Malar and Submalar Implants

Malar and Submalar Implants

Malar and Submalar Implants

Cheek augmentation using cheek implants is an option for those who want to replace facial fullness lost through aging, or for those who simply want more prominent cheekbones. The ideal candidate is old enough that the head and skull are no longer growing (maturation is usually reached by late adolescence), is in good overall health, does not smoke, and has realistic surgical goals.

There are three general types of cheek implants: malar, submalar and malar/submalar combination. Malar implants are placed directly over the cheekbones, increasing their projection. Submalar implants are placed midface, just below the cheekbones, to add fullness to a face that is sunken or gaunt. Malar/submalar-combination implants augment both the cheekbones and the midface. Although cheek implants are most often made from solid silicone, high-density porous polyethylene and expanded polytetrafluoroethylene are also used.

Malar and Submalar Implants

Cheek implants come in a variety of shapes and sizes and can be custom shaped to augment weak facial structure and combat the effects of aging to remove a gaunt appearance. There are also many different types of implant materials that can be used—from synthetic silicone, rigid polyethylene that needs to be screwed into place, and a synthetic material called ePTFE (a white rubbery material molded for medical use).

Cheek implants that are made of hydroxyapatite can integrate with natural bone tissue in the face and therefore become part of the cheek structure, while cheek implants that are made from silicone can be removed at a later date because they don’t integrate with the facial tissue.

There are three general shapes to cheek implants: malar, submalar, and combined.

. Malar—are meant to correct a deficiency of the cheekbone itself by placing the implant directly on the cheekbones. Augmentation of this area gives the patient higher-arched cheekbones and a more attractive facial profile.

. Submalar—are meant to correct a deficiency of the fleshy portion of the cheek and are placed directly below the most prominent portion of the cheekbone. By filling this area, the cheeks are restored a fullness that eliminates the sunken look that is associated with age and illness.

. Combined—corrects deficiencies of both the cheekbone and the fleshy portion below the cheekbone.

While cheek implants come in various shapes and sizes, most can be custom shaped to a particular facial structure.

Cheek Implants Procedure

During the cheek implant procedure, for each cheek, a small incision is made inside the mouth, near the gumline, or inside the lower eyelid; it is through this incision that the implant is inserted. A pocket is created before the implant is placed; the implant is then secured by attaching it to bone or soft tissue, and the incision is closed with sutures.

Augmentation with cheek implants is performed, using local anesthesia and sedation, in a surgeon's office or outpatient surgery center, and usually takes one to two hours.

Recovery and Results from Cheek Implants

After augmentation with cheek implants, there is soreness, swelling and numbness at the incision site and in the cheeks; they are managed with over-the-counter or prescribed pain medication. Keeping the head elevated to minimize swelling is recommended. Patients usually return to work within a week, with 6 weeks usually required for complete recovery.

The results of cheek implant surgery are immediately apparent. Implants provide long-lasting results from a single procedure, unlike facial fillers, which must be continually repeated to maintain results. There is no visible scarring from incisions placed in the mouth, and only minimal scarring from incisions placed in the lower eyelids.

Risks of Cheek Implants

In addition to the risks associated with any surgery, those related to augmentation with cheek implants include the following:

. Asymmetry

. Loss of sensation

. Implant infection

. Implant shifting

In addition, as with breast implants, scar capsules can form around cheek implants. Unlike those that form around breast implants, however, they do not affect cosmetic results.

About Iranian Surgery

Iranian surgery is an online medical tourism platform where you can find the best plastic surgeons in Iran. The price of Cheek Implants in Iran can vary according to each individual’s case and will be determined by an in-person assessment with the doctor.

For more information about the cost of Cheek Implants in Iran and to schedule an appointment in advance, you can contact Iranian Surgery consultants via WhatsApp number 0098 901 929 0946. This service is completely free.


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