The purpose of malarplasty is to make the cheeks look fuller and higher by inserting an implant made from silicone or using tissue from another part of the patient’s body.

What does the procedure involve?

The surgeon will make an incision either beneath the lower eyelash or inside the mouth through which the implant will be placed. The implant is held in place by the cheek muscles, stitches or metal screws.

What are the benefits and what are the risks?

Benefits

After surgery the definition and shape of the cheeks will have changed and the cheeks will be fuller and higher, often altering the appearance of the face. The results will be permanent if a silicone implant has been used but may not be so if human tissue has been used as this will deteriorate and age over time.

Risks

Risks are rare but may include infection or fluid collection. In some instances the implant may shift or rupture, in which case it will need to be removed. Unfortunately this is not always a straight forward procedure. Another possible risk is that implant hardening may occur, also known as capsular contracture. This happens when the layer of scar tissue that the body normally grows around the implant contracts or shrinks. This can be quite painful and can lead to the implant losing its shape. Again, if this occurs then the implant will have to be removed.

Is it the right procedure for me?

High cheeks are currently the sought after look and people who opt for implants want to emulate this look. Alternatively surgery is undertaken because the cheek has been damaged some way in an accident or is used to correct any birth defects

How long does the procedure take?

Surgery takes approximately two hours per implant.

What happens after surgery?

After surgery you will experience some pain and discomfort and you should expect some swelling, particularly if screws have been used to keep the implant in place. Most swelling should go down within a week but may take between one and three months to finally disappear when your final face shape should become apparent.
Initially you may be expected to sleep in an elevated position to reduce swelling. You may also have to wear a supportive brace whilst you sleep for the first few weeks to help the implant heal in the best position and prevent any slippage. If incisions have been made in the mouth then you will be advised by your surgeon about oral hygiene and diet. You may be placed on a liquid diet for several days. Any stitches will be removed between seven and ten days after surgery.

How much is it likely to cost?

Prices may vary between £1,500 and £3,000