I saw a patient today who is approximately one year out from having malar implants (cheek implants) placed by another surgeon and was now interested in improving the transition between the implant and his lower eyelid area. The primary reason why I do not routinely use hard cheek implants (such as silastic) is exactly as is the case with this patient today, where the transition between the borders of the implant and the lower eyelid area can be abrupt and leave the patient hollowed and even more tired looking than before the implants were placed; the implants can contribute to the “dark circles” look under the eyes. This can be easily corrected by filling in the depression directly above the cheek implant with synthetic fillers such as Restylane, and can be done in less than an hour in the office and requires only application of numbing ointment which is very effective. This also provides an immediate improvement which was very gratifying to the patient today. There can be significant bruising associated with this procedure, but this is minimized by avoiding aspirin, advil, motrin, and any other medicine in the “NSAIDs” class, as well as vitamin E and fish oil, all of which can thin the blood. Additionally, we have a V-beam laser which we routinely use to treat bruising so that the patients can get back to work or social activities much faster. If this patient had come to me initially for filling of the cheeks, I would have likely recommended fat transfer for the filling of the cheeks as well as the tear trough area (the “dark circle area” under the eyes) because I am able to tailor this to any patient’s individual needs, which vary considerably. Using the patient’s own fat is also beneficial because fat is the richest source of stem cells in the body, and these stem cells seem to improve the quality of the overlying skin in the months to years after the fat transfer.
For examples of pre and post procedure pictures (“before and afters”) for fat transfer to the face, please click on this link http://www.cincyfacialplastics.com/Fat_Transfer_01.html.
For examples of patients who have undergone fillers to the face such as Restylane, Perlane, Juvederm and Radiesse, please click on this link http://www.cincyfacialplastics.com/Injectable_Fillers_01.html.
Lastly, if you have any questions about any of these procedures, please don’t hesitate to call the office at 513-891-LIFT (5438) or email us at [email protected].