Can Surgery Change My Flat Facial Profile? Expert Insights on Options and Costs - Plastic Surgery

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Flat face?


Hello, doctor.
My face shape is wide and square, and from the side, my cheekbone width appears narrower than average, giving it a somewhat flat appearance.
I do not have any occlusion issues and do not feel any abnormalities in my daily life.
Is there a way to surgically change the appearance of my cheekbone width from the side? Which department should I consult for an examination? How much would the surgery cost? Is there any health insurance coverage for this type of surgery? I would appreciate your answers.
Thank you.

8850, 20~29 year old female. Ask Date: 2002/08/05

Dr. Jiang Baicong reply Plastic Surgery


Hello Mr.
8850: The facial structure is typically divided into the upper third, middle third, and lower third.
The area above the upper edge of the eye socket is considered the upper third, the area from the upper edge of the eye socket to the upper lip is the middle third, and the remaining area is the lower third.
The narrow part you mentioned should be considered the zygomatic region of the midface, and there is no issue with occlusion.
You can consult a plastic surgeon for an evaluation.
The cost of the surgery will depend on the complexity of the procedure and the materials used.
Please note that this surgery is considered cosmetic, and according to regulations, health insurance does not cover it.
Jiang Baicong, Qishan Hospital, August 8, 2002.

Reply Date: 2002/08/05

More Info


When considering surgical options to change a flat facial profile, particularly in relation to the width of the cheekbones, it's essential to understand both the potential benefits and the risks involved. The desire to enhance facial aesthetics is common, and many individuals seek surgical interventions to achieve a more contoured appearance.

Understanding the Options
1. Surgical Procedures: There are several surgical options available for altering the facial structure, particularly for enhancing the cheekbones. These include:
- Cheek Augmentation: This can be achieved through implants or fat grafting. Implants can provide a more pronounced cheekbone structure, while fat grafting uses the patient's own fat to add volume.

- Osteotomy: This is a more invasive procedure where the bone structure is surgically altered. For example, a zygomatic osteotomy can reposition the cheekbone to create a more desirable contour.

- Buccal Fat Removal: This procedure reduces the fullness of the cheeks, which can help in creating a more sculpted look, although it does not directly alter the cheekbone width.

2. Non-Surgical Options: If you're hesitant about invasive procedures, there are non-surgical options such as dermal fillers. Fillers can be injected into the cheeks to create a fuller appearance, but these are temporary solutions and require ongoing maintenance.


Risks and Considerations
Every surgical procedure carries inherent risks, including infection, scarring, and dissatisfaction with the aesthetic outcome. It's crucial to have realistic expectations and understand that while surgery can significantly alter your appearance, it may not achieve the exact results you envision. Additionally, the recovery time and potential complications should be discussed with your surgeon.


Costs and Insurance Coverage
The cost of facial surgeries can vary widely based on the complexity of the procedure, the surgeon's expertise, and the geographical location of the practice. Generally, cheek augmentation procedures can range from a few thousand to tens of thousands of dollars. For example:
- Cheek Implants: Typically cost between $3,000 to $5,000.

- Fat Grafting: Can range from $2,000 to $4,000.

- Osteotomy: This is usually more expensive, potentially exceeding $10,000 depending on the extent of the surgery.

Regarding insurance coverage, most cosmetic procedures are not covered by health insurance. However, if the surgery is deemed medically necessary (for instance, if it addresses a congenital deformity), there may be some coverage options available. It's advisable to consult with your insurance provider and the surgical office to clarify any potential coverage.


Consultation and Next Steps
To explore these options further, you should schedule a consultation with a board-certified plastic surgeon or an oral and maxillofacial surgeon. During this consultation, the surgeon will evaluate your facial structure, discuss your aesthetic goals, and recommend the most suitable procedures. They will also provide you with detailed information on the costs involved and any financing options that may be available.

In summary, while surgical options exist to change a flat facial profile and enhance the width of the cheekbones, careful consideration of the risks, costs, and potential outcomes is essential. Consulting with a qualified professional will help you make an informed decision tailored to your specific needs and goals.

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