ZYGOMA REDUCTION SURGERY INITIAL CONSULTATION Assessment: Dr Sandeep will evaluate the client’s facial anatomy, skin quality, and overall health. This includes understanding the client’s medical history, any previous surgeries, and current medications. Desired Outcome: Dr Sandeep will discuss the desired aesthetic outcome with you in detail. It’s essential for the client to communicate their expectations clearly. Feasibility: Dr Sandeep will determine if the client is a suitable candidate for the procedure based on their anatomy and health status. Imaging: X-rays or CT scans are taken to assess the bone’s anatomy, thickness, and the location of vital structures like the inferior alveolar nerve. 3D Reconstruction: 3D reconstruction software to visualize the expected outcome and plan the exact bone resection is used in some cases. Model Creation: Using the CT scans, a 3D model of the client’s jaw might be created. Trial Surgery: Dr Sandeep might perform a mock surgery on this model to plan the exact amount and location of bone resection. Medications: Clients might be advised to stop certain medications, especially those that can increase bleeding risk, like aspirin or certain supplements like vitamin E, Gingko biloba and Garlic. Smoking and Alcohol: Clients are usually advised to stop smoking and limit alcohol consumption as they can delay healing. Oral Hygiene: Proper oral hygiene is crucial since the incision will be inside the mouth. Dr Sandeep might recommend dental cleaning before the surgery. ANAESTHESIA The procedure is typically performed under general anaesthesia, ensuring the client is comfortable and pain-free throughout the surgery. PROCEDURE INCISION The surgery is usually performed intraorally, meaning the incisions are made inside the mouth, which avoids visible external scars. Sometimes, an additional small incision is made near the hairline or ear to access the zygomatic arch more effectively. BONE REDUCTION The prominent part of the zygomatic bone and arch is shaved down, reduced, or repositioned to achieve the desired shape. REPOSITIONING The zygomatic bone, commonly referred to as the cheekbone, and its arch can be prominent in some individuals, leading to a wider facial appearance. In some cases, the bone is repositioned and fixed in place using titanium screws or plates. Osteotomy refers to the surgical cutting or removal of bone. In the context of zygoma reduction, osteotomies are performed to modify the zygomatic bone and arch to achieve a desired facial contour. There are several osteotomy techniques for zygoma reduction, and the choice of technique often depends on the client’s anatomy and the desired outcome, as well as the surgeon’s expertise. Here are the common osteotomies used: Intraoral Zygomatic Body Osteotomy This is the most common technique used by Dr Sandeep. An incision is made inside the mouth, between the upper gum and cheek. The zygomatic body is accessed and cut, allowing it to be repositioned. The bone can be moved inward to reduce its prominence. It’s then fixed in its new position using titanium plates and screws. Zygomatic Arch Osteotomy This technique focuses on the zygomatic arch, the part of the cheekbone that extends towards the ear. An incision can be made either inside the mouth or near the hairline above the ear. The arch is cut and repositioned, often in combination with the zygomatic body osteotomy. This provides a more comprehensive reduction of the cheekbone prominence. Combined Zygomatic Body and Arch Osteotomy This is a combination of the two techniques. Both the zygomatic body and arch are cut and repositioned. This provides a more harmonious and balanced facial contour. It’s especially useful for clients with significant cheekbone prominence. CLOSURE The incisions are then sutured closed. Absorbable sutures are used to close the incisions inside the mouth. Skin incisions are closed with sutures which need removal after 7 days. RECOVERY This varies among individuals, but there are general guidelines and expectations that most clients can anticipate. Here’s a breakdown of the recovery process: Immediate Post-Operative Period Hospital Stay: Depending on the extent of the surgery and Dr Sandeep’s recommendations, clients might be required to stay in the hospital for observation for a day or two. Pain Management: Clients will likely experience some pain and discomfort, which can be managed with prescribed pain medications. Diet: A soft or liquid diet is recommended for the first few days to avoid putting pressure on the surgical site and to prevent any trauma to the intraoral incisions. Activity: Clients are usually advised to avoid strenuous activities for a few weeks. Sleeping: You will be advised to sleep with the head raised to reduce swelling and aid in faster recovery General care: You will be advised to blow your nose to reduce the risk of air collecting in the tissues. Nasal douche may be prescribed to help clear the nose of any blood clots. First Week Swelling and Bruising: These are common and usually peak around the second- or third-day post-surgery. Cold compresses can help reduce swelling. Oral Hygiene: Since there are intraoral incisions, maintaining oral hygiene is crucial. Rinsing with an antiseptic mouthwash can help prevent infections. Activity: Clients should avoid strenuous activities and heavy lifting. It’s essential to rest and allow the body to heal. Follow-up: A post-operative check-up is typically scheduled within the first week to assess healing and address any concerns. Sleeping: You will be advised to sleep with the head raised to reduce swelling and aid in faster recovery General care: You will be advised to blow your nose to reduce the risk of air collecting in the tissues. Nasal douche may be prescribed to help clear the nose of any blood clots. First Month Swelling: While the majority of swelling will subside within the first couple of weeks, some residual swelling might persist for a few months. Numbness: Some clients might experience temporary numbness or altered sensation in the cheek area. This usually improves over time. Diet: Gradually reintroduce solid foods as comfort allows. Physical Activity: While light activities can be resumed, clients should still avoid vigorous exercises or activities that might impact the face. Contact sports are strictly prohibited for 3 months

CHEEK AUGMENTATION IMPLANT SURGERY WHAT CAN MALAR IMPLANTS ACHIEVE? Malar implants, commonly referred to as cheek implants, are used to add volume and projection to the cheekbones, creating a more defined facial structure. Here’s what malar implants can achieve: ENHANCED CHEEK DEFINITION Malar implants can create more pronounced cheekbones, contributing to a more contoured facial appearance. RESTORATION OF FACIAL VOLUME They can restore lost volume due to aging or weight loss, giving the face a fuller, more youthful look. IMPROVED FACIAL PROPORTIONS Implants can help balance facial proportions and symmetry, which can be particularly beneficial for those with naturally flat or asymmetrical cheeks AESTHETIC ENHANCEMENT Malar implants can enhance the overall aesthetic of the face, providing a more harmonious look that complements other facial features. LONG-LASTING RESULTS Unlike temporary fillers, cheek implants provide a permanent solution to volume enhancement in the cheek area. SUPPORT TO MIDFACE STRUCTURES They can provide support to midfacial tissues that may have sagged over time, indirectly improving the nasolabial folds. CUSTOMIZABLE OUTCOMES Implants come in various shapes and sizes, allowing for a customized approach to each individual’s aesthetic goals. WHAT CAN MALAR IMPLANTS NOT ACHIEVE? FULL FACIAL REJUVENATION While malar implants can enhance the cheekbones, they do not address signs of aging in other areas of the face, such as wrinkles, fine lines, or sagging skin. SKIN QUALITY IMPROVEMENT The implants will not improve the texture or quality of the skin, including issues like pigmentation, scarring, or acne. CORRECTION OF UNDERLYING HEALTH CONDITIONS If facial asymmetry is due to underlying medical conditions, malar implants alone may not correct the issue. IMMEDIATE AND SHORT RECOVERY Although malar implants are relatively straightforward, they still require surgical intervention, meaning that immediate recovery and return to normal activities are not possible. NATURAL AGING PROCESS Implants won’t halt the natural aging process; over time, the skin and soft tissues of the face will continue to age. COMPLEX CONTOURING While they can add volume, they can’t provide nuanced reshaping of the cheek area in the way that some other procedures, like fat grafting or dermal fillers, might offer. PROCEDURE Rigorous preoperative planning is crucial for aligning expectations between Dr Sandeep and the client, as well as for anticipating potential challenges. CONSULTATION Medical History: Dr Sandeep undertakes an exhaustive evaluation of the client’s health records to determine eligibility for both surgical intervention and anaesthesia. Aesthetic Goals and Expectations: In a detailed conversation, Dr Sandeep gauges the client’s aesthetic objectives and ensures that they hold realistic anticipations before moving forward with the procedure. Facial Analysis: Employing modern 3D scanning technology, Dr Sandeep performs an all-encompassing analysis of the client’s jawline and facial features. Morphing: Photographic images of the client are captured and sophisticated software is utilized to digitally manipulate them. This aids in both educating the client about achievable outcomes and in planning the surgical procedure. Discussion of Procedure: Dr Sandeep reviews surgical aims, potential hazards, and anticipations with the client, while also exploring various options for implant materials and dimensions. Dr Sandeep will discuss the desired outcome, choose the appropriate size and shape of the implant, and explain the procedure. ANAESTHESIA The procedure is typically done under general anaesthesia. INCISION Dr Sandeep makes an incision either inside the mouth (near the upper gum) or just below the lower eyelid. This ensures that there are no noticeable scars. IMPLANT PLACEMENT The implant is then inserted and positioned over the cheekbone. Dr Sandeep may use screws or sutures to secure the implant in place, though this is not always necessary. CLOSURE The incisions are closed with sutures. If the incision was made inside the mouth, dissolvable sutures are typically used. RECOVERY Immediate Post-Surgery Symptoms: Expect initial swelling, bruising, and a degree of pain, which usually subside within a fortnight. The final result can be seen once the swelling and bruising subsides, usually within a few months. Pain Management: Medications for alleviating discomfort are provided by Dr Sandeep’s team. Oral Hygiene: Exceptional oral care is essential, particularly if incisions are within the oral cavity, to prevent infections. Dietary Guidelines: A soft food regimen is commonly recommended during early recovery. Time Away: Plan for a 2-3 week hiatus from work or academic responsibilities. You will be expected to avoiding strenuous activities, sleeping in a specific position, or taking prescribed medications after surgery. Duration of Recovery: The principal healing phase lasts around two weeks, though residual swelling may persist for an extended timeframe. Support System: Post-surgery, especially if under general anaesthesia, assistance from someone is advisable. FOLLOW-UP APPOINTMENTS Scheduled Check-ups: Regular post-surgery consultations with Dr Sandeep are crucial for monitoring healing and addressing implant integration issues promptly. Ongoing Monitoring: Consistent follow-ups with Dr Sandeep ensure the healing trajectory aligns with client expectations. Activity Limitations: Strenuous activities and contact sports are generally discouraged for a set period post-surgery, typically three months. FINAL ASSESSMENT Swelling Resolution: Once all swelling has dissipated, Dr Sandeep conducts a conclusive evaluation to verify that the surgery has achieved the client’s aesthetic goals. Clients may experience swelling, bruising, and discomfort for several days. Oral antibiotics may be prescribed to prevent infection. POTENTIAL RISKS AND COMPLICATIONS Malar (cheek) implants can provide a more defined or youthful facial contour, but like any surgical procedure, there are associated risks. Here are some potential risks and complications of malar implant surgery: Infection: As with any surgical procedure, there’s a risk of infection. If an infection occurs around an implant, it might require removal of the implant until the infection is treated. Implant Shifting or Malposition: The implant can move from its original position, leading to asymmetry or an undesirable appearance. This might necessitate a revision surgery. Hematoma or Seroma: Blood or fluid can accumulate at the surgical site. This might require drainage or additional procedures. Scarring: Even though incisions for malar implants are often placed inside the mouth or under the eyelid to hide scars, there’s still a risk of visible or problematic scarring. Eyelid malposition: In a small proportion of clients where the incision is placed