Thins the cheeks by removing facial fat to enhance the outlines of the cheekbones, jawline, and face.

Surgical removal of fat pads from the cheek. Typically not performed on people with thin, narrow faces.

Buccal Fat Removal

Facial Volume

Cheek Volume

Buccal Fat Removal (Cheek Reduction)

Cheek

Buccal fat removal is a surgery that thins the cheeks by removing facial fat. The goal of this procedure is to remove the fat stored in the cheek hollows and thereby enhance your cheekbones and the contours of the jawline and face. It is popular with people who have a “baby face", chubby cheeks” or “chipmunk cheeks”. A single treatment thins the face permanently without visible scarring. The cost to have it done ranges between $1500-$7,500 depending on various patient-specific factors.

What do elves and most Hollywood A-listers have in common? Stunning cheekbones! And you can have them, too, with the hel

Minimally invasive and temporarily procedures that provide cheek fullness and enhances facial contours.

Cheek Augmentation with Fillers

Cheek Augmentation & Cheek Reduction Solutions

Face

What do elves and most Hollywood A-listers have in common? Stunning cheekbones! And you can have them, too, with the help of a board certified provider.

Designed to help aging patients restore youthful features to their face and help younger patients fix existing issues.

Offers those with weak bone structures or ill-defined facial features with an opportunity for permanent volume increase.

Cheek Augmentation with Implant

Cheek Augmentation (Cheek Implants)

Cheek augmentation refers to a range of plastic surgery techniques designed to help aging patients restore the youthful balance and harmony of their facial features. Additionally, cheek augmentation procedures can also improve the aesthetic appearance of younger patients with naturally narrow or asymmetrical facial structures, or those that have experienced trauma in the mid-facial zones.

Enhances the structure of the cheekbones to give the face a more defined look and refine the appearance of the cheeks.

Creates dimples on the cheeks or chin by stitching sutures inside the mouth, leaving a natural looking dimple.

Dimpleplasty

Surgically reduces the cheekbone to create a more proportioned look to the face by bone shaving or an osteotomy.

Zygoma Reduction Plasty

Cheek Surgery

Whether you’re simply interested in learning more about the latest plastic surgery trends in Beverly Hills, or serious about enhancing the structure of your face with streamlined cheekbones or dimples, this article will provide plenty of information on cheek enhancement surgeries and what to expect from having one. Read on to learn all about zygoma reduction and dimpleplasty plastic surgery options, and see if either of them could help you get the look you want.

Excess Body Fat

Buccal fat removal surgery requires an incision on the inside of the mouth, on the inner portion of the cheek. A small 2-4cm long incision will be made between the cheek and gums, near the second molar on both sides of the mouth. Occasionally, the buccal fat pad may be removed during a facelift and not necessitate an incision inside the mouth. Through this incision, fat will be excised, sculpting the cheek to a slender, pleasing contour. Dissolvable sutures will then be used to close the incision.

Buccal fat removal, or cheek reduction, removes excess fat from the the cheek pads for a more contoured face. Here is a quick guide for what to expect before, during, and after buccal fat removal.

Buccal fat removal, or cheek reduction, is the surgical removal of fat pads from the cheek. A buccal fat removal removes the buccal fat pad, a naturally-occurring pad of fat in the cheek hollow area. The size of the buccal fat pad varies with each individual patient, and the buccal fat pad in each cheek may be different sizes. Buccal fat pad extraction surgery is typically not performed in people with thin, narrow faces as removal of the fat may cause the face to look more gaunt with age.

Injects purified fat that has been extracted through liposuction, into the cheeks to improve facial fullness.

Fat transfer is often considered a "natural" method of augmentation since the material used for achieving increased fullness is produced by the patient's own body. This also means that unlike cheek implants or dermal fillers, fat transfers will not be rejected by the body as a foreign substance. Although some injected material will be absorbed by the body, the effects of transferred fat typically lasts for longer periods of time than hyaluronic acid based injectables.

In order to use the patient's own fat for transfer, a liposuction procedure must first be performed. Liposuction is commonly performed in the stomach or thigh region to retrieve the fat which will then be methodically cleansed and purified before injection. Once the liposuction procedure is complete, the face will be prepped for the fat grafting. Usually, 10-15 cc's of fat will be injected into each cheek however placement and amount will depend on the individual. Since it is common for some of the fat injected to be reabsorbed by the body, the doctor may overcompensate and initially inject more to account for the inevitable loss. Additional treatments may be necessary to achieve desired results.

Cheek Augmentation with Fat Transfer

Fat Transfers

Fat grafting can be performed in the cheeks to enhance the fullness of the face with a lesser likelihood of rejection. Here is a quick guide for what to expect before, during, and after cheek augmentation with fat transfer.

Improved facial fullness can be achieved by injecting purified fat  into the cheeks. Liposuction will be performed to retrieve the natural filler, is then cleaned, and will be ready to be grafted to the cheeks for a more plump, youthful appearance. Fat as a filler has the advantage of not having the risk of the body rejecting the substance.

Cheek augmentation with fillers can give individuals fuller facial features if the face looks tired or gaunt. A variety of dermal fillers may be used during treatment such as a fast acting hyaluronic acid based injectable that will slowly be dissolved naturally into the body, or a collagen stimulator that will not only provide a temporary boost in plumpness, but also encourage the body to produce more collagen on its own allowing for improvement in fullness over time. Dermal fillers are a good alternative for patients who desire more definition in their cheeks but are not willing or able to undergo a more invasive treatment such as with an implant or fat transfer.

Before a procedure to enhance the cheeks with injectables begins, a topical anesthetic cream will be applied to the area. Sometime, lidocaine will be injected as a local anesthetic or may be combined with the filler itself to provide additional comfort. The placement of the injections will depend on the patient's individual needs and anatomy. However, typically injections will be made 1 centimeter underneath the eye, with the needle beginning towards the inner corner of the eye and then "walked" across the cheek towards the outer corner of the eye. Other injections will be made at the malar eminence, which is the area associated with having "high cheekbones", as well as around the eye area to create symmetrical fullness. Once finished depositing small amounts of filler in the desired areas, the provider will then expertly mold the filler to smooth and disperse the injected substance. Manipulation of the filler should only be performed by the provider. Follow aftercare instructions and do not touch the treated area after treatment. Rubbing, touching, or massaging treated areas can cause unintended movement of the filler causing unintended fullness, visible material, or increased redness.

Dermal fillers can be used to temporarily provide cheek fullness and enhance facial contours. Here is a quick guide for what to expect before, during, and after cheek augmentation with fillers.

Dermal fillers such as Restylane, Radiesse, and Sculptra can be used to temporarily provide cheek fullness and enhance facial contours. Although results are temporary and require maintenance treatments, the procedure is minimally invasive and is associated with a shorter recovery period than alternative methods.

Cheek implants are the only option for patients to achieve permanently increased volume and projection. While dermal fillers and fat grafting may be less expensive initially, the cost of maintenance treatments can quickly add up to the same or more than an implant. 

Before surgery, discuss with your doctor what options are available for anesthesia as well as options for the implant material. Depending on the extent of the surgery, local, sedation, or general anesthesia may be utilized. Implant materials vary but are commonly made of either silicone, Gore-Tex, or Medpor, a material that integrates with the facial tissue to fuse the implant with the bone over time. Cheek implant surgery typically will not last longer than an hour unless it is combined with another facial surgery such as a facelift or lip lift.

On the day of surgery before anesthesia is applied, markings will be made on the face to guide the placement of the implants. Once anesthesia is administered, a small incision will be made either beneath the eyelid or in the mouth. A pocket will be created within the facial tissue to hold the customized implant. Implants placed on the outer upper cheek will add volume and contour to the cheekbone while implants that are inserted in the lower to middle cheek region provide fullness to a sunken or gaunt face. Once the implant is positioned and secured, the incision will be closed. A compression or support bandage will also be applied to the face to reduce swelling.

Cheek implants can be customized to address projection or bulk to improve facial balance and aesthetics. Here is a quick guide for what to expect before, during, and after cheek augmentation with implants.

Cheek implants offer individuals with weak bone structure or ill-defined facial features an opportunity for permanent volume and contour. Implants can be customized to the individual to address projection or bulk, creating improved facial balance and aesthetics.

Chin Shape & Size

Dimples are small depressions in the skin that appear when smiling. These indentations can enhance someone's features and are often desired to create a more attractive facial contour. Natural dimples are apparent at birth and are caused by a slight deformity in the cheek muscle where the skin is tethered to the zygomaticus major muscle. When an individual smiles, the fibrous connection causes the dimple to become deeper and more visible. This tethering can be mimicked surgically during a dimpleplasty procedures. For those with prominent cheekbones looking for a dramatic reshaping of the face, a cheekbone reduction surgery may be better suited. 

Before the dimpleplasty procedure, the surgeon will mark the areas on the surface of the cheeks for where the new dimples will be. Once the location is agreed upon, local anesthesia will be applied to ensure comfort for the patient. A small incision will be made on the inside of the cheek. An absorbable suture will be passed through the inside of the cheek to catch the undersurface of the skin where the dimple is desired.  Once the suture is tied, a depression will form on the overlying skin. After surgery the dimple will be present even without smiling. Eventually, the dimple will only fade and only be present when moving the face. The suture will cause scarring between the cheek and cheek muscle so that even when the suture has dissolved, the scar tissue will act as the fibrous connection and create the superficial indentation when smiling.

A dimpleplasty creates dimples on the cheeks or chin. Sutures are stitched intraorally, leaving no external scars. Here is a quick guide for what to expect before, during, and after a dimpleplasty.

A dimpleplasty is a minimally invasive surgery used to create dimples on the cheeks or chin. Sutures are stitched inside of the mouth, leaving no external scars and a natural looking dimple after the healing process is completed.

Cheekbone reduction surgery reduces the profile of the zygomatic bone for a slimmer facial contour. This procedure is meant for candidates who have large cheeks due to their inherent bone structure. Individuals with large cheeks due to oversized buccal fat pads would not benefit from this surgery. Zygoma reduction plasty can be performed through a less aggressive bone shave or by an cheekbone osteotomies (bone cuts).

Cheek shaving is done from an intraoral incision and a dremel like tool is used to take down the projection of the cheekbone. Cheek shaving is best used to reduce a forward projection caused by the cheek bones. While this procedure will result in some narrowing of the face, cheek shaving is not ideal to address the width of the face.

For more severe cases, cheekbone osteotomies are conducted under general anesthesia. Incisions will be made on the inside the mouth and in front of both of the ears to adequately access the zygomatic bones. The bones will then be cut with a saw, excess bone will be removed, and then arched inwards to create the new face shape. This contour will then be fixed into place with screws and plates. Incisions will be closed with dissolvable sutures.

Zygoma reduction plasty reduces the cheek bone structure by two techniques: cheekbone shaving or cheekbone osteotomy. Here is a quick guide for what to expect before, during, and after cheekbone reduction surgery.

Zygoma Reduction Plasty (Cheekbone Reduction Surgery)

Cheekbone reduction surgery surgically reduces the cheek bone structure to create a more proportioned look of the face. There are two techniques: cheek bone shaving and a more invasive cheekbone osteotomy.

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