Malar augmentation or malarplasty is a surgery aimed to correct the size and shape of the malar region in order to lift the cheek and improve the contour of the middle and lower part of the face.
Cheek plastic before and after
The surgery is performed by one of three methods:
- Implant installation – due to this method the malar region is augmented, endoprosthetics of the cheekbones is performed. The incisions are made on the mucous surface of the cheek or in the lower eyelid.
- Cheekbone lipofilling – the insertion of the patient’s own fat.
- Subcutaneous injections of hyaluronic acid fillers.
Indications for malarplasty
- Malar asymmetry.
- Sunken cheeks.
- Excessive plumpness of the face.
- Deformity of malar bones due to injuries.
Malarplasty is recommended for patients who have reached the age of 18 years when the chondro-osseous skeleton is formed.
General contraindications: cancer disease, cardiovascular and acute infectious diseases, arterial hypertension, thyroid disorders, diabetes mellitus, blood-clotting disorder.
How is the surgery performed in “Certus” clinic?
Pre-surgery examination: 1-3 days.
Duration of the surgery: 1-2 hours. The patient stays in a clinical setting for 1 day.
Anaesthesis: general anesthesia or local anesthesia with sedating medications.
Incision options. On the inner surface of the cheek or in the lower eyelid. The scars after the surgery are not noticeable.
*Recovery period: swellings and bruises (subcutaneous hemorrhages) and other side effects subside within 2-3 weeks after the surgery.
*Side effects: temporary bruises, swellings, numbness, difficulty chewing, a slight sensation of pain.
*Risks: infectious complications, malar asymmetry, implant failure or displacement.
*Result: after the implant installation – permanent, after hyaluronic acid injections – temporary (6-12 months), in the case of lipofilling – an additional procedure is needed to achieve a long-term effect.
*The effect, result, risks, and recovery period depend on the individual peculiarities of the human body.
Сheekbone reduction (bone surgery)
Zygomatic-orbital complex reconstruction
Do you have to undergo examinations or tests before the procedure / operation?
You can go through a laboratory examination before the procedure / operation in our clinic, or at the place of residence, depending on the type of anesthesia.
If the operation will be carried out under general anesthesia, then you need to pass the following tests:
1. General blood and urine tests.
2. Blood test for sugar.
3. Blood type and Rh factor.
4. Coagulogram (blood coagulation).
5. Biochemical blood test.
6. Blood test for the Australian antigen, hepatitis “C”, HIV.
7. The reaction of Wasserman.
9. The conclusion of the therapist.
10. Certificate of fluorography.
11. For women – a certificate from a gynecologist.
If the operation will be performed under local anesthesia, then you need to pass the following tests:
1. Complete blood count (with formula) + platelets.
2. Blood test for sugar.
3. The coagulation time.
4. Blood test for the Australian antigen, hepatitis “C”, HIV.
5. General analysis of urine.
6. Blood type.
7. Certificate of fluorography.
The cost of the examination in our clinic is 50-100 €
Is anesthesia included in the cost of the service?
The cost of anesthesia is not included in the cost of the procedure and is paid separately depending on its type and time of its action.
1. General short-term anesthesia (up to 2 hours) – 200 €
2. Each subsequent hour of general anesthesia additionally – 100 €
3. Intravenous anesthesia – 200 €
4. Local anesthesia – 100 €
After the operation, can I stay at your rehabilitation clinic?
The postoperative period you can spend in our hospital, this service is paid separately – from 100 € to 200 € per day.