High cheekbones, narrow cheeks and prominent jaw angles are a symbol of youthfulness and femininity. To emphasize the contours, make-up is used to lighten the cheekbones and rouge is applied immediately below the cheekbones. A congenital fat distribution disorder can lead to a round face. When the fatty tissue or bone atrophies with age, the contours can fade.
The loss of volume mainly affects the deep fat pads. The superficial fat cushions, on the other hand, hardly change at all with the same body weight. This leads to irregular transitions in the different regions of the face. This creates the impression of sagging and excess skin in certain regions of the face. Knowledge of the facial anatomy and the ability to recognize which fat pads have lost volume enables targeted and effective correction.
Sometimes sunken cheeks are also inherited. Harmonious contours can be permanently restored by various methods. Before every treatment, a holistic examination of the face is necessary. Especially the adjacent regions such as the eyes, the ears, the neck and the lips should be taken into consideration when making the desired changes.
The tissue injection in the area of the midface is especially indicated to avoid:
- to emphasize the contour of the cheekbow.
- To reduce the wrinkles in front of the ears.
- Correct the collapsed temples.
An injection can be performed with nanofat or hyaluronic acid. The effect of hyaluronic acid lasts about six to nine months. The nanofat treatment leads to a lasting result.
The improvement of the cheek contours requires more than mastery of a treatment method such as injection. The injection of the fat pads has limits that are determined by the anatomy. If the skin connective tissue is flaccid and there is excess skin, a face lift helps to achieve a harmonious and naturally rejuvenated appearance. The choice of the individually best treatment method should not be based on the abilities of the doctor, but on the needs of the patient.
Hyaluronic acid does not require a prescription, but the antidote Hylase®, which should always be present in an emergency, requires a prescription.
A precise knowledge of the anatomy is important in order to identify which fat deposits have lost volume and require treatment. Disregarding natural proportions quickly leads to an unnatural result. Therefore, the surgeon should also be able to perform other surgical procedures.
The removal of the buccal fat plug (Corpus adiposum buccae, also known as the "Bichat fat body") is suitable:
- Correction of chubby cheeks.
Liposuction on the cheeks is an effective way to
- Contouring of the cheekbone and
- Narrowing of the face.
For a well-proportioned natural result, liposuction is usually combined with treatment of the neck and chin.
The tightening of the midface via an access at the lower lid:
- removes bags under the eyes and provides for
- a harmonious transition of the lower eyelid to the cheek.
The facelift with doubling of the deep connective tissue (SMAS) is suitable to:
- to emphasize the cheekbones.
- Correct wrinkles between the lower lip and chin (mentolabial wrinkles, marionettes wrinkles).
- To reduce wrinkles between the wing of the nose and the corner of the mouth (nasolabial folds).
- To restore a prominent contour of the lower jaw ("jawline").
- Remove the hanging cheeks.
The combination of a lower face lift and a neck lift is particularly effective to improve the jaw neck transition.
- All your questions about possible complications and alternative treatments should be answered before surgery.
- Keep nicotine and alcohol consumption to a minimum.
- If necessary, stop taking hormone-containing medication (the pill) temporarily.
- Blood-thinning medication (e.g. ASS, Thomapyrin®) must be discontinued at least ten days before the operation after consultation with your doctor.
- Vitamin preparations (A, E) and food supplements (omega-3 fatty acids, St. John's wort preparations, etc.) must be discontinued at least four weeks before the operation.
- At home, prepare ice cubes or cooling pads to cool the skin after the operation.
- Surgery will limit your ability to travel by air. Therefore, do not plan any professional or private air travel in the six weeks following the operation.
- Before performing aesthetic surgery, you should take out follow-up insurance.
Just as a pilot checks his aircraft before every take-off, a routine check is carried out several times before each operation to ensure that all necessary precautions have been taken to ensure maximum patient safety. The operation is not started until all the prerequisites have been fulfilled according to the checklist.
If the operation is performed in twilight sleep, you will be given medication that will relieve your anxiety and reduce your sensitivity to pain. Anesthetic injections make the operation area numb within five to ten minutes. If you are not already sleeping deeply, you may feel something happening on the surface of your body. Minor procedures such as the removal of cheek fat, liposuction or a mini face lift can be performed under local anesthesia and twilight sleep.
The duration of the operation varies depending on the extent and extent of the operation. Minor procedures such as the removal of cheek fat, liposuction or a mini face lift take 30 minutes to two hours. The incision of a facelift runs along natural dividing lines and wrinkle lines or behind the ear. A facelift takes three to five hours, depending on the technique and additional procedures. The stitches are removed after five to six days. The removal of the cheek fat clot is achieved by an access at the level of the second upper molar tooth. As a rule, self-dissolving sutures are used here.
Immediately after the operation you will be continuously monitored in a so-called recovery room. You can drink something after the complete awakening and, if you tolerate this well, also eat something. Before you leave the practice, appointments for check-ups will be made and the behavioural measures will be discussed with you in detail. You will be given a written report and a telephone number where you can reach the surgeon 24 hours a day in an emergency.
- Une élévation du haut du corps d'environ 30 degrés (également pendant le sommeil) sur cinq jours est bénéfique pour la réduction des gonflements et la cicatrisation des blessures.
- Il est possible de se doucher immédiatement avant le contrôle de la plaie dès le premier jour postopératoire.
- Dans le cas d'un lifting, un masque de compression préalablement ajusté doit être porté 24 heures sur 24 pendant une semaine, puis la nuit pendant une autre semaine.
- Les fils de la peau sont retirés environ cinq à six jours après l'opération.
- Le drainage lymphatique à partir du 14e jour postopératoire permet de réduire l'œdème.
- À partir de la troisième semaine postopératoire, plusieurs massages quotidiens de quelques minutes en cercle ainsi que dans le sens de la longueur et en travers du tracé de la cicatrice avec des crèmes huileuses (par exemple la pommade Bepanthen® ou la graisse Linola®) aident à faire disparaître les cicatrices.
- Après environ deux, voire trois semaines, vous pouvez reprendre le travail. D'ici là, les gonflements et les épanchements les plus grossiers ont disparu.
- Ensuite, des contrôles réguliers de votre bien-être et des résultats de l'opération sont effectués.
- Il faut éviter de se pencher, de soulever des charges lourdes, de nager, de faire du sauna et du sport pendant trois semaines, voire plus longtemps si le gonflement persiste.
- Il convient d'éviter tout rayonnement UV excessif (solarium/bain de soleil) pendant au moins trois mois.