INCREASE OF CHEEKBONES MALARPLASTY
The cheekbones or malars are the bones that give support to the two prominences of the well-known face as cheeks. These malar' structures offer elegance and beauty to the face. When the cheekbones have not been developed sufficiently, they are smoothed or they are diminished (malar hipoplasty) they give to semblance an aspect of permanent fatigue and lack of character.
The malar reinstatement can be carried out as an unique ambulatory procedure or at the same time with other procedures like the nose surgery or of lids. This intervention that corrects the lack of projection or asymmetry of the cheekbones is practiced placing a small implant of the configuration, form and adapted size; through a minimum incision to the interior of the mouth.
In some occasions are used the incisions that are made in the surgery of inferior lids. At the present time it can be ahead an increase of the malar with the same patient's extracted fat, also by means of rigid silicone implant or with synthetic injectable substances. It can be accomplished as isolated technique or to combine it with others of facial rejuvenating like endoscopic elevation of brows, correction of superior and inferior lids, definition of the mandible contour and treatment of the skin of the neck to achieve better results. In consultation, Dr. Espinosa will determine the procedures that can be adapted better to your needs.
There can be also the problem of having a malar zone very marked. In this case the surgeon realizes a procedure of reduction of the malar bones by a minimum incision in the interior of the mouth, being this a simpler method that doesn't leave visible scars.
Frequent Questions.
 ¿Am I a candidate for a malarplasty?
If you feel that your face misses its structure that your cheekbones are very plane, or that for family features your cheekbones don't have the proportions that they should have. Itis possible that you need this intervention. Anyway, don't forget that only with the help of your medical surgeon, you can determine this. Through a careful study of your case and the computer valuation, the surgeon analyzes the changes of volume that have happened with the time and indicates you which modifications are really convenient to your face.
¿How is carried out this surgery?
La malarplastia es una técnica quirúrgica que se realiza introduciendo un implante, generalmente de silicona, a través de una pequeña incisión en la boca, justo en el área en donde se encuentran la encía y el labio superior, por lo que no quedan cicatrices expuestas. Las suturas no se retiran, sino que se reabsorben por sí mismas.
¿It can be used a filler instead o fan implant?
Yes. At the moment it is possible to use the own patient's fatty tissue. Being helped of some special stems and through microaspiration, the surgeon takes the fatty tissue and processes it. Later on injects this tissue using a very precise technique that allows fat adapts to the spaces that require to increase volume. Now at days it can be also carried out an increase of the malar with synthetic injectable substances.
¿What type of anesthesia is used?
En este procedimiento se acostumbra utilizar anestesia local y sedación intravenosa cuando se trata de una sola intervención. Si la malarplastia va acompañada de otras técnicas de rejuvenecimiento facial, talvez se haga necesaria la anestesia general.
¿How long will I be in surgery room?
This is an intervention that habitually it can last between an hour and one and a half hour when it is an unique procedure. If additionally they are being carried out another type of operations, the time in surgery room can vary.
¿What can I expect after surgery?
The malarplasty is generally an ambulatory surgery, that is to say that doesn't require of hospitalization. Once finished the operation you will feel calm and without pain. It is possible that with the step of hours you have some nuisances, which are controlled with the use of the formulated medications. Inflammation can appear in the area of the intervention, which is totally normal. It is important that you plan with time the day of your surgery and have close to you a person of your whole trust that helps you go back home and take care of you at least the first post-surgery day.
Remember that a swelling process is being expected and can last between 4 days and one week, which depends exclusively on the own process of the patient's recovery. It is possible also that you have a sensation of tightness. In all the cases, and for your tranquility, don't doubt to contact Dr. Espinosa who will be attentive to all your recovery process.
¿How much time the recovery takes?
The recovery of a malar surgery is quick and generally you’ll be able to return to the habitual works after three to five days. In some cases it can happen that you feel very well after has past this time but still persist something of inflammation, for what you can decide to stay at home an additional time. Remember that recovery depends in a large part of your own organism. Allow you body to take the necessary time to reach its complete health. The exercise and sports will wait a little more.
Dr. Espinosa recommends:
Before Surgery:
1. Not to consume medications that contains salicylic acid (Aspirin) and derivates
2. Not to have smoked at least one month before the surgery.
3. To inform from possible allergies to medications.
4. To maintain realistic expectations with regard to the results of the surgery
After Surgery:
1. Check on exit that the formula, disability order and date of medical control order has been delivered.
2. Soft feeding in the first days, because you could have son annoyances when you open your mouth or move your lips.
3. Although the pain is usually minimal, inside the formulated medications an analgesic is included. Take it according to the indications scored in the formula. If you ends up noticing severe or persistent pain communicates immediately with us.
4. Avoid taking Aspirin or medications that contain acetylsalicylic acid.
5. Use cold compresses to reduce swelling for 20 minutes 6 times a day the first two days.
6. You should sleep semi seated during the first days. Never face down.
7. You can use your eyes to read or match TV as frequently as you wish.
8. Don’t exercise or practice sports at least for three weeks after surgery
9. To avoid any blow in the operated zone, don’t carry small children or pets after the surgery.
10. Don't be exposed to sun directly the first 2 months. Use solar protector and dark eyeglasses
11. In general terms you will be able to return to your normal activity in a lapse from 8 to 15 days, if it is not exposed to drastic changes of environmental temperature, severe physical efforts or high risk of traumas or blows in the face.
12. Any reddish coloration of the white part of the eyes or of the lids it is only the normal process of inflammation and it will improve during the period of recovery, in some occasions you can present inflammation around the eyes that it will disappear in a lapse from 8 to 15 days
13. A smaller asymmetry, (inside few grades) and only perceptible for yourself, is totally normal.
14. Don't apply massage of any class on the surgery area. The massage could cause the mobilization of the material of implants.
15. The previous ones are general indications; don't doubt to call us if you need some explanation. Remember that the success of the surgery depends in large part of the post surgery cares.
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