Contour plastic surgery: facial contour correction with fillers


One of the most popular aesthetic medicine procedures is “Jolie Cheekbones”. Once upon a time, such beautification cost a lot of money, was carried out only operationally and had nothing to do with the person of Angelina Jolie.

Today this is an ordinary manipulation with the help of fillers , which is in demand both among young ladies and ladies of Balzac age. Among cosmetologists, this procedure is called cheekbone augmentation.

Popularity of contouring

In the desire to please oneself, the procedure for lip augmentation has long become popular in order to look like the standard of beauty - Angelina Jolie. Then the actress’s fans wanted cheekbones like the Hollywood diva’s.

It was because of them that many exhausted themselves with diets and resorted to removing Bisha's lumps (surgeries). But cosmetologists offer another option - injection modeling of cheekbones using fillers based on various components. Contour plastic helps to change the face, making it more expressive and beautiful. Experts say that it is the cheekbones that shape the perception of the face by other people, but most often they are not expressed and do not protrude as we would like.

Contouring of cheekbones with fillers is, first of all, a correction of age-related changes. With age, tissues begin to undergo gravitational changes - ligaments stretch, the middle third of the face loses volume and becomes flattened, excess tissue appears in the lower third, and wrinkles become more pronounced. Due to injections, the volume returns, the tissues straighten, lift - the face immediately looks fresher and younger. Accordingly, the procedure is not a tribute to fashion, but a necessity if there are indications for the use of fillers.

Who is indicated for cheekbone augmentation?

Women intuitively strive for triangular facial harmony. A young face, whatever its shape, is an inverted triangle, with the chin at the top and the forehead at the base.

Cheekbones emphasize the base, both from the front and in profile.

To look young, you need to have clear, accentuated cheekbones!

With age (or anatomically at a young age), cheekbones may become less pronounced and the shape of an even triangle is lost. This is also aggravated by age-related ptosis – drooping of facial tissues. A striking example of pronounced cheekbones was actress A. Jolie.

Direct indications for the procedure are:

  • facial asymmetry;
  • sunken cheeks;
  • soft tissue ptosis;
  • nasolabial folds;
  • weak cheekbones.

In addition to independently transforming the cheekbone area, cheekbone enlargement allows you to smooth out small nasolabial folds, get rid of eye bags and hollows under the eyes in the lateral areas. The procedure for enlarging the cheekbones is carried out with a needle or cannula using special preparations for facial contouring - fillers.

Photos before and after correction of the zygomatic region

During correction, dense and viscous preparations are used that are able to hold their shape well. The amount of the drug on each side of the face is individual, you can focus on 1-2 ml.

Important! The effect of pronounced cheekbones cannot be achieved with such a “promoted” procedure as “vector lifting!”

The result after the procedure lasts for 9-14 months.

How is cheekbone correction done with fillers?

At the initial appointment, the cosmetologist determines the skin type, identifies existing problems, selects the necessary drug and its dosage. The procedure then includes the following steps:

  1. Cleansing the skin of impurities and residues of decorative cosmetics.
  2. Applying an anesthetic cream to make the procedure as comfortable and pain-free as possible.
  3. Marking. The doctor uses a special pencil to mark the injection site of the drug and the area where it will be distributed. The marks are easily washed off with water after the procedure.
  4. Administration of the drug by injection, distribution under the skin.
  5. Repeated skin cleansing with disinfectants.

At the end, the result is assessed. In some cases, a repeat visit may be required to correct the effect.

Recovery

The bandage is removed after two days, and the incisions usually take less than a week to heal. To speed up the process, rinses are used (if the dentures were inserted through the mouth).

The patient may experience discomfort for some time (up to 10 days). Painkillers are prescribed to suppress them. Bruising and swelling also form on the face, which usually disappear during the same period.

After 7-10 days, the patient will be able to return to normal life. It may take a little longer for skin sensitivity to recover—up to three months.

For a month, you should refrain from using cosmetics, physical activity, visiting a bathhouse and solarium, swimming in a pool or open water.

Contraindications for correction

Cheekbone plastic surgery with fillers is contraindicated for:

  • tendency to form keloid scars;
  • pathologies of the blood coagulation system;
  • pregnancy, lactation;
  • HPV infections (human papillomavirus) with the formation of condylomas;
  • oncological diseases;
  • rehabilitation after complex cosmetic procedures and operations;
  • autoimmune diseases;
  • bacterial, viral, fungal skin lesions;
  • temperature rise.

With some contraindications, the procedure is permitted, but after normalization of health, for example, in the presence of fever, during an exacerbation of chronic diseases, acute respiratory viral infections, etc.

Side effects and contraindications

Before the procedure, the patient must sign a consent form for minimally invasive intervention, which is issued after receiving detailed information about the possible consequences and contraindications to the introduction of injection implants.


The patient must give written consent to the procedure

What could be the consequences?

Quite common side effects of injection plastic surgery of the cheekbones and cheeks are slight swelling, hematomas and redness at the injection site. These phenomena resolve on their own provided the recommended regimen is followed and sufficient asepsis is used. If the patient does not comply with the doctor’s instructions, or errors were made during the procedure (at any stage), the following complications are possible:

  • allergic reaction to the fillers used (manifested by itching, irritation, rashes);
  • infection of soft tissues at the injection site;
  • vascular embolism (blockage of the vascular lumen).

If after the procedure there are signs of an infectious-inflammatory process at the injection site, the patient will be prescribed a course of antibiotics. In some cases, for preventive purposes, immediately after injections, the doctor may recommend antimicrobial and antiprotozoal agents, for example, metronidazole.


Metronidazole tablets

Contraindications

Contour plastic surgery of the zygomatic arch is contraindicated if there is a history of the following pathologies:

  • malignant tumors and metastases;
  • impaired insulin resistance in diabetes mellitus (especially in the stage of decompensation);
  • high temperature at the time of admission;
  • signs of drug or alcohol intoxication, as well as febrile or intoxication syndrome;
  • infectious diseases regardless of pathogenesis;
  • ulcers, wounds and other violations of the integrity of the skin at the injection site;
  • any active bleeding (including menstrual flow).

The injection of fillers is contraindicated for pregnant and lactating women.

What are the types of fillers?

Cosmetologists use 3 main types:

  1. Synthetic. One of the first, developed back in the 60s. Made from paraffin or silicone base. Their disadvantage is the high probability of allergic reactions, the inability to be excreted on their own, that is, they remain in the body. Under the influence of gravity, they go down over time, leading to facial deformation.
  2. Biosynthetic. After assessing the negative aspects of synthetic drugs, the next generation of fillers was created - a mixture of biological substances and synthetics. The combination gave excellent results and significantly reduced the likelihood of unwanted reactions. The composition may contain calcium hydroxyapatite, collagen, polylactic acid and other components.
  3. Biodegradable. The most sought after and popular group, which is based on hyaluronic acid - a natural substance that is found in many tissues of the body. They rarely cause negative reactions. Among the advantages, it is necessary to highlight their safety, hypoallergenicity, self-resorption and removal from the body naturally. The preparations have the appearance of a dense gel, creating the desired volume without the effect of dripping. The substance is evenly distributed, improves metabolism, activates the production of collagen and elastin, which makes the skin young and elastic. Due to hyaluronic acid, the skin is moisturized as water molecules are attracted.

Our clinic of modern cosmetology “Estelab” uses fillers based on hyaluronic acid or calcium hydroxyapatite for correction. The second drug is chosen for the edematous-deformative type of aging; it does not attract water and does not cause swelling.

Operation

Correction of the profile of the zygomatic protrusion with implants is performed through internal or external access. In the first case, an incision is made on the mucous membrane from the side of the oral cavity, its length is up to 1 cm. This access is more aesthetic because there are no external scars left. But it carries a greater risk of infectious complications. Before the operation, you will definitely need to visit the dentist and sanitize the oral cavity. With external access or when combined, for example, with a check-lift, an incision is made in the temple area along the hairline or in a natural fold of the skin, so the scar is almost invisible. Its advantage is also that, together with malarplasty, a lift can be done at the same time. After access is established, a “pocket” is made into which the implant is placed on the cheekbone. It is secured with two sutures and surrounding soft tissue.

Preparations for correction of the zygomatic region

Cosmetologists use the following drugs:

  1. Restylane perlane (Restylane Perlane). Produced by a Swedish pharmaceutical company. Contains: hyaluronic acid, sodium chloride. The products of this manufacturer are of high quality, have undergone numerous studies and are completely safe. The drug has a high level of viscosity, due to which it remains deep in the skin for a long time. Disintegration begins after 6 months, complete elimination - after about a year. Recommended for medium and deep folds, to increase the volume of soft tissues.
  2. Restylane sab q (Restylane Sub-Q). Another product from a previous manufacturer with hyaluronic acid. Used primarily to create volume in the area of ​​the cheeks and cheekbones.
  3. Juvederm voluma (Juvederm Voluma). One of the most popular hyaluronic acid fillers in the USA and Europe. The manufacturer is American, producing products for cosmetology and various branches of medicine. Voluma has a very dense structure compared to other drugs in this line, so it is used only for contouring. The filler is recommended for middle-aged women to replenish the volume of the face in the middle part.
  4. Radiesse. (Radiesse). Developed by the American company BioForm Medical, but owned by the German company. Consists of calcium hydroxyapatite, an aqueous gel carrier. The first component is produced synthetically, but it is completely identical to the substances in human bones and teeth. This ensures its safety and biocompatibility. The drug does not retain water, corrects even deep wrinkles, and replenishes missing volumes.

Aesthetic cosmetology in Moscow

uses only proven drugs that have undergone research and confirmed their safety and effectiveness. The specialist selects the necessary filler, taking into account existing problems, the goals of the procedure, and the client’s wishes.

According to Landau

The marking is also known as “five stars”. When using it, 5 injections are made, which are located on the line of the base of a small triangle. The boundaries of the latter are determined by the cosmetologist individually and taking into account the characteristics of the patient’s face.

Fillers can be injected both at the intersection of Hinderer's lines and in the anatomical middle of the upper zygomatic arch.

Effect after cheekbone augmentation with fillers

Clients notice improvements immediately after the procedure. Some formulations require about a day to smooth out creases at the injection site. General results of contouring:

  • improvement of facial contours;
  • more pronounced, defined cheekbones;
  • smoothing wrinkles;
  • reducing the severity of the nasolacrimal groove (due to raising the cheekbones);
  • increasing skin elasticity and density;
  • improvement of complexion.

The final result can be assessed on average after 2 weeks, which depends on the type of drug.

Indications

  • Presence of age-related changes and/or wrinkles, furrows;
  • “Floated”, asymmetrical oval face;
  • Wrinkles in the eyelid area and corners of the eyes;
  • Nasolabial folds of different depths;
  • Changing the shape of the nose, restoring the volume of the cheekbones and chin;
  • Elimination of asymmetry, changing the shape/volume of lips;
  • Decreased skin tone, enlarged pores;
  • Skin defects (atrophic scars, including stretch marks, post-acne);
  • Various types of atrophy of facial and body tissues.

How long does the effect last?

The duration of the result depends on the metabolic processes in the body and the components in the drug. The duration of action of hyaluronic acid fillers varies from person to person. This substance is present in the body; a special enzyme, hyaluronidase, is responsible for its breakdown. The more active it is, the faster the hyaluronic acid will leave the injection area.

If the enzyme activity is low, then the filler in the cheekbones

will last longer. On average, the effect lasts 6-12 months, dense gels retain the result for 18-24 months. Hyaluronidase can help those clients who do not like the effect - an enzyme can be injected under the skin into the area where the filler is located, it will remove excess gel. Preparations containing calcium hydroxyapatite, unlike those containing hyaluronic acid, have a longer effect - 5 years.

You can repeat the procedure as soon as the effect of the fillers begins to fade. Correction of the cheekbone area can be combined with hardware cosmetology. To get a more pronounced result, Ulthera therapy is recommended for older patients before injections.

. It is necessary to reduce stretched ligaments and tighten tissues. After complex measures, the correction result lasts longer, and subsequently a smaller volume of the drug is required.

We do cheekbones with filler

efficiently and safely, using only certified products.
Thanks to the competent work of specialists, our clients receive a harmonious, aesthetic result without the slightest risk to health. Our clinic is the best cosmetology in Moscow
, we achieved this with high quality work, professionalism of doctors, and innovative equipment. Please call for advice. The price of cheekbone contouring with fillers is indicated on the website

Number of sessions

Correction of cheekbones with fillers involves only one procedure, without a course. You will notice visible results immediately, without leaving the cosmetologist’s office. But the full result will appear in about two weeks. By this time, the body will begin to produce its own collagen and elastane, and the cheekbones will take on a natural, expressive shape and volume.

The tightening effect lasts from 8 months to two years, depending on the drug and the physiological characteristics of the patient’s body. At the end of this period, it is recommended to repeat the cheekbone correction session by contacting our clinic for services.

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