21270 Malar augmentation, prosthetic material

Name of the Procedure:

Malar Augmentation, Prosthetic Material (Cheek Augmentation with Implants)

Summary

Malar augmentation is a cosmetic surgical procedure that enhances the contour and volume of the cheeks using prosthetic implants. This procedure aims to create a more balanced and youthful facial appearance.

Purpose

The procedure is designed to improve facial symmetry and contour by adding volume to the cheek area. It addresses conditions like flat or sagging cheeks, facial asymmetry, or volume loss due to aging. The goal is to create a more aesthetically pleasing and youthful facial profile.

Indications

• Individuals with underdeveloped or flat cheekbones
• Volume loss in the cheeks due to aging or weight loss
• Asymmetric cheekbones
• Desire for enhanced facial contour and balance

Preparation

• A thorough medical evaluation, including a physical examination and discussion of medical history.
• Pre-surgical consultations to discuss goals, expectations, and risks.
• Pre-operative instructions may include fasting for several hours before the surgery, adjusting current medications, and avoiding certain medications that can increase bleeding.
• Imaging studies or facial measurements might be taken to plan the procedure.

Procedure Description

1. Anesthesia: The patient is typically placed under general anesthesia or local anesthesia with sedation.
2. Incisions: Small incisions are made either inside the mouth or just below the lower eyelids to minimize visible scarring.
3. Implant Placement: A pocket is created in the cheek tissue where the prosthetic material will be placed.
4. Insertion: The implants, which are often made from materials such as silicone or polyethylene, are carefully inserted into the pocket.
5. Adjustment: The implants are adjusted to create the desired contour and symmetry.
6. Closure: The incisions are closed with sutures, and a dressing is applied to support the new facial structure.

Duration

The procedure typically takes 1 to 2 hours to complete.

Setting

Malar augmentation is usually performed in an outpatient surgical center or hospital operating room.

Personnel

• Plastic Surgeon or Cosmetic Surgeon
• Anesthesiologist or Nurse Anesthetist
• Surgical Nurses
• Operating Room Technicians

Risks and Complications

• Infection
• Bleeding or hematoma formation
• Implant displacement or migration
• Scarring
• Temporary or permanent numbness
• Asymmetry or uneven results
• Allergic reaction to the implant material

Benefits

• Enhanced cheek contour and volume
• Improved facial symmetry and balance
• Youthful and rejuvenated appearance
• Long-lasting results

Recovery

• Patients typically experience swelling, bruising, and discomfort for a few days to weeks after the procedure.
• Pain management may include prescribed medications and cold compresses.
• Follow-up appointments are necessary to monitor healing and implant position.
• Most patients can return to normal activities within 1 to 2 weeks, avoiding strenuous activities for several weeks.

Alternatives

• Dermal fillers for temporary cheek enhancement
• Fat grafting, using the patient's own fat
• Non-surgical skin tightening procedures
• Each alternative has its own pros and cons in terms of duration, invasiveness, and results.

Patient Experience

During the procedure, the patient will not feel pain due to anesthesia. Post-procedure, patients may experience swelling, bruising, and tightness in the cheek area. Discomfort is typically managed with prescribed pain medication and comfort measures. Full recovery and final results can be appreciated after several weeks to a few months.