Cheekbone implant alternatives

[smallgromp123]

Title. Are there any? ZSO seems to be one, but according to people's experiences (and results) it's not that good. Seems like so far the cheekbones are the only part which non-extreme osteotomies cannot alter. So we're stuck with short term iffy solutions.

Fat grafting is difficult to predict
Fillers migrate
ZSO is not worth getting
Vollufilline is BS
Lyophilized cartilage is not stable apparently
LF3-LF2/1 Area is not being done by any surgeon

Implants are good but personally I'm implant-phobic (+not many good providers)

Any other ideas?

 

[sarmatian]

Is there something you are willing to do?

 

[smallgromp123]

Is there something you are willing to do?

Yes, distraction osteogenesis at home

 

[chrishell]

ZSO is for increasing the width of the zygos but gives you no anterior projection.

None of the procedures you mentioned are strictly interchangeable. It depends on the exact nature of your midface deficiency which of them could help. But. if say 5mm of malar projection is what you need, there is no alternative to implants and that it is a risk you would have no choice but to take.

 

[iseeblue9]

Title. Are there any? ZSO seems to be one, but according to people's experiences (and results) it's not that good. Seems like so far the cheekbones are the only part which non-extreme osteotomies cannot alter. So we're stuck with short term iffy solutions.

Fat grafting is difficult to predict

Not always the case

Fillers migrate

Don’t really migrate if placed on the bones(chin jaw cheek)

ZSO is not worth getting

wym by Not worth?u can get good results but case dependent Raffaini pagnoni and brusco incorporates the technique

Vollufilline is BS
Lyophilized cartilage is not stable apparently
LF3-LF2/1 Area is not being done by any surgeon

Not done by any surgeonGO THE FUCK BACK WHERE YOU CAME FROM

Implants are good but personally I'm implant-phobic (+not many good providers)

Any other ideas?

 

[ActualMax]

Use MSE/MARPE to widen your palette and get more cheekbone projection. You can facepull at the same time to get forward projection.

 

[smallgromp123]

Not always the case

Don’t really migrate if placed on the bones(chin jaw cheek)

wym by Not worth?u can get good results but case dependent Raffaini pagnoni and brusco incorporates the technique

Not done by any surgeonGO THE FUCK BACK WHERE YOU CAME FROM

1 iQ

 

[imnotincelcore]

Use MSE/MARPE to widen your palette and get more cheekbone projection. You can facepull at the same time to get forward projection.

EASE > MARPE

 

[moze]

EASE > MARPE

Fme+fma>>>>>>>>>everything
See my thread

 

[viniciussdc]

Title. Are there any? ZSO seems to be one, but according to people's experiences (and results) it's not that good. Seems like so far the cheekbones are the only part which non-extreme osteotomies cannot alter. So we're stuck with short term iffy solutions.

Fat grafting is difficult to predict
Fillers migrate
ZSO is not worth getting
Vollufilline is BS
Lyophilized cartilage is not stable apparently
LF3-LF2/1 Area is not being done by any surgeon

Implants are good but personally I'm implant-phobic (+not many good providers)

Any other ideas?

Who said that fillers migrate?

 

[lookmaxxer998]

Title. Are there any? ZSO seems to be one, but according to people's experiences (and results) it's not that good. Seems like so far the cheekbones are the only part which non-extreme osteotomies cannot alter. So we're stuck with short term iffy solutions.

Fat grafting is difficult to predict
Fillers migrate
ZSO is not worth getting
Vollufilline is BS
Lyophilized cartilage is not stable apparently
LF3-LF2/1 Area is not being done by any surgeon

Implants are good but personally I'm implant-phobic (+not many good providers)

Any other ideas?

ZSO only works for lateral projection. For infraorbital rim (upper maxilla) you can’t create anterior projection. The only option for those who are implant phobic like you is calvarial bone grafting (basically taking the outer casing of the skull and using that to create projection).

This method does not have a lot of control though- it is shaped by the surgeon, so with won’t have the computer accuracy that implants have.