Mladick R A
Center for Cosmetic Plastic Surgery, Virginia Beach, Virginia.
Clin Plast Surg. 1991 Jan;18(1):29-38.
Alloplastic cheek augmentation can achieve an attractive malar prominence that is in balance and harmony with the other facial features. To reach this goal, the surgeon must first identify the proper candidate and then determine the type of malar deficiency. A vertical line through the lateral canthus allows the malar deficiency to be classified as anterior-medial, posterior-lateral, or combined. The proper implant is selected on the basis of the type of the defect and the degree of the deficiency. Different techniques are described that help the surgeon locate the site of the ideal malar eminence. Once that site is located, the surgeon outlines the proposed pocket for the implant. Both silicone and Proplast implants are successful. The insertion may be through the intraoral route, blepharoplasty approach, or under the face lift flap. The possible complications are discussed, but the complication rate is minimal.
异体材料隆颊术可实现具有吸引力的颧骨突出效果，使其与其他面部特征达到平衡与和谐。为实现这一目标，外科医生必须首先确定合适的患者，然后确定颧骨凹陷的类型。通过外眦的一条垂直线可将颧骨凹陷分为前内侧、后外侧或混合型。根据缺损类型和凹陷程度选择合适的植入物。文中描述了不同的技术，可帮助外科医生确定理想颧骨突出的位置。一旦确定该位置，外科医生就要勾勒出植入物的拟置入腔隙。硅胶和普罗普拉斯植入物都很成功。植入可通过口内途径、睑成形术入路或在面部提升皮瓣下进行。文中讨论了可能出现的并发症，但并发症发生率很低。
