biodegradation.
Side effects
- Insufficient or excessive effect, asymmetric correction is a consequence of incorrect dosage and distribution of filler.
- Purulent-inflammatory processes - non-compliance with the rules of asepsis and antisepsis during the procedure, recommendations after manipulation.
- Puffiness of the face - the filler has sank.
- Circulatory disorders, embolism, tissue necrosis - the drug is injected into the vessel.
- Allergy.
Contraindications
But we must not forget that the line between “possible” and “impossible” is very thin, and before you start modeling the middle part of the face, you should familiarize yourself with the following list of contraindications:
- pregnancy or breastfeeding;
- period of illness with autoimmune or infectious diseases;
- exacerbation of pathologies;
- the patient has diabetes mellitus;
- allergy to any filler components;
- while using blood thinners and antidepressants.
Photos before and after
Opinion of cosmetologists
Experts recommend rejuvenation using fillers:
#7 leading drugs for fillers
Biologically degradable gels are considered the best. They include hyaluronic acid, which after a year completely breaks down into water and carbon dioxide.
Fillers that are not of natural origin are less expensive, but they are often abandoned in the modern world. The explanation for this is the lack of ability to decompose, therefore there is a high risk of side effects, after which such drugs are removed using a scalpel.
That is why today cosmetologists try not to use such fillers due to a significant number of side effects - allergies, inflammation, uneven distribution under the skin.
In most European countries and the USA, the use of synthetic fillers is prohibited.
Modern fillers are predominantly of biosynthetic origin, essentially consisting of collagen or hyaluron.
Clinics prefer the following drugs:
Name | Photo | A country | Peculiarities |
Juvederm Voluma | USA | It is endowed with increased ductility and is excellent for contouring in the cheekbone area. The effect after manipulation with it pleases the patient for 1-1.5 years. | |
Ivor Contour | South Korea | This filler is extremely popular in the cosmetic field. The result of working with it is excellent, the effect lasts 12-18 months. | |
Style XL | France | Increased density gel. The 3D Matrix technique guarantees a stable and long-lasting effect for up to 24 months. | |
Radiesse | USA | Filler containing calcium hydroxyapatite. The drug is recommended for patients over 35 years of age. Among its advantageous features are the inability to migrate, excellent smoothing of the skin on the cheekbones and their enlargement, and the provision of a lifting effect due to the intensification of collagen production. The result lasts for approximately 1 year. | |
Sculptra | France | A filler made from synthetic lactic acid, it is removed from the body after 2.5-3 years. Safe gel - with an excellent lifting effect and enlargement of the cheekbones. The results last for up to 3 years, after which a course of treatment will be required with a six-month interval between sessions. Typically, a cosmetologist requires 1 ml of filler for each side. | |
Princesses | Austria | It is based on hyaluronic acid. The effect after the drug lasts 8-12 months. | |
Restylane | USA | A filler that contains high viscosity HA. The result lasts 9-12 months, sometimes longer. |