Facial Augmentation

Author: Dr. Gordon Sasaki

Patients may present with hollowed deflated areas of their face that can be volumetrically improved by repositioning their own cheek fat upward and outward to reestablish the more youthful, triangulated appearance with fuller and rounder cheeks and tightened prejowl and jowl areas. The procedures that are directed to correct these aging signs include the SMAS (superficial muscular-fascial system) facelift with malar fat pad elevation. Some of these patients, however, may have deficient malar fat pads that, upon elevation, fail to provide a substantial fill to the midface. This type of patients may benefit from fat grafting to selected compartments with the check fat pad.

Other patients, who desire a more permanent method of augmentation for deficient cheeks may benefit from the usage of a cheek silicone implant (usually inserted through an opening inside the mouth) or microfat grafting (patient’s own fat is harvested from the abdomen or thighs). This may also be considered for smaller areas of volume deficiencies such as hollowness to the lower lid, nasolabial and marionette crease lines and deeper facial wrinkles.  A volumetric fill with an anatomically-shaped silicone implant on the bone provides a permanent fill. Microfat grafting may be injected deeply just over the bone in selected facial areas with different volumes and at variable tissue levels. It is estimated that only about 50% of the injected fat will survive. Aesthetic facial surgery today emphasizes both replacement of volume and lifting of sagging tissues.

Dr. Sasaki

Dr. Gordon H. Sasaki

Triple Board-Certified Plastic Surgeon
Few plastic surgeons can match Dr. Sasaki's combination of expertise, compassion, and experience. He's a distinguished educator and a renowned innovator whose work and research have influenced a generation of plastic surgeons. Dr. Sasaki will work with you to make the improvements you desire.

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