Incision Placement Options - All About Cheek Augmentation

Incision Placement Options

Please review your options. Do not go into a surgeon's office knowing only about one incision placement.

Implants have four main incision placements with an added placement if a face lift is performed. Then the implants are placed using the face lift incisions. Most surgeons offer only one incision option due to personal preference. Be sure to ask your surgeon at your consultation so there is no misunderstanding beforehand.

Coronal: This one is the older and less used incision, although good if you are having a face lift as well. This is where the surgeon makes an incision in the hairline.
Subciliary (intra-ocular): This one is done through the eye. An incision is made through the inner part of the lower eyelid, above the cheek. This incision placement has an additional risk of ectropion (eyelid gaping) if performed incorrectly.
Preauricular: This incision is performed near the auricle of the ear. It can be made in front (with an obvious scar), above within the hairline, or below hidden by the lobe.
Intraoral: This incision is placed within the upper portion of the inside of the mouth. It is located between the upper gums and the cheek. This is beginning to be the incision placement of choice for most surgeons. Although it has the advantages of no visible scar, it runs the risk of higher rate of infection due to the bacteria in the mouth. Also, be sure to tell your doctor if you smoke or have any gum disease or cavities. These two could cause an infection as well as significantly impede healing.

Incision Care and Scar Lessening
Intraoral incisions have a higher rate of infection so please take care to be sure all meats are cooked thoroughly, this includes no sashimi (sushi), steak tar tar, even seviche/ceviche. Also be sure that all raw fruits and vegetables are thoroughly washed or avoid them altogether until your incision is healed.

No tonguing the incision or touching it with your fingers or any other object unless specifically told by your surgeon (i.e. sterile antibacterial ointments with a sterile cotton swab).

Extraoral scars may be lessened with the use of silicone gel sheeting-backed foam squares which your surgeon may use as padding under your chin in conjunction with your support garment. Some surgeons simply use Steri-Strips which may work equally as well.

Some surgeons choose tissue glue for extraoral incisions, whereas many use conventional suture material. If no post-operative therapy was used immediately after, you may choose to use scar gels such as Maderma or silicone sheeting. Please see our Scar Treatment section for more information.

Injectable Fillers
Injectable products for cheek augmentation can deliver immediate results and can be in many cases, very rewarding. Some are temporary and can be used as a try on to ascertain if you'd even like an enhanced cheek before actually going through with a more permanent procedure. There are no incisions for injectables but you will have small pin pricks which may leave needles marks. Swelling will be an issue, the severity depending upon the type and amount of product.

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(Updated on 03/01/10)
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