Cheekbone plasty (malar plastic surgery)

• Silicone implants.
• Fillers.
• Lipofilling.
• Removing Bish lumps.

At the meeting, we will discuss your medical history, especially as regards previous injuries (damages), allergic reactions and previous plastic surgeries, if any.

Examination before malar plastic surgery begins with the detection of the degree of age-related skin changes, and skin structure and color are estimated.

We will consider in detail all the problems that you are experiencing, which, you think, are undesirable and must be corrected.

After examining the external characteristics of cheekbones, we will discuss in detail your wishes and on how much, in our opinion, the operation will meet them.

Also you will be informed about all the details of the upcoming malar plastic surgery, its duration, rehabilitation period and possible complications.

• When preparing for malar plastic surgery, medical examination is mandatory to determine possible contraindications to the operation. And preoperative photographs are also taken. Before the operation, we will thoroughly analyze these images, and we will use them together with the data obtained after the examination to compile an individual operation plan.
• 14 days before the surgery, you should stop taking aspirin and aspirin-containing medications because they affect normal blood clotting. If you are in doubt about any preparation, carefully read the instructions on the label or consult our clinic. Tell us about all the drugs that you will take before surgery.
• Also, two weeks before the surgery, it is necessary to give up cigarettes or minimize their number, since nicotine leads to the reduction of blood vessels and can worsen blood circulation in tissues during and after the surgery.
• 7 days before the operation, it is necessary to exclude from the diet spicy and fatty dishes, as well as to stop drinking alcohol.
• Do not eat or drink 8 hours before the surgery. For safe anesthesia, your stomach should be completely empty before surgery.
• On the day of the surgery, wear comfortable, loose clothes that will not need to be removed through the head.

• After discharge from the clinic, you will receive recommendations on the use of painkillers and antibiotics. Strictly follow their instructions.
• The first 2-3 days the patients should sleep with a slightly raised head. Elevated head position minimizes postoperative edema and discomfort.
• You will come to bandaging and to a surgeon examination with the frequency that will be prescribed by your attending physician, taking into account the specific course of the postoperative period.
• Edema, as a rule, passes 90% after 4-6 weeks, and the bruises disappear in the period from 2 to 3 weeks.
• Within 2 weeks you should give up cigarettes, nicotine worsens blood circulation in tissues and as a result increases the rehabilitation period.
• Do not exercise for 3 weeks after the operation, which requires a lot of physical activity. In order to minimize the chance of the postoperative complication, avoid such actions as low slopes or lifting of weights, and also the position when the head is below the body level.
• After malar plastic surgery, it is not recommended to fly for 2 weeks on airplanes, and 4 weeks – to visit sauna or swimming pool, it is forbidden to dye hair for one month.
• Be sure to let us know if after the discharge from hospital discomfort or bleeding increases, also if you shiver and have the temperature above 38 degrees Celsius.
• During the operation, a partial injury to small skin nerves occurs, therefore sensitivity in some areas of your face skin is restored only in a few weeks, sometimes even months.
• During the rehabilitation period, food rich in vitamins and microelements should be included into the diet.

• During the postoperative period, development of general surgical complications and corresponding complications of this operation is possible. The risk of the onset of the first (suppuration, bleeding, thrombophlebitis, thromboembolism) is reduced through an appropriate preoperative examination and, if necessary, through medicinal preparation.
• Under skin, blood (hematoma) and tissue fluid (seroma) can be accumulated, and hardenings (scars) can also form in adipose tissue. They gradually dissolve within several weeks and even months.
• In cases of severe skin nutrition disorders, its partial death (necrosis) is possible with subsequent scarring.
• There is a possibility of injury to branches of a facial nerve, in connection with which there is a mimic violation on the side of the injury. Conducted treatment, as a rule, eliminates this complication.

All of the above-mentioned complications after malar plastic surgery are exceptions that arise periodically despite the leading standards in surgical practice. We have outlined them for the purpose of informing you properly and in no way intimidating.