The cheekbone or zygoma forms the upper part of the top jaw (maxilla). It is common to have a lack of development of the cheekbone prominence when the upper jaw/maxilla is underdeveloped, because they are connected bones. This deficiency would appear as flatness below the eye, as well. In the event that a maxillary surgery is recommended to improve the malocclusion, it is also possible to augment the cheekbone area at the same time. This results in a better balance to the face.
The cheekbone prominence is a key issue and should be aligned towards the outside 1/3 of the eye so it addes to the natural contours of the bone. The cheekpad covers the cheekbone and can also be repositioned to achieve an even contour between the lower eyelid and the cheek. This can be important for all ages since young persons often have very weak bone support below the eyelids and early ‘eye bag’ formation becomes notable. In the mature patient, this is a common finding. Augmentation with implant materials as well as lifting the cheek pad gives a very natural rejuvenated appearance.
Tissue fillers can be used to augment the cheek and cheek pad. The fillers have to be properly positioned to avoid the ‘over filling’ which is common to ‘Hollywood’ personalities. The fillers can last one year and need to be repeated. Implants can avoid the repetitive injections approach, but both procedures are acceptable, as long as the patient is well informed.
The augmentation is performed from inside the mouth and utilizes tissue-acceptable materials to build up the zygoma structure to a natural position. It is a cosmetic procedure that does not affect the occlusion, but can result in an improved facial balance. Dr. Wittenberg can discuss the suitability of this procedure for you. For more information, also go to Cosmetic – Cheek Augmentation of this website.
Please view our Before & After Gallery for Cheek Augmentation >>