The cheekbones form the main relief of the middle third of the face. They lie opposite the malar bone. A cheekbone with harmonious relief reflects a youthful image. Conversely, a hollow cheekbone conveys a "tired" and "aged" image.
Aging often leads to hypotrophy of the malar fat. For facial rejuvenation, the cheekbones can be filled with hyaluronic acid or autologous fat.
Filling with hyaluronic acid:
The injection ofhayluronic acid is performed in the doctor's office during a consultation, under rigorous aseptic conditions. Results are immediate, and last 1 year on average.
Filling with autologous fat:
L'grease injection autologous (the patient's own) corresponds to the procedure known as "lipostructure" or "lipofilling".
Filling is definitive, but must be performed under general anesthesia in the operating room.
ANATOMY
The cheekbone lies between the lower eyelid and the nasolabial fold. Triangular in shape due to the angulation of the nasolabial fold, it is bounded laterally by a line joining the lateral canthus to the labial commissure, and ends medially at the level of the nasal pyramid.
The cheekbone typically appears as a single, full, harmoniously rounded structure.
The mediofacial arch is a single curve from the lower palpebral crease to its lower limit.
The external palpebro-malar sulcus shares cutaneous and fatty characteristics with the valley of tears. On the other hand, the orbicularis inserts itself at this level indirectly via the orbicularis retaining ligament, which becomes distended. The orbicularis spreads outwards, aggravating the orbital distortion. The upper limit of the malar fat compartment changes, and the inferior orbital rim is no longer covered by tissue and becomes more apparent, leading to skeletonization of the inferior orbital rim.
The formation of the mediojugal fold is multifactorial. From surface area to depth, several factors are involved in its formation:
-superficial adipose tissue segmentation: superficial fat junction zone between the malar and nasolabial compartments of the SACS.
-the existence of a shear between the orbicularis oculi and the elevator labii inferioris alaeque nasi -the existence of the facial vascular pedicle, which contributes to segmentation
-deep adipose tissue segmentation: deep junction zone between the SOOF and the deep fat compartment (integral part of the buccal adipose body),
-the shape of the zygoma: disappearance of the bony support at the lower-internal part of the zygoma, where the elevator anguli oris muscle is inserted
A full, rounded cheekbone conveys an image of youth and vitality. Conversely, a flat cheekbone creates a tired appearance with "drawn features".
The middle third of the face is one of the first areas to change as we age, notably as a result of subcutaneous fat migration and skin slackening.
The cheekbone is a relief centered on the malar bone. The cheekbone area is located below the rim of the eye, outside the nose and the corner of the mouth, and extends externally to the zygomatic arch.
Cheekbones ensure a triangular face, synonymous with youth when they are high, fleshy and plump.
As part of the overall management of facial aging, it is not uncommon to treat this area as a priority to achieve a natural result. Indeed, cheekbone augmentation holds a privileged place among facial contouring techniques.
The request for augmentation concerns some younger women whose cheekbones are constitutionally lacking in volume. For others, the years have flattened their cheekbones, giving the face a dull, sad expression.
The aim of cheek augmentation is to restore volume to the cheekbone, re-establish continuity between the eyelid and the cheek, and lift the hollow of the tear valley, which will allow the skin crease of the nasolabial fold to be erased when sagging is present.
However, it is important not to overfill the cheekbones.
For the surgeon, this is the essential criterion: to recreate volume without swelling, for a natural result, the face regains harmony with restored volumes and the disappearance of shadowy areas.
The relief of the ideal cheekbone should be neither too high nor too low, but centered on the relief of the malar bone. It should continue harmoniously, following a gentle curve, to the nose on the inside, and the zygomatic arch on the outside.
The aim of hyaluronic acid injections is to restore volume to the cheekbone, without excessive filling. The result must be natural.
Hyaluronic acid has been known as a dermal filler for over 20 years, and is widely used for its safety and recognized efficacy. It is marketed under authorization issued in France by the Agence du Médicament after CE marking (European Community).
Hyaluronic acid injections are an excellent solution for all women and men who wish to increase the volume of their cheekbones, whether this is due to a developmental defect in younger women, or to their progressive loss as a result of aging.
The ease with which this method can be implemented in the doctor's office makes it a therapeutic choice to be favored as a first-line treatment, even if the results are temporary, since lipostructure, which provides a definitive solution, remains a genuine surgical procedure.
During the consultation, we pay particular attention to the balance of facial proportions, both front and side, and to the overall harmony of the face. This examination is performed at rest and when smiling. Photographs can be taken to better visualize these elements and discuss possible corrections.
It's worth stressing the need for "measured" injections to avoid the unsightly side-effects of over-correction.
A second advantage is that hyaluronic acid injections in the malar region help to lift the underlying soft tissues, notably enhancing the nasolabial folds and jowls, and smoothing the tear valley area by eliminating or reducing puffiness.
Today's advances and techniques for cheekbone augmentation using hyaluronic acid injections make it possible to achieve natural, aesthetic results.
Cheekbones are plumped up for a product that stays in place between 10 and 18 months.
Cheekbones: hyaluronic acid injection
Before/After
Cheekbones: hyaluronic acid injection
Before/After
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