Solid non absorbable implants are surgically placed throughout the facial area to provide more volume in those areas in which greater angularity or prominence is desired. They are usually made out of silicone or hydroxyl apatite, a porous bone like material. Usually the implant is placed over bony areas to enhance the facial “ frame”. Facial implants can be placed on top of the cheek bone, under the lower eyelid, on the outside of the jaw bone to give the jaw greater width, on top of the bridge of the nose to add more height (Asians), or in front of the chin.
Historically many cultures, including our modern western civilization, have considered prominent or high cheekbones a sign of physical beauty and of youth.
Malar augmentation by injection of fillers or cheek implants can give women and men the high cheekbones they desire or used to have. This surgery, although not designed for everyone, can give definition to a face that has a flat contour because of underdeveloped cheekbones or aging. Our facial bones shrink as we age. Candidates for malar augmentation are individuals with a long, narrow face or one with a very round face and flat cheeks. It can also benefit people with asymmetries or birth defects affecting the facial bones. This surgery can be performed in conjunction with other facial surgeries such as blepharoplasty (surgery of the eyes) or rhytidectomy (facelift).
Implants are permanent; fillers may be temporary or permanent. When implants are used, they are made of Teflon or silicone and inserted thru incisions in the lower eyelid, mouth, or through face lift incisions.