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Cheek and Chin Enhancement (Mid-Face and Lower-Face Rejuvenation)

Cheeks and chin enhancement procedures include:Cheek implants Cheek  
- Cheek Implant (Submalar / Malar Augmentation)
- Buccal fat removal and creation of dimples
- Chin Augmentation (Mentoplasty or Genioplasty)


Face shape analysis:

How to measure and determine your face shape, and even more importantly how to choose the right hair style to fit your face shape.
There are lots of suggestions on how to figure out your shape. These include everything from outlining your face shape on a mirror with lipstick to draping it with a towel and asking others to help you guess the shape. But, there is actually a scientific way to determine your face shape once and for all.
To find out the shape of your face, measure it with a tape measure or ruler. You will take the following measurements.
1. Measure your face across the top of your cheekbones.
2. Measure across your jaw line from the widest point to the widest point.
3. Measure across your forehead at the widest point. Generally the widest point will be somewhere about halfway between your eyebrows and your hairline.
4. Measure from the tip of your hairline to the bottom of your chin.
types of face
- Oblong: Longer than it is wide.
- Oval: Length equal to one and a half times width.
- Round: Your face is as wide as it is long. This may vary a little but generally the measurement is close.
- Rectangular: Like Square but higher.
- Square: your face is about as wide as it is long.
- Triangular: Narrow at forehead, wide at jaw.
- Diamond: Widest at cheekbones, narrow forehead and jaw line of approximately equal widths.
- Inverted Triangle: Narrow at jaw, wide at forehead.
- Heart: Narrow at jaw line, wide at cheekbones/and or forehead.
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Cheek Implant (Submalar / Malar Augmentation)

One of the strongest characteristics of youth is fullness of the cheeks, indicating an abundance of healthy soft tissues and healthy fat under the skin. Flat cheekbones can make a large nose look larger and a receding chin smaller. The cheekbones are largely responsible for defining your face, highlighting the eyes and adding balance to your features. Altering your face’s bony features improves your overall facial harmony and beauty dramatically.
Moreover, the recovery period after cheek implants is relatively short with many patients resuming normal activities within a few days.


Benefits of Cheek Implants

Cheek implants (known to physicians as submalar and malar augmentation) is the surgical use of sterile synthetics or biological implants to bring the cheek into better balance with your other facial features.
It is very common to have cheek or chin implants when a nose job (Rhinoplasty) is being done. The outcome should be a balanced relationship between the structures of the face and may bolster your self-esteem because you look better.


Who would best Represent an Ideal Candidate for Cheek Implants?

The first requirement is good physical and mental health, without any active diseases or any other pre-existing medical conditions.
Many women want to reposition sagging skin upward and outward to fill hollows and depressions. People who most commonly have cheek implants have underdeveloped cheek bone structure or have lost soft tissue and the natural padding of healthy fat – due to normal aging – that normally occurs in the face. When the tissues and fat dissipate, the skin sags and appears flattened or sunk and may cause folds and wrinkles around the mouth.

How are Cheek Implants Performed?

- Sometimes, cheek implants are designed for reconstructive or rejuvenation.

- The procedure usually takes 45 minutes to an hour and a half. It is commonly performed alone or in combination with forehead, eyelid, facelift, nasal or chin surgery.
- The procedure should be done with General anesthesia in a hospital.

types of facial implants


- A small incision is made near where the implant will be placed. The incision is made either in the crease under your lower eyelashes or inside the mouth where your gums and lips meet.
- Then, we create a pocket in the facial tissue.
- The implant is inserted and sometimes stitched to more solid internal facial features that lie deeper in the skull.
- Then, the incision is closed, often with one stitched.

cheek augmentation


- When the most common implant, silicone rubber, is used, supportive tissue eventually forms around the implant after a few weeks. Once fully healed, the implant feels like your normal underlying bone structure.


What should you expect before and after Cheek Implants?

- Chewing is limited immediately following surgery while a soft food diet is required for several days.
- The recovering patient should avoid any rough contact, blows or pressure to the cheek or strenuous activity.
- You should also have someone else drive you home on the day of the procedure.
- If you live alone, you should have somebody stay with you at least the first night once you’re home.
- Make sure to wear a loose blouse or shirt that does not have to be pulled over your face.
- As with any surgery, you can expect some swelling, mild bruising and minimal pain. Usually, we give you prescription medications to control any discomfort.
- Typical cheek implant procedures create some numb areas around the cheeks and mouth but they rarely last long. Most patients have mild to moderate discomfort for one to two days.
- You should avoid strenuous activity and rough contact in or near the area of the implant for at least four to weeks.
- Patients with gum or dental problems should consult with their dentist and ask if the incision through the mouth will cause any complications.
- It may be normal to experience temporary difficulty smiling and talking after the operation.
- You can usually return to work and other normal activities within a week.


What are The Long-Term Effects of Cheek Implants?

- You can expect to see the refined, contoured results of the implants gradually emerging after three to six weeks, after operation.
- Cheek implants usually adds aesthetically pleasing contours to your face while the results are permanent.


What Are the Risks and Limitations of Cheek Implants?

- As with any other surgical procedure, infection may occur. If an infection persists, the implant may have to be removed and replaced later on.
- Shifting of the implant is another possibility. Should the implant become slightly misaligned, a second procedure may be necessary to reposition it.


What Are The Costs Associated With Cheek Implants?

Cheek implants costs are variable according to the deformity and the used implant. Usually the cost is ranging from 1500 to 2500 U.S. dollars. Most medical insurance providers do not cover the procedure.


Buccal Fat Removal (Cheek Fat Removal or cheek reduction)

buccal fat Many people are pleased with the appearance of their cheek, but others, both young and old, are very self-conscious about the appearance of their cheeks. Most of these individuals complain their cheeks look round and chubby. The cause is cheek fat, known as buccal fat.

Buccal fat are pads of fat that augment the lower part of the cheeks. These “chubby cheeks,” or “chipmunk cheeks,” can result from a variety of conditions. Overweight is one condition, while a genetic predisposition can also cause one to have round cheeks. Buccal fat removal, also called cheek reduction surgery, offers a solution to those who want to reduce the size of their cheeks. Removal of these fat pads can slim the cheeks and contour the face. This can help people achieve a more chiseled and hollowed look. In addition, limited excision of buccal fat make dimpled smile.


DIMPLE CREATION SURGERY

dynamic dimple The surgical procedure used to create dimples is, in itself, a fairly simple one and is commonly done on an outpatient basis.

Idea: The procedure involves simulating the natural way a dimple is formed, by forming a connection between the skin and the cheek muscle, such that when the muscle contracts, it pulls the skin inwards to form a dimple.

Technique:
- A punch biopsy instrument is placed against the buccal mucosa (inner cheek) and circular motions are made to cut through the mucosa, submucosal fat, and cheek muscle.
- A circular core composed of these tissues is removed, leaving the skin intact, which will create a shallow cylindrical-shaped defect under the skin.
- This 'defect' then is closed by placing an absorbable suture through the cheek muscle on one side of the defect, then through the dermis layer of the skin and finally through the cheek muscle on the other side of the defect. A surgical knot is tied, which in turn will result in dimpling of the skin even without smiling.

creation of dimples


- The skin will, however, flatten out in a week or two when the suture is absorbed. The internal scarring which takes place will connect the muscle to the skin, creating a dimple when one smiles.
- The surgery can be performed on any kind of cheek, be it chubby or not. However, it would be easier if the cheeks are not too chubby.
- If someone wants dimples that are very prominent, a bigger punch biopsy will be used to be able to remove a bigger core of soft tissue.

- Usually performed under local anesthesia. The surgery takes about 15 - 30 minutes.
- Normal activities can be resumed straight after the procedure.
- There is usually minimal swelling after, and the after care steps are just as simple and uncomplicated as the procedure. The after care usually involves regular mouth rinsing with oral antiseptic solution and antibiotic intake.

- This procedure costs 500 U.S. dollars per dimple (2 cheeck dimples and one chin dimple).


Who would best Represent an Ideal Candidate for Buccal Fat Removal?

There are various reasons why people would choose to undergo buccal fat removal. The more common include: Thinner cheeks, More defined cheeks, Enhancing appearance, Gaining a boost in self-esteem and Feeling more confident


Where do I begin?


- This is an important step to the procedure. During consultations, doctors can learn more about their patients and vice versa.
- This visit gives them a chance to evaluate the current state of the patients’ cheeks, their age and their medical history. As a result, We can determine the patient’s options and inform the patient of the benefits, precautions, risks, methods used and other important information.

- Consultation visits additionally give patients the opportunity to talk about their goals and expectations for buccal fat removal and to ask any other questions. It is important that patients are well-informed about the procedure before making a decision.


How is Buccal Fat Removal Performed?

- The buccal fat removal procedure is usually done on an outpatient basis, taking about one hour to perform.
- Patients are usually under local anesthesia with or without sedation, meaning they will be awake but drowsy and insensitive to pain.
- We create an incision about 2 to 3 cm long between the cheek and gums. The incision exposes the fascia and fibers of the main cheek muscle (buccinator). By applying pressure externally under the cheek bone, the buccal fat protrudes through the incision. This amount of fats will be removed out with forceps or surgical scalpel.
- After a collective amount is removed, then the incisions will be closed by absorbable sutures.

buccal fat removal

 
- We may also perform facial liposuction to remove fat deposits from the cheek. However, unlike buccal fat excision, liposuction can leave visible scars and incisions.


What you should expect after undergoing buccal fat removal?

- Patients can experience mild to moderate pain and discomfort after undergoing buccal fat removal, which can be lessened with prescription pain medication.
- Some degree of swelling and possibly bruising can be expected, but this is only temporary.
- It is recommended that you stay home for at least a week after surgery and take it easy for the first three weeks following surgery.
- It usually takes about four months after surgery to see the final results of the buccal fat removal procedure, which are permanent.


What Are the Risks and Limitations of Buccal Fat Removal?

- All forms of cosmetic surgery carry some degree of risk. With buccal fat removal, numbness may occur for few weeks and infection is rarely.
- Those considering buccal fat removal before their mid-20’s should take into account that oftentimes as we get older, facial fat is lost and our face will naturally thin out. So if you choose to have this surgery before then, and your face naturally thins out later on, this may result in a scrawny look. So, people need to take genetics into consideration and should check to see if round cheeks run in their family.


What Are The Costs Associated With Buccal Fat Removal?

Although price is a factor when deciding on surgery, the most important factor is that you feel you are getting a good quality, natural-looking result from the procedure.

The costs for undergoing buccal fat removal can range from 1000 to 1500 U.S. dollars. Unfortunately, most medical insurance providers do not cover cosmetic surgery procedures.


Chin Augmentation (Mentoplasty or Genioplasty)
types of chin
Chin (mandibular) augmentation is the surgical use of sterile synthetics, biological implants or natural tissues (fatty or bony) to bring the chin into better balance with your other facial features. It is very common to have chin implants when a nose job (rhinoplasty) is being done (genioplasty). The outcome should be a balanced relationship between the structures of the face and may bolster your self-esteem.


What are the Benefits of Chin Implants?

- The procedure can balance a weak, or receding, chin and make a prominent nose seem less large.
- A weak chin can also make your neck look overly fleshy.
- Usually, a chin implant provides a more harmonious balance to your face and features so you feel better about the way you look, especially in profile.


Who would best Represent an Ideal Candidate for Chin Implants?

- A person in good health, without active diseases or any other pre-existing medical conditions.
- Who has a chin too small for her face.
- Because swelling may be present for months, the defined, chiseled look that patients so desire may not become evident for three to four months.
- There is sometimes a depression after surgery and if there is already an emotional problem, this low period can develop into a more serious issue.
- You should also have no bone disorders and not have been on Accutane for the last six months or more.
- Chin implants are additionally used to correct congenital deficiencies and facial trauma.


How are Chin Implants Performed?

- Chin augmentation operations can last 30 minutes to one-half hours, depending on the circumstances of your case.
- The procedures can be performed with either a local or general anesthetic, depending on patient and surgeon preferences.
- We may use some natural tissues like bone or fat from your body or a whole range of other synthetic and biological inserts like silicon implants or specially prepared coral. There is no scientific evidence that silicone is harmful.
- We select the best size and shape to enhance your appearance. Then the implant is inserted into a pocket in your chin through the mouth, along the lower lip.

chin augmentation

- Usually, the chin is taped after surgery to minimize swelling and discomfort.
- Chin augmentation is also commonly combined with facial liposuction, where fat is removed from under the chin and under the neck. Chin implants conform to the bone and are usually undetectable.


What Are the Risks and Limitations of Chin Implant Surgery?

- Normally, extensive pain is not associated with chin implantation although pain and relaxation medication is often prescribed beforehand.
- After the operation, you may feel a degree of numbness in your chin that usually disappears within one to three months.
- Swelling usually disappears within the first five to seven days.
- Another rare risk includes the implant shifting which requires additional surgery to reposition it. There is also a slight chance of asymmetry from tissues healing at different rates and bone re-adsorption.
- If infection occurs around a chin implant and does not clear up after treatment with antibiotics, the implant might have to be removed for a while and replaced later.
- Many chin implant patients return to work with the help of camouflaging cosmetics about five days after the procedure.


What are The Long-Term Effects of Chin Implants?

- Most are permanent for life. But some autologous bone and fat grafts may be reabsorbed into your body.
- Some types of implants are rejected in rare cases.
- Keep in mind, cosmetic surgery is just that – a surgical procedure whose results cannot simply be erased.


What Are The Typical Costs Associated With Chin Implants?

Although price is a factor when deciding on surgery, the most important factor is that you feel you are getting a good quality, natural-looking result from the procedure.

Chin implants costs are variable according to the deformity and the used implant. Usually the cost is ranging from 1500 to 2500 U.S. dollars. Most medical insurance providers do not cover the procedure.


FAQ when considering undergoing Cheek and Chin surgeries?!

Personality analysis by Cheeks and Chin?
"9 types of chins:
Round - seeks proof of answers and empirical evidence
Square - in later life will have luck and money
Pointed - independence and determination
Narrow - narrow-minded
Wide - outgoing
Short - successful in business
Long - ego issues
Dimpled - dreamer but hard worker
Weak or receding - weak personality

Cheeks:
High cheek bones: confident, watch drinking habits, outgoing, cautious yet friendly, authoritative
Overly red: lung and bronchial imbalance
Shiny and red: gallbladder and/or heart problems
Red and Blushed: allergies, digestive problems
Dark or gray tinge - depression
Mole on the upper cheek, down from the eye, attractive, temperamental, royal, psychic
Fleshy: frugal, economical disposition, thrifty,
Undeveloped: communication skills may need work. In palmistry you would have a short Mercury (pinky) finger
Strong in their presentation and are pronounced but lacking at the base: forceful sometimes, aggressive
Narrow but strong: Stubborn, opinionated, ".
static dimple
Q - What is ideal shape of the cheeks and chin?
A - Actually, there is different shapes differ by race, age and personal variations. So, there is no ideal cheeks or chin shape but the ideal shapes for you is that proportional to your other facial features and facial outline.

Q - What is the duration of the Cheeks Augmentation procedure?
A - Ranging from half to two hours according to used procedure.

Q - What is the duration of the dimple creation procedure?
A - Ranging from half to one hour.

Q - What is the type of anesthesia, and when I can return to normal life?
A - According to your age. Local anesthesia with or without sedation if adult or General anesthesia if child, and you can practice your normal life 2 hours after the finishing the procedure. However swelling and pursing disappear within two weeks.

Q - What are the symptoms that may occur in the first five days after Cheek enhancement surgery?
A - Soreness which could be managed by pain killer’s medications and there may be edema or swelling of the lower half of the face.

Q - What are the guarantees that the success of the process?
A - There is no doubt that the followers of the medical instructions and close follow up visits are the main factors for the success of any surgical procedure. If not, the process to achieve the agreed outcomes before, the process repeats at reduced cost.

Q - When can we get the final results?
A - The final results is achieved after the first three weeks.

Q - Is the enhanced cheeks or chin seem naturally?
A - Yes.

Q - What is ideal age for cheek augmentation? cheek reduction? dimple creation?
A - Cheek enhancement could be done at any age above 18 years as the facial bones are well developed by this age.

Q - If you are not Egyptian, What is the minimum period for follow up?
A - At least five days.

Q - What is the non-surgical cheeks or chin enhancement?
A - By injection of fillers.

Q - What are the contraindications of cheek surgery?
A - There are no absolute contraindications but the patients should inform their surgeons about any allergies, serious medical conditions, and medications they may be taking.

Q - Where will the cheek enhancement surgery be performed?
A - In hospital if general anesthesia is needed or in outpatient bases (clinic) if local anesthesia will be used.

Q - In my case, what technique is most appropriate in helping me achieve my cosmetic goal?
A - It depend on the your age and your preference.

Q - How much does cheek enhancement surgery cost and what elements factor into that cost like hospital fees, anesthesia, and so on?
A - Ranging from 500 to 2500 U.S. dollars. Medical insurance dose not cover lip enhancement procedures.

Q - What is the surgeon’s level of experience in performing cheek or chin enhancement surgeries?
A - Consultant or Doctoral in Plastic surgery.

Q - What percentage of patients experience complications with cheek or chin enhancement surgeries?
A - 3 - 7%


Summary of Cheek and Chin enhancement (Augmentation / Reduction):

The time of the procedure: from half to two hours.
Type of anesthesia:
local anesthesia +/- sedation or General.
Location:
hospital or clinic without postoperative hospital stay.
Expected Side effects:
Temporary swelling, numbness and pain.
Recovery time:
return to work after one week and the final outcome within 3 weeks.
Cost:
according to procedure ranging from 500 to 2500 U.S. dollars.
Results: Permanent.