Dr. Buckingham’s Q&A

October 17, 2011

Would a procedure on my cheeks and jowls prevent me from getting a facelift later on?

Filed under: Cheek Augmentation,Facelift — admin @ 10:55 am

Question:
If I stand in front of the mirror and push the skin on my cheekbones, back, it improves the look of my cheeks and what must be my jowls.  This seems to be the oldest looking part of my face and I would like a mid-face lift to repair it. Would this surgery prevent me from getting a facelift later on if I need it? I am 48 years old.

Answer:
The jowls and the cheeks are usually dealt with by different procedures although the cheeks may be improved to a lesser extent by performing a lower facelift to improve the jowls. Depending on the degree of aging and the heaviness of the face, a minimal incision facelift may be appropriate and can be performed in the office. The cheeks can be improved to some extent by this procedure, but are usually improved to a greater extent by restoring lost volume. We firmly believe, after performing nearly every kind of midface lift, that the primary mechanism that the cheeks age by is volume loss and not descent.  Therefore we rejuvenate the midface or cheek region by replacing the lost volume either with the patient’s own fat or the use of fillers.   

Posted by Dr. Buckingham


September 28, 2011

Is it better to use fat injections or implants for cheek augmentation?

Filed under: Cheek Augmentation — admin @ 3:15 pm

Question:
I am a woman in my late fifties interested in cheek augmentation. I understand that the procedure is done either with an implant or with the patient’s own fat cells. Is either method superior to the other, and how would you determine which is best for me?

Answer:
The procedure can certainly be performed with either method and asking different specialists will yield different answers. We feel that patients in their 50′s likely want to replace what has been lost and not to alter what was present in youth. Therefore, we usually recommend a fat transfer as this is replacing what has been lost. (Bone is lost to some extent, but not nearly as much as fat). The problem with implants in an older patient is that the soft tissue covering of the implant has been decreased and therefore the implant can take on a harsh appearance. If someone has a significant bony deficiency and soft tissue deficiency, an implant can be placed first and then softened with fat in the future.

Posted by Dr. Buckingham


Dr. Edward Buckingham is a Board Certified Facial Plastic Surgeon who specializes in Rhinopalsty, Facelifts, Eyelid Surgery, BOTOX, and many other
Cosmetic Facial procedures. His office is located in Austin, Texas and services the surrounding areas including: Sunset Valley, West Lake Hills, Cedar Park,
Round Rock, and many of the other nearby Texas cities. © 2011 Austin Texas Facial Plastic Surgery
Dr. Buckingham is a Eyelid Surgery and Rhinoplasty expert in the Austin metropolitan area on RealSelf.

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