High cheekbones are a sign of physical beauty admired by many. In the past, the only way to create the illusion of high cheekbones was through skillful application of cosmetics. Often, however, makeup could not sufficiently alter what nature had produced.

Today there is a remarkable procedure to give women the high cheekbones they desire. This procedure is knows as malar augmentation, or a cheek implant. This surgery can give definition to a face with a flat contour. The best candidates for malar augmentation are individuals with long, narrow faces, or very round faces and flat cheeks. It can also benefit people with asymmetries or congenital defects.

BEFORE SURGERY:
Prior to surgery, a complete medical history is taken to evaluate the general health of the patient. A careful examination is also conducted. Dr. Engen describes to the patient the type of anesthesia to be used, the actual procedure, the results to realistically expect, and the possible risks and complications of the surgery. Photographs may be taken before and after surgery to evaluate the amount of improvement.

Preoperative instructions may include the elimination of drugs containing aspirin in order to minimize the possibility of excess bleeding. Antibiotics may be prescribed for a few days prior to surgery to prevent infection. The areas to be worked on are carefully marked.

THE PROCEDURE:
Malar augmentation can be performed at Excel Cosmetic Surgery Center, an outpatient surgical facility, or a hospital depending upon the preference of both the patient and Dr. Engen. It can be performed under a general or local anesthesia. Medication may be administered to relax the patient during the procedure.

The face is thoroughly cleansed with an antiseptic cleansing agent after which an incision is made either inside the mouth or immediately below the lower eyelids. With the internal approach (which is most frequently used), the incision is made between the upper gums and the cheek. The soft tissue is elevated, creating a pocket over the cheekbone. An implant, usually triangular in shape, is then inserted. The implant is made of a pliable synthetic material.

Tiny sutures (stitches) are used to close the incisions.
If the external approach is used, a very fine incision is made directly beneath the lower eyelash, within the natural crease of the eyelid. The implant is positioned in the cheek area through this incision.

RECOVERY:
Sutures are removed within a week. Pain connected with the surgery is minimal and is controlled with oral medication. Antibiotics may be prescribed to prevent infection. Some temporary swelling and bruising of the face are to be expected. However, keeping the head slightly elevated when reclining and applying cold compresses can help reduce swelling. Chewing may be difficult for about two weeks, and tightness or numbness around the treated area may occur for a period of time. Brushing teeth is often difficult for several days.

Complications of infection are rare, but there are certain inherent risks connected with every surgical procedure that should be thoroughly discussed with Dr. Engen. Patients can minimize complications by carefully following directions given.

If you are interested in learning more about cheek implants or other skin care and cosmetic procedures, call Todd B. Engen, M.D., or a member of his staff at (801) 426-LOOK or (800) 854-6201.

Excel Cosmetic Surgery Center `1735 N State St. Provo,UT