the youthful cheeks
The natural position of the full cheek in relation to the lower eyelids, the fullness of the brows and the sub-malar hollow (in blue) need to be appreciated to understand what gives us a youthful appearance. Compare this with the aging changes illustrated below to understand the importance of the cheeks and midfacial fullness and hollows in our "Hammock" procedure which endeavours to recreate these anatomical nuances
How do Cheeks age?
The base-up triangle changes to a base-down triangle as we age, and, even worse, may become a rectangle. A rectangular face looks better on men than on women. Besides the jawline and jowls, the cheek volume loss, flattening and inferior movement of the cheek fat pads have a lot to do with this aging. It is impossible to obtaine a beautiful base-up triangle just with a face and neck lift if the prominence of the cheeks, the volume and position of the cheek eminence are not addressed.
aging of cheeks superimposed on more generalized aging
Even though there is generalized aging of all parts of the face and of all the layers, the midfacial changes are especially impressive with volume loss, loss of prominence of the cheeks, loss of the sub-malar hollow (the model’s hollow is what I call it), the smooth “apple-cheek” roundness, the smooth nasolabial fold, the clean transition from the lower eyelids to the cheeks and the healthy appearance of the skin.
"Well, the last time I had a picture taken I could hardly see my eyes because of the weight of heavy eyelid. Then I paid attention to how I was actually using my eyes and I really noticed when I was looking at anything especially the computer I was straining my forehead to see better. Since I have had it done I no longer have to lift the forehead and tilt my head to see. It is amazing! I love..." D. Rock 63 Yrs Old with Fat Droopy Eyes - Salt Lake City, UT
How do the Cheeks age?
Traditionally, plastic surgery has concentrated on the aging changes that affect the brows, upper eyelids, lower eyelids and the lower face and neck. The forgotten cousin in all this has been the midface. One only has to look at the shape of the midface in youth to appreciate the important contribution of the cheek fullness and angle to beauty. In men as well as women, creating the perfect cheek prominence (different in the two sexes, of course) allows one to design a pleasing and youthful face. Ignoring the cheek, as it is often done in cosmetic surgery, leads to an incongruous result. In the “old days”, one use cheek implants exclusively. Whereas there is definitely a place for cheek implants, advances in our understanding of aging of the midface, anatomical changes that occur and small incision surgery now allows us to use an amalgam of procedures to give a natural and un-operated look.
"I had a excellent eye lift done by Dr. Patel. He knows what he is doing and is very pleasant. Dr.Patel was easy to get an appointment and he works with you. The office staff was very pleasant and made you feel calm." D. Gull Highly recommended for eye lift surgery - Salt Lake City, UT