AUGMENTATION
The operation to increase
the malar volume has as objective to enhance the oval shape of the face. This
operation is specially indicated in people whom they have flat or undeveloped
malar bones. The operation sometimes is done in conjunction with rhinoplasty
and/or face lift.
The usual operation
consists of placing synthetic implants (silicone, Goretex) on the bone, to
increase its projection.
The operation it is carried
out through an incision within the mouth, between the superior lip and the
gingiva. A pocket on the bone is performed and the implant is placed. After the
operation it is necessary to be on soft diet during one week and it is normal
to have facial inflammation during a 2-4 weeks. Also the zone of the cheeks can
have its sensibility disminished during a variable time.
Sometimes it is necessary
to reduce the bone because it is very developed giving a too oval look to the
face. The operation is similar to the previous one but instead of placing a
prosthesis the bone is lowered by chiselling or rasping it, reducing its
projection but maintaining its shape.
Dr. J. Benito Ruiz, 1998-2000