SUBCILIARY MALAR AUGMENTATION AND CHEEK ADVANCEMENT - A 6-YEAR STUDY IN 22 PATIENTS UNDERGOING BLEPHAROPLASTY

Twenty-two patients seeking aesthetic improvement of their eyelid and orbital-cheek region underwent malar augmentation and cheek advancemen t in conjunction with lower eyelid blepharoplasty by means of a subcil iary incision. The follow-up ranged from 12 to 78 months, with a mean follow-up of 44 months. Concomitant other aesthetic procedures were pe rformed in 27 percent of the patients. Satisfactory goals of lower eye lid aesthetic improvement and malar augmentation with cheek advancemen t were achieved in 21 of 22 patients. A single patient had her implant s removed within 3 weeks of her initial operation, at her request. Com plications included hematoma formation in two patients, transient ectr opion in two patients, and a palpable implant edge in a single patient . There were no long-term functional or aesthetic sequelae. Malar augm entation and cheek advancement have been found to be a significant adj unct to lower eyelid blepharoplasty because they improve the appearanc e of the cheek region and add a youthful contour to the malar area. Th ese straightforward procedures add an effective dimension to blepharop lasty in appropriately selected patients.