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 CHEEK IMPLANTS
 Incisions used to place cheek or malar implants

 

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   Many incisions can be used to position cheek implants. The decision about which incision to use is based on the needs of the patient and the type of implant used.

The simplest approach is through a small incision placed in the creases at the corner of the eye. This leaves a small scar but because it is in the fine lines is often difficult to see. Another common approach is through the inside of the mouth. This is often used for solid implants. Some surgeons like to use a facelift incision in front of the ear. This is convenient if the patient is planning a facelift but involves moredissection if they are not planning a facelift.

Eyelid incisions, either on the inside of the lower eyelid or along the margin of the eyelashes on the outside, are used by some surgeons who believe that the scar will therefore be hard to see.

Some surgeons like to make an incision in the temple and burrow down to reach the cheek area. A final approach is used during a forehead lift when the transverse incision used in the scalp allows access to the cheek bones.

The incision does not seem to be related to the risk of loss of sensation to the upper lip which may occur no matter which incision is used. Similarly some limitation of mobility of the upper lip may occur with all incisions. Damage to the branches of the facial nerve (temporal and zygomatic branches) is more common when extensive undermining is performed.