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Dr. Batniji reviews upper and lower eyelid procedures. read more>
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Question:
I am considering cheek implants. I understand that they are made of a hard silicone. Is there any danger of this material being in your body?
Answer:
Risks of facial implants include (but not limited to) pain, infection, bleeding, improper position, need for removal and/or replacement. The benefit of facial implants is that it augments areas where the bony skeleton may be deficient. For example, if your cheek bone is rather flat and not prominent, then a cheek implant would be a good option for you to consider. However, if your cheek bone has good prominence, but you have lost soft tissue volume in the cheek tissues, then augmentation with filler or fat transfer would be a good option for you.
Question:
For the cheek lift, where are the incisions made? I understand that you're doing work in the cheek area as well as the temple area. Does this mean that incisions are made in both areas?
Answer:
An isolated cheek lift incorporates an incision in the temple, under the lower eyelid, and occasionally inside the mouth. Sometimes, patients may benefit from a facelift/necklift in conjunction with a cheek lift. In these patients, I perform a specific type of facelift, called a high-SMAS facelift, that not only addresses the neck and lower face, but also the cheek. These incisions are hidden within the creases of the ear.
Question:
My cheeks look like they've sunken in. I've recently lost some weight so I don't know if it's associated with that or just age but I hate how they look. Can fillers help to fill them out a little?
Answer:
Yes, adding volume with fillers can address the loss of volume to the cheeks. A variety of products are available to achieve this volume. The more common ones are hyaluronic acid fillers, like Juvederm.
Question:
I would like to know exactly what areas are improved by a cheek lift. The areas I am concerned about are the nasolabial folds, sagging cheeks, the beginning of jowls and marionette lines. Does the cheek lift also improve skin texture?
Answer:
The cheek may lose volume and descend with time. This results in accentuation of the nasolabial folds and creation of the jowl. As well, a hollowness develops between the lower eyelid and cheek. A cheek lift is designed to restore a more youthful appearance to the cheek. It does not improve skin texture; a better technique for improving skin texture of the cheek is laser resurfacing with a fractionated laser. A cheek lift does not improve the jowls and/or marionette lines as effectively as a facelift. Non-surgical options, such as augmentation with injectable fillers, can improve the appearance of the nasolabial folds and marionette lines.
Posted by Rami K. Batniji, M.D., F.A.C.S.
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