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Cheekbone Widening Osteotomies

 

Cheek augmentation is most commonly done  by onlay augmentation. A wide variety of cheek implants exist to achieve almost every type of cheek dimensional in increase. And if a standard cheek implant cam meet the patient’s aesthetic midface needs, custom cheek implants can be designed for even the most exotic cheek augmentation change.

But some patients do not prefer the use of implants in the face and seek a more natural or autologous cheek augmentation method. Cutting and repositioning portions or all of the cheek bone can be done but its effects are more dimensionally limited. Just like the cheek bone osteotomy used to narrow the cheeks, it can be similarly done to done to widen.

Cheek Expansion Osteotomy Dr Barry Eppley IndianapolisA sagittal cut through the main body of the zygoma can be done from an intraoral approach. This maintains the anterior attachment of the zygomatic arch to the outer cortex of the zygomatic body. This cantilevered cheekbone segment can then be pushed out to increase zygomatic width and help there with a plate and screws. An interpositional autologous or cadaveric bone graft can be used between the segments if desired.

This cheekbone osteotomy method is used to widen or lateralize the outer cortex of the cheeks. It is a two-dimensional cheek augmentation technique that increases facial or bizygomatic width. However,  it can not increase anterior cheek projection. It has its value in certain aesthetic midfacial needs as well as in partial secondary correction of certain types of healed displaced cheekbone fractures.

Dr. Barry Eppley

Indianapolis, Indiana


Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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